RxDoctor Payments Data

Lysette Ramos, MD

Child & Adolescent Psychiatry · Reading, PANPI 1336469642

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.7% of the total across 117 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 14 manufacturers, the largest accounting for just 16.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,683, more than ten times the $41 reported in 2019.

$2,197in general payments, 2019–2025

Across 117 payments — averaging $18.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Alkermes, Inc.$354
  • Otsuka America Pharmaceutical, Inc.$338
  • Axsome Therapeutics, Inc.$335
  • ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$230
  • AbbVie$204
  • Vanda Pharmaceuticals Inc.$185
  • plus $552 from 8 others

What the payments were for

  • Food & beverage$2,191100%
  • Education$70%

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
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

$2,197 in reported general payments places this provider in the 80th percentile of 200 child & adolescent psychiatry providers in Pennsylvania.

See all child & adolescent psychiatry providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$2,298
Medicare patients
11
Services billed
25

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
Aripiprazole13$3,571
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine35$1,283
Duloxetine Hcl56$1,099
Bupropion XlBupropion Hcl52$1,063
Buspirone Hcl64$839
Clonazepam62$775
Lurasidone Hcl16$732
Hydroxyzine Hcl52$687
Ziprasidone Hcl11$636
Lamotrigine37$455
Trazodone Hcl62$352
Guanfacine Hcl13$254
Escitalopram Oxalate18$167
Lorazepam33$148
Quetiapine Fumarate32$146

Paid to pharmacies, not to this prescriber.

Other child & adolescent psychiatry in Reading

See the full list for Pennsylvania

Where these figures come from

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