Betty Ramos-Dobry, PA
Physician Assistant · San Antonio, TXNPI 1306837554
Payments from drug & device makers
Across 91 payments — averaging $19.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$931
- Abbott$124
- AstraZeneca$102
- Amarin Pharma, Inc.$100
- Lilly USA, LLC$84
- AbbVie$81
- plus $310 from 10 others
What the payments were for
- Food & beverage$1,732100%
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 | 46 | $931 |
| Abbott | 6 | $124 |
| AstraZeneca | 7 | $102 |
| Amarin Pharma, Inc. | 5 | $100 |
| Lilly USA, LLC | 5 | $84 |
| AbbVie | 4 | $81 |
| Sanofi-aventis U.S. LLC | 4 | $66 |
| Boehringer Ingelheim | 3 | $54 |
| Merck | 3 | $52 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $27 |
| GSK | 2 | $25 |
| Philips North America LLC | 1 | $24 |
| Medtronic | 1 | $19 |
| Si-bone, Inc. | 1 | $16 |
| Johnson & Johnson | 1 | $14 |
| Nestle Healthcare Nutrition Inc. | 1 | $12 |
How this compares
$1,732 in reported general payments places this provider in the 70th percentile of 8,308 physician assistant 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 |
|---|---|---|
| JardianceEmpagliflozin | 142 | $227,042 |
| JanuviaSitagliptin Phosphate | 107 | $138,598 |
| TrulicityDulaglutide | 58 | $100,564 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 59 | $75,387 |
| TradjentaLinagliptin | 50 | $56,140 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 32 | $56,102 |
| OzempicSemaglutide | 46 | $48,201 |
| MounjaroTirzepatide | 38 | $46,384 |
| GlyxambiEmpagliflozin/Linagliptin | 37 | $44,235 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 34 | $40,810 |
| LinzessLinaclotide | 44 | $37,593 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 26 | $35,882 |
| MyrbetriqMirabegron | 36 | $35,632 |
| EliquisApixaban | 40 | $34,324 |
| XareltoRivaroxaban | 19 | $27,524 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta, Glyxambi | $54 | $327,417229 claims |
| MerckJanuvia, Janumet Xr, Janumet | $52 | $197,746160 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $84 | $146,94896 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $66 | $56,10232 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort, Brilinta | $102 | $55,38667 claims |
| Novo NordiskOzempic | $931 | $48,20146 claims |
| AbbVieLinzess | $81 | $37,59344 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $25 | $29,02535 claims |
| Johnson & JohnsonXarelto | $14 | $27,52419 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 70th percentile of 8,308 physician assistant providers in Texas.
Other physician assistant in San Antonio
- Anthony DerenciusSan Antonio$507K
- Andrew PrattSan Antonio$87K
- Sarah MerrittSan Antonio$55K
- Monica ChapmanSan Antonio$38K
- Lisa GarrisonSan Antonio$35K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
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.