Alexandra Ruiz
Family · Duluth, GANPI 1538557061
Payments from drug & device makers
Across 210 payments — averaging $23.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$805
- Amgen$769
- AbbVie$547
- AstraZeneca$401
- GSK$381
- Lilly USA, LLC$284
- plus $2K from 28 others
What the payments were for
- Food & beverage$4,64893%
- Education$1002%
- Other$2655%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Novo Nordisk | 23 | $805 |
| Amgen | 24 | $769 |
| AbbVie | 37 | $547 |
| AstraZeneca | 10 | $401 |
| GSK | 24 | $381 |
| Lilly USA, LLC | 14 | $284 |
| Baxter Healthcare | 1 | $265 |
| Biohaven Pharmaceutical Holding Company Ltd. | 13 | $205 |
| Eisai Inc. | 9 | $176 |
| Esperion Therapeutics, Inc. | 4 | $175 |
| IBSA Pharma Inc. | 11 | $159 |
| Dexcom, Inc. | 2 | $122 |
| Otsuka America Pharmaceutical, Inc. | 6 | $116 |
| Sanofi-aventis U.S. LLC | 2 | $112 |
| Astellas Pharma US Inc | 4 | $64 |
| Optinose US, Inc. | 2 | $48 |
| Teva Pharmaceuticals USA, Inc. | 3 | $48 |
| Ipsen Biopharmaceuticals, Inc | 2 | $37 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $27 |
| Merck | 2 | $27 |
| Kowa Pharmaceuticals America, Inc. | 2 | $26 |
| Arbor Pharmaceuticals, Inc. | 1 | $21 |
| Pfizer | 1 | $21 |
| Therapeuticsmd, Inc. | 1 | $20 |
| Agile Therapeutics, Inc. | 1 | $19 |
| Aspira Women's Health Inc | 1 | $18 |
| Nestle Healthcare Nutrition Inc. | 1 | $17 |
| Edwards Lifesciences | 1 | $17 |
| Boehringer Ingelheim | 1 | $16 |
| Lundbeck LLC | 1 | $15 |
| Jazz Pharmaceuticals Inc. | 1 | $15 |
| Evofem Biosciences, Inc. | 1 | $14 |
| Amarin Pharma, Inc. | 1 | $13 |
| Endo Pharmaceuticals Inc. | 1 | $11 |
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
$5,013 in reported general payments places this provider in the 90th percentile of 6,258 family providers in Georgia.
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 |
|---|---|---|
| Cephalexin | 60 | $1,231 |
| Methylprednisolone | 177 | $1,033 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 72 | $453 |
| Doxycycline Hyclate | 27 | $219 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 20 | $218 |
| Azithromycin | 56 | $208 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 24 | $117 |
| Fluconazole | 17 | $57 |
| Ciprofloxacin Hcl | 11 | $50 |
| Amoxicillin | 19 | $38 |
Paid to pharmacies, not to this prescriber.
Other family in Duluth
- Stephanie HigdonDuluth$28K
- Allie McAllisterMarietta$299K
- Tonita WashingtonLawrenceville$153K
- Erin HenryLawrenceville$135K
- Trisha RomanPeachtree City$134K
- Lori ReedMarietta$106K
- Julia BranchCumming$102K
- Hannah BanachWaycross$85K
- Morgan GroothandEvans$81K
- Anna Carolina WrightLilburn$69K
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.