Alfredo Ramirez
Psychiatric/Mental Health · Amarillo, TXNPI 1043851033
Payments from drug & device makers
Across 367 payments — averaging $21.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- Neurocrine Biosciences, Inc.$1K
- Otsuka America Pharmaceutical, Inc.$782
- Teva Pharmaceuticals USA, Inc.$719
- Alkermes, Inc.$606
- Lundbeck LLC$514
- plus $2K from 12 others
What the payments were for
- Food & beverage$7,757100%
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 |
|---|---|---|
| Johnson & Johnson | 88 | $1,851 |
| Neurocrine Biosciences, Inc. | 45 | $1,149 |
| Otsuka America Pharmaceutical, Inc. | 29 | $782 |
| Teva Pharmaceuticals USA, Inc. | 57 | $719 |
| Alkermes, Inc. | 24 | $606 |
| Lundbeck LLC | 24 | $514 |
| Axsome Therapeutics, Inc. | 26 | $479 |
| AbbVie | 7 | $373 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 25 | $300 |
| E.r. Squibb & Sons, L.L.C. | 8 | $243 |
| Avanir Pharmaceuticals, Inc. | 5 | $174 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $169 |
| Ironshore Pharmaceuticals Inc. | 6 | $104 |
| Acadia Pharmaceuticals Inc | 5 | $81 |
| Tris Pharma Inc | 4 | $70 |
| Biohaven Pharmaceuticals, Inc. | 1 | $68 |
| Bayer | 1 | $50 |
| Vanda Pharmaceuticals Inc. | 1 | $26 |
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.
- ARISTADA$496
- VRAYLAR$265
- INGREZZA$222
- NUEDEXTA$125
- ABILIFY MAINTENA$125
- REXULTI$125
- COBENFY$125
- ARISTADA INITIO$124
- SPRAVATO$121
How this compares
$7,757 in reported general payments places this provider in the 90th percentile of 2,724 psychiatric/mental health providers in Texas.
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 |
|---|---|---|
| Aripiprazole | 17 | $1,492 |
| Divalproex Sodium ErDivalproex Sodium | 16 | $853 |
| Divalproex Sodium | 33 | $752 |
| Quetiapine Fumarate | 34 | $382 |
| Gabapentin | 13 | $278 |
| Prazosin Hcl | 11 | $253 |
| Bupropion XlBupropion Hcl | 17 | $234 |
| Duloxetine Hcl | 17 | $206 |
| Olanzapine | 13 | $187 |
| Mirtazapine | 24 | $186 |
| Risperidone | 16 | $155 |
| Trazodone Hcl | 30 | $129 |
| Buspirone Hcl | 13 | $113 |
| Escitalopram Oxalate | 19 | $112 |
| Fluoxetine Hcl | 11 | $44 |
Paid to pharmacies, not to this prescriber.
Other psychiatric/mental health in Amarillo
- Suzanne YawsAmarillo$25K
- Katrisa BrittonAmarillo$22K
- Rae RobertsonAmarillo$13K
- Barbara NefsteadAmarillo$13K
- Tracy HicksLongview$684K
- Natalie TellezHouston$602K
- Karah BrashierRichardson$567K
- Grant DavisRichardson$360K
- Victor IlogEl Paso$167K
- Lisa ShamblinGrapevine$163K
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.