RxDoctor Payments Data

Inoel Rivera-Ramirez, MD

Urology · Orlando, FLNPI 1811984131

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $5,294 of the $8,116 with a category attached, or 65.2%. It is spread thinly across 44 manufacturers, the largest accounting for just 19.1%. Reporting peaked in 2024 at $2,406 and has fallen 57.8% since, to $1,015 in 2025.

$8,116in general payments, 2019–2025

Across 229 payments — averaging $35.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$2K
  • Intuitive Surgical$976
  • Medical Device Business Services, Inc.$750
  • Myriad Genetic Laboratories, Inc.$629
  • Ferring Pharmaceuticals Inc.$473
  • Astellas Pharma US Inc$463
  • plus $3K from 38 others
$269,092in research payments, 2019–2025

Across 53 payments — averaging $5077.21 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Bayer$194K
  • Janssen Research & Development, LLC$45K
  • Spectrum Pharmaceuticals Inc.$16K
  • Pfizer$15K

What the payments were for

  • Consulting fees$7509%
  • Travel & lodging$1,78422%
  • Food & beverage$5,29465%
  • Education$2874%

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

19
20
21
22
23
24
25

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.

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

$8,116 in reported general payments places this provider in the 70th percentile of 935 urology providers in Florida.

See all urology providers in Florida

Medicare billing

Part B allowed, 2024
$181,030
Medicare patients
345
Services billed
1,431

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

DrugClaimsCost to plans & patients
NubeqaDarolutamide19$242,439
MyrbetriqMirabegron23$26,301
Docetaxel12$8,269
Tamsulosin Hcl248$4,286
Gemcitabine Hcl16$3,124
Tolterodine Tartrate ErTolterodine Tartrate27$2,979
Finasteride137$1,663
Alfuzosin Hcl ErAlfuzosin Hcl52$941
Silodosin13$857
Solifenacin Succinate15$432
Testosterone Cypionate14$354
Bicalutamide13$305
Terazosin Hcl16$276
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim26$102
Sildenafil Citrate15$83

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.

CompanyPaid to this providerPart D cost of their drugs
BayerNubeqa$110$242,43919 claims
Astellas Pharma US IncMyrbetriq$463$26,30123 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 70th percentile of 935 urology providers in Florida.

Other urology in Orlando

See the full list for Florida

Where these figures come from

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