Brenda Ramirez, MD
Internal Medicine · Spring Hill, FLNPI 1043848963
Payments from drug & device makers
Across 14 payments — averaging $19.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$85
- Exact Sciences$47
- GSK$45
- Bayer$30
- Galderma Laboratories, L.p.$21
- Amgen$18
- plus $31 from 2 others
What the payments were for
- Food & beverage$277100%
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 |
|---|---|---|
| Boehringer Ingelheim | 4 | $85 |
| Exact Sciences | 2 | $47 |
| GSK | 2 | $45 |
| Bayer | 2 | $30 |
| Galderma Laboratories, L.p. | 1 | $21 |
| Amgen | 1 | $18 |
| Novo Nordisk | 1 | $17 |
| Si-bone, Inc. | 1 | $14 |
How this compares
$277 in reported general payments places this provider in the 45th percentile of 8,530 internal medicine providers in Florida.
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 |
|---|---|---|
| Buspirone Hcl | 14 | $695 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 28 | $362 |
| Rosuvastatin Calcium | 20 | $323 |
| Tramadol Hcl | 13 | $309 |
| Atorvastatin Calcium | 26 | $275 |
| Levothyroxine Sodium | 18 | $255 |
| Gabapentin | 13 | $231 |
| Losartan Potassium | 20 | $229 |
| Omeprazole | 13 | $205 |
| Carvedilol | 17 | $155 |
| Lisinopril | 32 | $146 |
| Amlodipine Besylate | 18 | $119 |
| Methylprednisolone | 14 | $110 |
| Metformin Hcl | 26 | $101 |
| Meloxicam | 22 | $82 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Spring Hill
- Yaneicy Gonzalez RojasCoral Gables$93.5M
- Juan Carlos RondonHollywood$66.8M
- Jaynier MoyaPembroke Pines$45.4M
- Mark KutnerMiami$35.7M
- Gilberto JimenezHialeah$35.6M
- Mira BaronWest Palm Beach$29.6M
- William SanchezHialeah$28.9M
- Nelia Sanchez-CrespoHollywood$28.8M
- Kwabena AyesuOrlando$27.6M
- Michael DeverWindermere$24M
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.