Lisbi Rivas Ramirez, MD
Surgical Critical Care · Bethesda, MDNPI 1972946549
Payments from drug & device makers
What this record shows
This record is dominated by education: $5,500 of the $8,338 with a category attached, or 66.0%. Intuitive Surgical accounts for 92.1% of it on its own, with 7 other manufacturers making up the rest. 2023 is the largest year on record at $6,980, more than ten times the $39 reported in 2019. Among surgical critical care clinicians in MD with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 25 payments — averaging $333.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Baxter Healthcare$214
- Davol Inc.$149
- Johnson & Johnson$125
- Potrero Medical, Inc.$115
- BD$23
- plus $34 from 2 others
What the payments were for
- Travel & lodging$2,03624%
- Food & beverage$80210%
- Education$5,50066%
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 | 14 | $7,677 |
| Baxter Healthcare | 5 | $214 |
| Davol Inc. | 1 | $149 |
| Johnson & Johnson | 1 | $125 |
| Potrero Medical, Inc. | 1 | $115 |
| BD | 1 | $23 |
| Cook Medical LLC | 1 | $19 |
| Shire North American Group Inc | 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.
- DAVINCI XI$5,500
- Da Vinci Surgical System$2,017
- Phasix Mesh$149
- MATRIXRIB$125
How this compares
$8,338 in reported general payments places this provider in the 95th percentile of 28 surgical critical care providers in Maryland.
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.
Other surgical critical care in Bethesda
- Donald BennettBethesda$1K
- Joseph SakranBaltimore$16K
- Sayuri JinadasaUpper Marlboro$7K
- Bernardo DiazHagerstown$7K
- Eric LeyBaltimore$6K
- Fawad KhanSalisbury$3K
- Priti LalchandaniBaltimore$1K
- Raymond FangBaltimore$1K
- Jeffrey JoplingBaltimore$1K
- Daniel KakishBaltimore$617
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.