Daniel Ramirez, MD
Vascular Surgery · Miami, FLNPI 1134160781
Payments from drug & device makers
Across 97 payments — averaging $63.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- W. L. Gore & Associates, Inc.$2K
- Silk Road Medical, Inc.$648
- Shockwave Medical, Inc$613
- Bard Peripheral Vascular, Inc.$531
- Penumbra, Inc.$514
- Getinge USA Sales, LLC$254
- plus $2K from 22 others
What the payments were for
- Travel & lodging$1,64227%
- Food & beverage$4,48573%
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 |
|---|---|---|
| W. L. Gore & Associates, Inc. | 9 | $1,865 |
| Silk Road Medical, Inc. | 4 | $648 |
| Shockwave Medical, Inc | 8 | $613 |
| Bard Peripheral Vascular, Inc. | 13 | $531 |
| Penumbra, Inc. | 4 | $514 |
| Getinge USA Sales, LLC | 5 | $254 |
| Medtronic(2 entities) | 11 | $224 |
| Philips North America LLC | 3 | $188 |
| Angiodynamics, Inc. | 1 | $172 |
| Bolton Medical Inc | 2 | $159 |
| BD | 3 | $154 |
| Aroa Biosurgery Incorporated | 6 | $125 |
| Stryker | 3 | $103 |
| Organogenesis Inc. | 3 | $87 |
| Kerecis Limited | 2 | $76 |
| Solventum Corporation | 4 | $75 |
| Johnson & Johnson | 4 | $75 |
| Biotissue Holdings Inc. | 2 | $51 |
| KCI USA, Inc. | 1 | $37 |
| Covidien LP | 1 | $22 |
| Integra Lifesciences Corporation | 1 | $22 |
| Cardiovascular Systems Inc. | 1 | $22 |
| Novo Nordisk | 1 | $21 |
| Cook Medical LLC | 1 | $19 |
| Chiesi USA, Inc. | 1 | $18 |
| Sanofi-aventis U.S. LLC | 1 | $18 |
| Catheter Precision, Inc. FKA Ra Medical Systems, Inc. | 1 | $17 |
| Teleflex LLC | 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.
- GORE TAG Thoracic Branch Endoprosthesis$1,201
- ENROUTE Transcarotid Neuroprotection System$570
- ENROUTE Transcarotid Stent$570
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$503
- Indigo System$372
- GORE TAG Thoracic Endoprosthesis$271
- VenaCure 1470 Pro$172
- GORE VIABAHN Endoprosthesis with Heparin$172
- Penumbra System$143
- GORE EXCLUDER AAA Endoprosthesis$142
- Grafts$140
- CROSSER$134
- (5044) MCOT$116
- Venclose Maven Catheter$113
How this compares
$6,127 in reported general payments places this provider in the 45th percentile of 385 vascular surgery 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 |
|---|---|---|
| EliquisApixaban | 47 | $38,409 |
| XareltoRivaroxaban | 11 | $7,212 |
| ClopidogrelClopidogrel Bisulfate | 140 | $846 |
| Gabapentin | 110 | $561 |
| Cilostazol | 46 | $475 |
| Atorvastatin Calcium | 65 | $303 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 50 | $201 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 23 | $77 |
| Tramadol Hcl | 13 | $56 |
| Ropinirole Hcl | 12 | $51 |
| Metformin Hcl | 11 | $48 |
| Meloxicam | 13 | $17 |
| Alprazolam | 32 | $13 |
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 |
|---|---|---|
| Johnson & JohnsonXarelto | $75 | $7,21211 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 45th percentile of 385 vascular surgery providers in Florida.
Other vascular surgery in Miami
- Eduardo MartinezMiami$288K
- Juan Fleites VazquezMiami$89K
- Tony ShaoMiami$37K
- Samuel TapperStuart$1.3M
- Erin MooreJacksonville$488K
- Mariano ArosemenaBradenton$472K
- Woongchae LeeBoca Raton$414K
- Manuel Perez IzquierdoOrlando$396K
- Murray ShamesTampa$354K
- Joseph RicottaDelray Beach$344K
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.