RxDoctor Payments Data

Mark Ramirez, MD

Dermatology · San Angelo, TXNPI 1639373210

Payments from drug & device makers

$341in general payments, 2019–2025

Across 11 payments — averaging $30.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi$232
  • AbbVie$47
  • UCB, Inc.$35
  • Lilly USA, LLC$26

What the payments were for

  • Food & beverage$341100%

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
20
21
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.

CompanyPaymentsTotal
Sanofi5$232
AbbVie2$47
UCB, Inc.2$35
Lilly USA, LLC2$26

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

$341 in reported general payments places this provider in the 15th percentile of 1,098 dermatology providers in Texas.

See all dermatology providers in Texas

Medicare billing

Part B allowed, 2024
$534,909
Medicare patients
1,090
Services billed
9,131

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
Cosentyx Sensoready (2 Pens)Secukinumab19$161,595
SotyktuDeucravacitinib11$68,239
Fluocinonide99$5,398
Ketoconazole256$4,529
Clobetasol Propionate59$2,605
Imiquimod80$1,709
Fluorouracil26$1,614
Doxycycline Hyclate150$1,604
Triamcinolone Acetonide189$1,549
Tacrolimus12$945
Cephalexin134$613
ValacyclovirValacyclovir Hcl45$540
Hydroxychloroquine Sulfate23$513
Metronidazole15$504
MethotrexateMethotrexate Sodium48$431

Paid to pharmacies, not to this prescriber.

Other dermatology in San Angelo

See the full list for Texas

Where these figures come from

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