RxDoctor Payments Data

Jorge Ramirez, MD

Urology · Laredo, TXNPI 1003127002

Payments from drug & device makers

$12,827in general payments, 2019–2025

Across 94 payments — averaging $136.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$8K
  • Abiomed$2K
  • Axonics, Inc.$1K
  • Neotract Inc.$1K
  • Astellas Pharma US Inc$220
  • Sumitomo Pharma America, Inc.$125
  • plus $490 from 11 others

What the payments were for

  • Travel & lodging$3,03224%
  • Food & beverage$3,21825%
  • Education$6,57851%

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

$12,827 in reported general payments places this provider in the 75th percentile of 878 urology providers in Texas.

See all urology providers in Texas

Medicare billing

Part B allowed, 2024
$109,901
Medicare patients
394
Services billed
1,338

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
GemtesaVibegron302$227,417
MyrbetriqMirabegron262$162,827
Estradiol169$11,838
Tamsulosin Hcl888$8,975
Methenamine Hippurate168$8,889
Dutasteride212$8,524
Mirabegron ErMirabegron20$8,332
Finasteride649$6,596
Potassium Citrate ErPotassium Citrate100$5,281
Solifenacin Succinate152$4,669
Fesoterodine Fumarate ErFesoterodine Fumarate16$2,152
Tolterodine Tartrate ErTolterodine Tartrate15$1,988
Cefdinir119$1,690
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip79$1,469
Oxybutynin Chloride ErOxybutynin Chloride113$1,363

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
Sumitomo Pharma America, Inc.Gemtesa$125$227,417302 claims
Astellas Pharma US IncMyrbetriq$220$162,827262 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 75th percentile of 878 urology providers in Texas.

Other urology in Laredo

See the full list for Texas

Where these figures come from

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