Octavio Ramilo
Pediatric Infectious Diseases · Memphis, TNNPI 1710947395
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.4%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Pfizer at 49.7% of the total. 2025 is the largest year on record at $206,136, more than ten times the $13,822 reported in 2019. Among pediatric infectious diseases clinicians in TN 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 170 payments — averaging $2430.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$205K
- Merck$107K
- Sanofi Pasteur Inc.$69K
- Modernatx, Inc.$22K
- Astrazeneca UK Limited$6K
- Pfizer Chile S.A.$2K
- plus $3K from 2 others
Across 17 payments — averaging $17,861 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$208K
- Biofire Diagnostics, LLC$48K
- AstraZeneca$43K
- Astrazeneca UK Limited$5K
What the payments were for
- Consulting fees$166,78340%
- Speaking & faculty fees$112,18227%
- Travel & lodging$131,21532%
- Food & beverage$3,0541%
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 |
|---|---|---|
| Pfizer(2 entities) | 66 | $205,406 |
| Merck | 79 | $106,689 |
| Sanofi Pasteur Inc. | 19 | $68,572 |
| Modernatx, Inc. | 1 | $21,817 |
| Astrazeneca UK Limited | 1 | $6,000 |
| Pfizer Chile S.A. | 2 | $2,050 |
| Eli Lilly | 1 | $1,575 |
| AstraZeneca | 1 | $1,125 |
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.
- ABRYSVO$123,427
- COMIRNATY$40,870
- ENFLONSIA$38,035
- PREVNAR - 13$7,311
- GARDASIL 9$6,920
- MK-1654$4,038
- NO PRODUCT DISCUSSED$115
How this compares
$413,234 in reported general payments places this provider in the 95th percentile of 36 pediatric infectious diseases providers in Tennessee.
See all pediatric infectious diseases providers in Tennessee →
Other pediatric infectious diseases in Memphis
- Karen SlobodMemphis$2.8M
- Maria MejiasMemphis$221K
- John DevincenzoMemphis$23K
- Patricia FlynnMemphis$15K
- Aditya GaurMemphis$9K
- Isao MiyairiMemphis$5K
- Elisabeth AddersonMemphis$4K
- Elaine TuomanenMemphis$2K
- Katherine KnappMemphis$214
- Amanda GreenMemphis$52
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.