RxDoctor Payments Data

Adolfo Ramirez Zamora, MD

Neurology · Gainesville, FLNPI 1922261270

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $245,155 of the $363,248 with a category attached, or 67.5%. Medtronic accounts for 84.0% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $86,682, 2.8 times the $30,729 reported in 2019. Among neurology clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$363,248in general payments, 2019–2025

Across 448 payments — averaging $810.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$305K
  • Novo Nordisk AS$46K
  • Boston Scientific$9K
  • Biogen$913
  • AstraZeneca$800
  • Vertex$500
  • plus $219 from 2 others
$480,180in research payments, 2019–2025

Across 30 payments — averaging $16,006 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Eli Lilly$153K
  • AbbVie$124K
  • Medtronic$99K
  • Functional Neuromodulation Inc$77K
  • Genentech, Inc.$26K
  • Boston Scientific$2K

What the payments were for

  • Consulting fees$41,24211%
  • Speaking & faculty fees$245,15567%
  • Grants$2420%
  • Travel & lodging$66,11518%
  • Food & beverage$10,4933%

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

CompanyPaymentsTotal
Medtronic(2 entities)413$305,263
Novo Nordisk AS11$46,458
Boston Scientific19$9,094
Biogen1$913
AstraZeneca1$800
Vertex1$500
Neurocrine Biosciences, Inc.1$171
AbbVie1$47

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$363,248 in reported general payments places this provider in the 95th percentile of 1,434 neurology providers in Florida.

See all neurology providers in Florida →

Medicare billing

Part B allowed, 2024
$239,648
Medicare patients
278
Services billed
24,845

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
RytaryCarbidopa/Levodopa24$31,434
Carbidopa-LevodopaCarbidopa/Levodopa171$5,617
Carbidopa-Levodopa ErCarbidopa/Levodopa79$5,533
Ropinirole ErRopinirole Hcl17$3,549
Rivastigmine13$3,154
Selegiline Hcl22$2,228
Rasagiline Mesylate12$1,649
Baclofen17$703
Quetiapine Fumarate35$621
Nortriptyline Hcl41$583
Bupropion XlBupropion Hcl29$566
Pregabalin13$564
Pramipexole DihydrochloridePramipexole Di-Hcl14$511
Memantine Hcl16$511
Donepezil Hcl51$473

Paid to pharmacies, not to this prescriber.

Other neurology in Gainesville

See the full list for Florida →

Where these figures come from

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