Nicole Ramirez
Advanced Practice Midwife · Boca Raton, FLNPI 1275109555
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 53 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 21 manufacturers, the largest accounting for just 23.0% — the pattern of someone who eats at a lot of different presentations. Among advanced practice midwife clinicians in FL 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 53 payments — averaging $31.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$387
- Astellas Pharma US Inc$168
- Sumitomo Pharma America, Inc.$163
- Mayne Pharma Commercial LLC$151
- Biogen$135
- Myovant Sciences Inc.$118
- plus $564 from 15 others
What the payments were for
- Food & beverage$1,686100%
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 |
|---|---|---|
| AbbVie | 12 | $387 |
| Astellas Pharma US Inc | 6 | $168 |
| Sumitomo Pharma America, Inc. | 3 | $163 |
| Mayne Pharma Commercial LLC | 2 | $151 |
| Biogen | 2 | $135 |
| Myovant Sciences Inc. | 1 | $118 |
| Organon | 2 | $99 |
| Medicem Inc. | 4 | $67 |
| Exeltis, USA Inc. | 3 | $57 |
| Evofem Biosciences, Inc. | 3 | $55 |
| Exact Sciences | 2 | $44 |
| Hologic Sales And Service, LLC | 2 | $41 |
| Coopersurgical, Inc. | 2 | $28 |
| Lilly USA, LLC | 1 | $28 |
| Agile Therapeutics, Inc. | 2 | $26 |
| Millicent US Inc | 1 | $24 |
| Optumhealth Care Solutions, LLC | 1 | $23 |
| Scynexis, Inc. | 1 | $22 |
| Almatica Pharma LLC | 1 | $18 |
| Mycovia Pharmaceuticals, Inc. | 1 | $18 |
| Avion Pharmaceuticals | 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.
How this compares
$1,686 in reported general payments places this provider in the 95th percentile of 579 advanced practice midwife providers in Florida.
Other advanced practice midwife in Boca Raton
- Adrienne BradleyBoca Raton$3K
- Charla O'NeilBoca Raton$2K
- Laurie GibbonsBoca Raton$2K
- Ryan Gavagni FiorentinoBoca Raton$1K
- Laura RussellBrandon$118K
- Renita GreenTampa$7K
- Jillian JerniganMilton$6K
- Jessica BrumleyTampa$5K
- Cristina PalermitiZephyrhills$5K
- Ilona BlumbergBoynton Beach$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.