Fanny Ramirez
Family Medicine · Houston, TXNPI 1881796076
Payments from drug & device makers
Across 218 payments — averaging $13.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$408
- Amarin Pharma, Inc.$399
- Johnson & Johnson$373
- Novo Nordisk$367
- Lilly USA, LLC$233
- Merck$154
- plus $1K from 14 others
What the payments were for
- Food & beverage$2,98398%
- Education$482%
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 |
|---|---|---|
| AstraZeneca | 29 | $408 |
| Amarin Pharma, Inc. | 26 | $399 |
| Johnson & Johnson | 29 | $373 |
| Novo Nordisk | 26 | $367 |
| Lilly USA, LLC | 21 | $233 |
| Merck | 16 | $154 |
| Novartis | 8 | $148 |
| GSK | 9 | $144 |
| Kowa Pharmaceuticals America, Inc. | 9 | $126 |
| AbbVie | 9 | $119 |
| Pfizer | 8 | $114 |
| Sanofi-aventis U.S. LLC | 5 | $84 |
| Boston Scientific | 4 | $75 |
| Boehringer Ingelheim | 5 | $66 |
| Astellas Pharma US Inc | 3 | $66 |
| Smith+Nephew | 4 | $49 |
| Amgen | 3 | $43 |
| E.r. Squibb & Sons, L.L.C. | 2 | $28 |
| Shire North American Group Inc | 1 | $19 |
| Strongbridge US Inc. | 1 | $17 |
How this compares
$3,031 in reported general payments places this provider in the 75th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Houston
- Lisa HollowayHouston$30.1M
- Veronica FragosoHouston$24.5M
- Bonnie ColvilleHouston$19.6M
- Oscar de ValleHouston$12.8M
- van TranHouston$11M
- Joe PouzarHouston$10.7M
- Aalia Al-BarwaniHouston$6.8M
- Terence ChangHouston$3.3M
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.