Alexander Ramsey, PA
Physician Assistant · Billings, MTNPI 1003364878
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,996 of the $2,709 with a category attached, or 73.7%. 5 manufacturers reported payments, led by Medacta USA, Inc. at 51.7% of the total. Reporting peaked in 2024 at $1,504 and has fallen 92.7% since, to $109 in 2025. Among physician assistant clinicians in MT 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.
Across 17 payments — averaging $159.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$1K
- Pacira Pharmaceuticals Incorporated$913
- Si-bone, Inc.$302
- Stryker$72
- Solventum Corporation$23
What the payments were for
- Travel & lodging$1,99674%
- Food & beverage$71226%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| Medacta USA, Inc. | 6 | $1,400 |
| Pacira Pharmaceuticals Incorporated | 6 | $913 |
| Si-bone, Inc. | 3 | $302 |
| Stryker | 1 | $72 |
| Solventum Corporation | 1 | $23 |
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.
- GMK Sphere Revision System$1,130
- Iovera$821
- IFUSE IMPLANT SYSTEM$150
- GMK SPHERE$110
How this compares
$2,709 in reported general payments places this provider in the 95th percentile of 626 physician assistant providers in Montana.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Celecoxib | 103 | $1,741 |
| Oxycodone Hcl | 107 | $746 |
| Methocarbamol | 88 | $385 |
| Hydromorphone Hcl | 19 | $106 |
| Gabapentin | 30 | $104 |
| Tramadol Hcl | 32 | $101 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $92 |
| Omeprazole | 11 | $91 |
| Meloxicam | 31 | $87 |
| Cephalexin | 12 | $73 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Billings
- Trenay HartBillings$57K
- Elliy PhillipsBillings$5K
- Kevin DavisBillings$5K
- Holly BrehmBillings$4K
- Michael PerronBillings$3K
- Danielle ShepherdBillings$3K
- Baylee BaldwinBillings$3K
- Mary TuckerBillings$3K
- Jeremy LarsonBillings$2K
- Seth EhlangBillings$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.