Natalia Ramirez
Stuart, FLNPI 1255086971
Payments from drug & device makers
Across 265 payments — averaging $24.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- AbbVie$815
- Alkermes, Inc.$681
- Neurocrine Biosciences, Inc.$675
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$525
- Corium, LLC$320
- plus $2K from 15 others
What the payments were for
- Food & beverage$6,35399%
- Education$811%
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 |
|---|---|---|
| Johnson & Johnson | 42 | $1,307 |
| AbbVie | 41 | $815 |
| Alkermes, Inc. | 27 | $681 |
| Neurocrine Biosciences, Inc. | 37 | $675 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 19 | $525 |
| Corium, LLC | 12 | $320 |
| Axsome Therapeutics, Inc. | 9 | $316 |
| Otsuka America Pharmaceutical, Inc. | 8 | $294 |
| Takeda Pharmaceuticals U.S.A., Inc. | 14 | $288 |
| Teva Pharmaceuticals USA, Inc. | 11 | $260 |
| Idorsia Pharmaceuticals US Inc | 10 | $198 |
| Lundbeck LLC | 10 | $188 |
| E.r. Squibb & Sons, L.L.C. | 5 | $133 |
| Almatica Pharma LLC | 5 | $129 |
| Tris Pharma Inc | 6 | $127 |
| Vanda Pharmaceuticals Inc. | 2 | $48 |
| Ironshore Pharmaceuticals Inc. | 2 | $41 |
| Supernus Pharmaceuticals, Inc. | 2 | $32 |
| Noven Therapeutics, LLC | 1 | $23 |
| Collegium Pharmaceutical, Inc. | 1 | $20 |
| Merck | 1 | $15 |
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| VraylarCariprazine Hcl | 48 | $94,550 |
| RexultiBrexpiprazole | 12 | $20,695 |
| TrintellixVortioxetine Hydrobromide | 18 | $8,539 |
| Aripiprazole | 55 | $3,308 |
| Duloxetine Hcl | 139 | $2,653 |
| Ramelteon | 11 | $2,135 |
| Buspirone Hcl | 139 | $1,973 |
| Quetiapine Fumarate | 93 | $1,902 |
| Bupropion XlBupropion Hcl | 91 | $1,630 |
| Doxepin Hcl | 26 | $1,344 |
| Mirtazapine | 66 | $1,227 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 67 | $1,172 |
| Trazodone Hcl | 145 | $1,148 |
| Lamotrigine | 82 | $1,006 |
| Olanzapine | 27 | $973 |
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 |
|---|---|---|
| AbbVieVraylar | $815 | $94,55048 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $294 | $20,69512 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $288 | $8,53918 claims |
| Almatica Pharma LLCSertraline Hcl | $129 | $44495 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. There are too few providers in Floridaon file to place this against a meaningful peer group, so we don't.
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.