RxDoctor Payments Data

John Ramsay, MD

Family Medicine · Fredericksburg, TXNPI 1053306704

Payments from drug & device makers

$5,093in general payments, 2019–2025

Across 299 payments — averaging $17.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$1K
  • Amgen$406
  • Lilly USA, LLC$396
  • Novo Nordisk$389
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$373
  • GSK$362
  • plus $2K from 30 others

What the payments were for

  • Food & beverage$4,96898%
  • Education$1252%

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.

How this compares

$5,093 in reported general payments places this provider in the 85th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$208,438
Medicare patients
361
Services billed
8,877

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
TrulicityDulaglutide80$86,151
EliquisApixaban98$58,743
Trelegy ElliptaFluticasone/Umeclidin/Vilanter60$56,877
OzempicSemaglutide54$53,604
MounjaroTirzepatide46$53,148
JardianceEmpagliflozin86$48,330
MyrbetriqMirabegron84$34,265
FarxigaDapagliflozin Propanediol40$33,994
LinzessLinaclotide40$24,941
XareltoRivaroxaban16$20,283
Synjardy XrEmpagliflozin/Metformin Hcl11$14,304
JanuviaSitagliptin Phosphate20$10,352
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen234$8,168
Janumet XrSitagliptin Phos/Metformin Hcl27$7,752
Spiriva HandihalerTiotropium Bromide14$7,088

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
Lilly USA, LLCTrulicity, Mounjaro$396$139,299126 claims
GSKTrelegy Ellipta, Breo Ellipta$362$62,38975 claims
PfizerEliquis, Paxlovid$174$60,172113 claims
Novo NordiskOzempic$389$53,60454 claims
Astellas Pharma US IncMyrbetriq$183$34,26584 claims
AstraZenecaFarxiga$202$33,99440 claims
AbbVieLinzess, Savella, Synthroid$1,134$33,17787 claims
Johnson & JohnsonXarelto$104$20,28316 claims
MerckJanuvia, Janumet Xr$97$18,10347 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 85th percentile of 8,760 family medicine providers in Texas.

Other family medicine in Fredericksburg

See the full list for Texas

Where these figures come from

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