Giorgiana Ramirez, PA
Physician Assistant · Summerville, SCNPI 1831828821
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 381 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 39 manufacturers, the largest accounting for just 18.3% — the pattern of someone who eats at a lot of different presentations. Among physician assistant clinicians in SC 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 381 payments — averaging $19.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acadia Pharmaceuticals Inc$1K
- TG Therapeutics, Inc.$840
- Neurocrine Biosciences, Inc.$451
- Teva Pharmaceuticals USA, Inc.$411
- AbbVie$407
- UCB, Inc.$399
- plus $4K from 33 others
What the payments were for
- Food & beverage$7,517100%
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 |
|---|---|---|
| Acadia Pharmaceuticals Inc | 51 | $1,376 |
| TG Therapeutics, Inc. | 35 | $840 |
| Neurocrine Biosciences, Inc. | 21 | $451 |
| Teva Pharmaceuticals USA, Inc. | 37 | $411 |
| AbbVie | 43 | $407 |
| UCB, Inc. | 23 | $399 |
| Novartis | 23 | $398 |
| Lilly USA, LLC | 14 | $349 |
| AstraZeneca(2 entities) | 9 | $244 |
| Lundbeck LLC | 16 | $230 |
| Pfizer | 16 | $224 |
| Argenx US, Inc. | 8 | $175 |
| Axsome Therapeutics, Inc. | 12 | $172 |
| Biogen | 9 | $168 |
| Eisai Inc. | 5 | $162 |
| Johnson & Johnson | 3 | $148 |
| Amneal Pharmaceuticals LLC | 7 | $137 |
| Sanofi | 5 | $118 |
| CSL Behring | 4 | $114 |
| EMD Serono, Inc. | 4 | $102 |
| Jazz Pharmaceuticals Inc. | 1 | $96 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $88 |
| Otsuka America Pharmaceutical, Inc. | 4 | $84 |
| Catalyst Pharmaceuticals, Inc. | 3 | $70 |
| Merz Pharmaceuticals, LLC | 3 | $68 |
| Averitas Pharma Inc. | 2 | $64 |
| Genentech USA, Inc. | 4 | $64 |
| Bristol Myers Squibb | 3 | $62 |
| Neurelis, Inc. | 2 | $52 |
| Kyowa Kirin, Inc. | 2 | $48 |
| SK Life Science, Inc. | 1 | $31 |
| Ultragenyx Pharmaceutical Inc. | 1 | $27 |
| Xeris Pharmaceuticals, Inc. | 1 | $26 |
| Amgen | 1 | $24 |
| Mallinckrodt Hospital Products Inc. | 1 | $23 |
| Tanabe Pharma America, Inc. | 1 | $18 |
| Alnylam Pharmaceuticals Inc. | 1 | $17 |
| Vanda Pharmaceuticals Inc. | 1 | $16 |
| Idorsia Pharmaceuticals US Inc | 1 | $16 |
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
$7,517 in reported general payments places this provider in the 95th percentile of 1,852 physician assistant providers in South Carolina.
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 |
|---|---|---|
| Memantine Hcl | 90 | $1,609 |
| Mirtazapine | 24 | $857 |
| Donepezil Hcl | 72 | $710 |
| Duloxetine Hcl | 19 | $391 |
| Propranolol Hcl ErPropranolol Hcl | 12 | $301 |
| RizatriptanRizatriptan Benzoate | 16 | $297 |
| Pregabalin | 19 | $193 |
| Amitriptyline Hcl | 23 | $179 |
| Gabapentin | 22 | $170 |
| Topiramate | 20 | $58 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Summerville
- Martha GreenSummerville$48K
- Jennifer RepaskeySummerville$15K
- Amy TurnerSummerville$13K
- Thyra MalteseSummerville$12K
- Kaitlyn HornerSummerville$12K
- Elaine O'DonnellSummerville$12K
- Haley CorriveauSummerville$10K
- Benjamin AddyWest Columbia$377K
- Michael OvercashCharleston$210K
- Allison LesterMt Pleasant$163K
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.