Paul Ramilo, MD
Infectious Disease · Centreville, VANPI 1821045501
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.3% of the total across 516 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 20 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $1,841 and has fallen 58.4% since, to $767 in 2025. Among infectious disease clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 516 payments — averaging $20.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Viiv Healthcare Company$2K
- Gilead$2K
- Melinta Therapeutics, LLC$1K
- Merck$903
- AbbVie$869
- Theratechnologies Inc.$819
- plus $3K from 14 others
What the payments were for
- Speaking & faculty fees$3443%
- Food & beverage$9,54392%
- Education$4554%
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 |
|---|---|---|
| Viiv Healthcare Company | 115 | $2,223 |
| Gilead | 71 | $1,600 |
| Melinta Therapeutics, LLC | 62 | $1,114 |
| Merck | 52 | $903 |
| AbbVie(2 entities) | 49 | $869 |
| Theratechnologies Inc. | 38 | $819 |
| Johnson & Johnson(2 entities) | 28 | $601 |
| Napo Pharmaceuticals Inc | 26 | $529 |
| Shionogi Inc | 24 | $398 |
| Insmed, Inc. | 15 | $303 |
| Janssen Products, LP | 4 | $264 |
| Paratek Pharmaceuticals, Inc. | 9 | $207 |
| La Jolla Pharmaceutical Company | 5 | $120 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $114 |
| Astellas Pharma US Inc | 4 | $88 |
| Mylan Institutional Inc. | 3 | $66 |
| Aimmune Therapeutics, Inc. | 2 | $61 |
| Ferring Pharmaceuticals Inc. | 1 | $23 |
| Vyera Pharmaceuticals, LLC | 1 | $20 |
| Dynavax Technologies Corporation | 1 | $19 |
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.
- DOVATO$122
How this compares
$10,342 in reported general payments places this provider in the 90th percentile of 194 infectious disease providers in Virginia.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Daptomycin | 47 | $148,146 |
| BiktarvyBictegrav/Emtricit/Tenofov Ala | 35 | $137,110 |
| TriumeqAbacavir/Dolutegravir/Lamivudi | 27 | $126,952 |
| SymtuzaDarunavir/Cob/Emtri/Tenof Alaf | 11 | $60,251 |
| TivicayDolutegravir Sodium | 12 | $27,467 |
| ErtapenemErtapenem Sodium | 32 | $19,558 |
| Meropenem | 41 | $17,222 |
| Cefepime Hcl | 40 | $10,027 |
| Vancomycin Hcl | 43 | $8,829 |
| MicafunginMicafungin Sodium | 21 | $5,812 |
| Piperacillin-TazobactamPiperacillin Sodium/Tazobactam | 21 | $4,868 |
| CeftriaxoneCeftriaxone Sodium | 30 | $2,780 |
| Fosfomycin Tromethamine | 11 | $2,011 |
| Darunavir | 12 | $1,246 |
| Ritonavir | 11 | $713 |
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 |
|---|---|---|
| Viiv Healthcare CompanyTriumeq, Tivicay | $2,223 | $154,41939 claims |
| GileadBiktarvy | $1,600 | $137,11035 claims |
| Janssen Products, LPSymtuza | $264 | $60,25111 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. Against peers, this provider's reported payments sit in the 90th percentile of 194 infectious disease providers in Virginia.
Other infectious disease in Centreville
- Henry RheeCentreville$15K
- Christopher BettacchiMarion$243K
- Stephen WeinrothFairfax$157K
- William PetriCharlottesville$92K
- Michael IsonFalls Church$88K
- Valerie RiddleBumpass$83K
- Edward OldfieldNorfolk$81K
- William FurlongArlington$68K
- Frederick HaydenCharlottesville$61K
- David WheelerAnnandale$49K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.