Lyndon Ramirez, APRN
Family · Paragould, ARNPI 1750804530
Payments from drug & device makers
Across 386 payments — averaging $16.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AstraZeneca$710
- Lilly USA, LLC$640
- Pfizer$584
- AbbVie$451
- GSK$359
- plus $2K from 25 others
What the payments were for
- Food & beverage$6,410100%
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 | 85 | $1,444 |
| AstraZeneca | 28 | $710 |
| Lilly USA, LLC | 57 | $640 |
| Pfizer | 42 | $584 |
| AbbVie | 31 | $451 |
| GSK | 27 | $359 |
| Amgen | 15 | $305 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 15 | $228 |
| Otsuka America Pharmaceutical, Inc. | 13 | $225 |
| Medtronic | 2 | $202 |
| Abbott | 9 | $200 |
| Astellas Pharma US Inc | 11 | $200 |
| Axsome Therapeutics, Inc. | 4 | $130 |
| Esperion Therapeutics, Inc. | 3 | $108 |
| E.r. Squibb & Sons, L.L.C. | 5 | $83 |
| Boehringer Ingelheim | 5 | $72 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $54 |
| Phathom Pharmaceuticals, Inc. | 6 | $51 |
| Almatica Pharma LLC | 2 | $43 |
| Sumitomo Pharma America, Inc. | 3 | $41 |
| Genentech USA, Inc. | 4 | $39 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $38 |
| Biohaven Pharmaceuticals, Inc. | 2 | $33 |
| Dexcom, Inc. | 2 | $32 |
| Merck | 2 | $27 |
| Johnson & Johnson | 2 | $25 |
| Novartis | 1 | $24 |
| Acadia Pharmaceuticals Inc | 1 | $21 |
| Grifols USA, LLC | 1 | $16 |
| Exact Sciences | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
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
$6,410 in reported general payments places this provider in the 95th percentile of 2,103 family providers in Arkansas.
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 | 52 | $62,445 |
| JardianceEmpagliflozin | 32 | $41,506 |
| MounjaroTirzepatide | 26 | $40,600 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 47 | $29,973 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 31 | $22,127 |
| LinzessLinaclotide | 22 | $18,331 |
| EliquisApixaban | 25 | $17,007 |
| MyrbetriqMirabegron | 25 | $14,577 |
| XareltoRivaroxaban | 16 | $11,537 |
| Dexlansoprazole DrDexlansoprazole | 13 | $3,720 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 102 | $3,076 |
| Ventolin HfaAlbuterol Sulfate | 34 | $2,445 |
| Rosuvastatin Calcium | 173 | $2,251 |
| Icosapent Ethyl | 12 | $1,940 |
| Gabapentin | 93 | $1,736 |
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 | $1,444 | $62,44552 claims |
| Boehringer IngelheimJardiance | $72 | $41,50632 claims |
| Lilly USA, LLCMounjaro | $640 | $40,60026 claims |
| GSKTrelegy Ellipta | $359 | $29,97347 claims |
| AstraZenecaBreztri Aerosphere | $710 | $22,12731 claims |
| AbbVieLinzess, Synthroid | $451 | $19,03537 claims |
| PfizerEliquis | $584 | $17,00725 claims |
| Astellas Pharma US IncMyrbetriq | $200 | $14,57725 claims |
| Johnson & JohnsonXarelto | $25 | $11,53716 claims |
| Almatica Pharma LLCSertraline Hcl | $43 | $65686 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 2,103 family providers in Arkansas.
Other family in Paragould
- Cecil MasseyParagould$13K
- Teresa GonzalezParagould$12K
- Latoya CowardParagould$11K
- Leah CarringtonRogers$1.6M
- Nina CopelandFort Smith$207K
- Stefanie BrackinJonesboro$51K
- Amanda DavisFort Smith$46K
- Allison HittManila$40K
- Kimberly GatesNorth Little Rock$31K
- Meghan MallettConway$25K
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.