Jennifer Amaral Ramos, MD
Pediatrics · Corpus Christi, TXNPI 1306806757
Payments from drug & device makers
Across 890 payments — averaging $16.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$3K
- Dexcom, Inc.$2K
- Boehringer Ingelheim$1K
- Lilly USA, LLC$1K
- AstraZeneca$1K
- Sanofi-aventis U.S. LLC$1K
- plus $5K from 26 others
What the payments were for
- Food & beverage$14,832100%
- Education$310%
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 |
|---|---|---|
| Novo Nordisk | 247 | $3,169 |
| Dexcom, Inc. | 80 | $1,592 |
| Boehringer Ingelheim | 86 | $1,421 |
| Lilly USA, LLC | 81 | $1,415 |
| AstraZeneca | 61 | $1,384 |
| Sanofi-aventis U.S. LLC | 70 | $1,327 |
| AbbVie | 40 | $762 |
| Amarin Pharma, Inc. | 38 | $596 |
| Abbott | 28 | $521 |
| Johnson & Johnson | 28 | $479 |
| Medtronic(2 entities) | 32 | $423 |
| Insulet Corporation | 12 | $250 |
| Ascendis Pharma Endocrinology Inc | 8 | $217 |
| Merck | 24 | $209 |
| Bayer | 8 | $208 |
| Xeris Pharmaceuticals, Inc. | 11 | $189 |
| Kyowa Kirin, Inc. | 5 | $112 |
| Tandem Diabetes Care, Inc. | 3 | $100 |
| IBSA Pharma Inc. | 7 | $92 |
| Amgen | 5 | $89 |
| Lifescan, Inc. | 3 | $49 |
| GSK | 1 | $34 |
| Kowa Pharmaceuticals America, Inc. | 2 | $32 |
| Tolmar, Inc. | 2 | $31 |
| Biomarin Pharmaceutical Inc. | 1 | $28 |
| Esperion Therapeutics, Inc. | 1 | $22 |
| Pfizer | 1 | $21 |
| Soleno Therapeutics, Inc. | 1 | $20 |
| Novartis | 1 | $19 |
| Mannkind Corporation | 1 | $18 |
| LNHC, Inc | 1 | $18 |
| Nevro Corp. | 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
$14,863 in reported general payments places this provider in the 95th percentile of 5,361 pediatrics providers in Texas.
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 |
|---|---|---|
| OzempicSemaglutide | 296 | $351,935 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 207 | $337,760 |
| JardianceEmpagliflozin | 214 | $196,998 |
| Tresiba Flextouch U-200Insulin Degludec | 121 | $141,398 |
| MounjaroTirzepatide | 102 | $130,136 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 129 | $127,625 |
| FarxigaDapagliflozin Propanediol | 107 | $108,159 |
| TrulicityDulaglutide | 75 | $97,820 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 58 | $79,470 |
| Tresiba Flextouch U-100Insulin Degludec | 96 | $70,004 |
| Humalog Kwikpen U-100Insulin Lispro | 129 | $45,273 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 26 | $42,080 |
| JanuviaSitagliptin Phosphate | 39 | $37,269 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 24 | $35,992 |
| Bydureon BciseExenatide Microspheres | 23 | $34,783 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus, Novolog | $3,169 | $385,834335 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $1,415 | $234,466192 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Glyxambi | $1,421 | $230,891254 claims |
| AstraZenecaFarxiga | $1,384 | $108,159107 claims |
| MerckJanuvia, Janumet | $209 | $54,02054 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $1,327 | $35,99224 claims |
| AbbVieSynthroid | $762 | $10,716148 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 95th percentile of 5,361 pediatrics providers in Texas.
Other pediatrics in Corpus Christi
- Wieslaw JakubowskiCorpus Christi$5M
- Kashif AliHouston$19.1M
- Clifford YutThe Woodlands$10.2M
- Ionela IacobasHouston$10.1M
- Khozema PalanpurwalaHouston$9.7M
- Robert BellBeaumont$9.3M
- John ClintonPort Lavaca$8.6M
- Ronald BlairDallas$7.7M
- Martin YudovichHouston$4.4M
- Carlos BacinoHouston$4.1M
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.