Jania Arcia Ramos, MD
Obstetrics · Fort Collins, CONPI 1154882421
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,186 of the $1,566 with a category attached, or 75.7%. Intuitive Surgical accounts for 75.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2024 at $1,475 and has fallen 95.9% since, to $60 in 2025.
Across 17 payments — averaging $92.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$1K
- Baxter Healthcare$148
- Hologic Sales And Service, LLC$66
- Astellas Pharma US Inc$36
- Pfizer$28
- Exeltis, USA Inc.$23
- plus $80 from 5 others
Across 1 payment — averaging $150.00 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.
- Novo Nordisk AS$150
What the payments were for
- Travel & lodging$1,18676%
- Food & beverage$38124%
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 |
|---|---|---|
| Intuitive Surgical | 4 | $1,186 |
| Baxter Healthcare | 1 | $148 |
| Hologic Sales And Service, LLC | 2 | $66 |
| Astellas Pharma US Inc | 2 | $36 |
| Pfizer | 2 | $28 |
| Exeltis, USA Inc. | 1 | $23 |
| Bayer | 1 | $19 |
| Merck | 1 | $16 |
| Sumitomo Pharma America, Inc. | 1 | $16 |
| Medtronic | 1 | $15 |
| Sage Therapeutics, LLC | 1 | $14 |
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.
- Da Vinci Surgical System$1,133
- TISSEEL$148
How this compares
Too few obstetrics providers in Coloradoto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Estradiol | 26 | $1,368 |
Paid to pharmacies, not to this prescriber.
Other obstetrics in Fort Collins
- Susan MikaelianColorado Springs$12K
- Marie HannaLone Tree$4K
- Kruti PatelPueblo$2K
- Sara RobisonColorado Springs$1K
- Megan SheldonHighlands Ranch$478
- James GilhamMontrose$324
- Kaitlin MarArvada$243
- Erin DrakeParker$137
- Kimberly WindEnglewood$30
- McArthur HillWheat Ridge$24
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.