Charina Ramirez
Pediatric Gastroenterology · Dallas, TXNPI 1083792105
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $50,560 of the $59,947 with a category attached, or 84.3%. 17 manufacturers reported payments, led by Travere Therapeutics, Inc. at 55.1% of the total. Among pediatric gastroenterology clinicians in TX 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 193 payments — averaging $310.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Travere Therapeutics, Inc.$33K
- Mirum Pharmaceuticals, Inc.$20K
- AstraZeneca$5K
- AbbVie$508
- Takeda Pharmaceuticals U.S.A., Inc.$297
- Johnson & Johnson$262
- plus $874 from 11 others
What the payments were for
- Consulting fees$50,56084%
- Speaking & faculty fees$3,6006%
- Travel & lodging$1,8083%
- Food & beverage$3,8816%
- Education$990%
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 |
|---|---|---|
| Travere Therapeutics, Inc. | 64 | $33,060 |
| Mirum Pharmaceuticals, Inc. | 51 | $20,012 |
| AstraZeneca | 5 | $4,934 |
| AbbVie | 19 | $508 |
| Takeda Pharmaceuticals U.S.A., Inc. | 15 | $297 |
| Johnson & Johnson | 9 | $262 |
| QOL Medical, LLC | 7 | $248 |
| Sanofi | 6 | $193 |
| Regeneron Healthcare Solutions, Inc. | 7 | $163 |
| Perspectum Diagnostics Ltd | 1 | $84 |
| Nestle Healthcare Nutrition Inc. | 2 | $42 |
| Pharming Healthcare, Inc. | 2 | $33 |
| Intrabio Inc | 1 | $27 |
| Aimmune Therapeutics, Inc. | 1 | $25 |
| Mauna Kea Technologies, Inc. | 1 | $24 |
| Alcresta Therapeutics, Inc. | 1 | $20 |
| Ipsen Biopharmaceuticals, Inc | 1 | $15 |
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
$59,947 in reported general payments places this provider in the 95th percentile of 159 pediatric gastroenterology providers in Texas.
Other pediatric gastroenterology in Dallas
- Naveen MittalDallas$182K
- Amal AqulDallas$99K
- Meghana SatheDallas$30K
- David TroendleDallas$14K
- Nandini ChannabasappaDallas$12K
- Rinarani SanghaviDallas$6K
- Bradley BarthDallas$6K
- Ricardo Medina-CentenoDallas$5K
- Megha MehtaDallas$4K
- Bhaskar GurramDallas$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.