Juan Ramirez
Adult Health · Miami, FLNPI 1518389998
Payments from drug & device makers
Across 58 payments — averaging $54.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$696
- BETA Bionics, Inc.$531
- Astellas Pharma US Inc$210
- Johnson & Johnson$185
- Adaptive Biotechnologies Corporation$147
- Incyte Corporation$144
- plus $1K from 15 others
What the payments were for
- Food & beverage$3,05898%
- Education$752%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 14 | $696 |
| BETA Bionics, Inc. | 10 | $531 |
| Astellas Pharma US Inc | 8 | $210 |
| Johnson & Johnson | 3 | $185 |
| Adaptive Biotechnologies Corporation | 1 | $147 |
| Incyte Corporation | 2 | $144 |
| Bristol Myers Squibb | 1 | $125 |
| Amgen | 1 | $122 |
| GSK | 1 | $120 |
| Karyopharm Therapeutics Inc. | 1 | $117 |
| AstraZeneca | 1 | $116 |
| CTI Biopharma Corp. | 1 | $113 |
| Phathom Pharmaceuticals, Inc. | 1 | $102 |
| Averitas Pharma Inc. | 1 | $98 |
| Abbott | 2 | $78 |
| Merck | 4 | $73 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $47 |
| Sequel Med Tech, LLC | 2 | $47 |
| Pfizer | 1 | $21 |
| Insulet Corporation | 1 | $21 |
| Cumberland Pharmaceuticals, Inc. | 1 | $19 |
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.
- iLet Bionic Pancreas$1,203
- iLet Insulin Infusion Kit Inset$279
- iLet Insulin Infusion Kit Contact Detach$279
- REZUROCK$274
- clonoSEQ$147
- RYBREVANT$139
- CARVYKTI$139
- JAKAFI$126
- Reblozyl$125
- OJJAARA$120
- XPOVIO$117
- TAGRISSO$116
- Vonjo$113
- VOQUEZNA$102
How this compares
$3,133 in reported general payments places this provider in the 80th percentile of 2,237 adult health providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tacrolimus | 11 | $3,821 |
| Ursodiol | 14 | $1,369 |
| Acyclovir | 29 | $290 |
Paid to pharmacies, not to this prescriber.
Other adult health in Miami
- Norma SolisMiami$150K
- Jeffrey HernandezMiami$122K
- Kristen NievesMiami$16K
- Jose ChamorroMiami$15K
- Wendy KaysMiami$13K
- Patricia PagnottaMaitland$441K
- Carly KoelschSarasota$265K
- Ashley PontenbergWinter Park$136K
- Jamie JohnsonTampa$58K
- Jessica MangesClearwater$52K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.