Pedro Ramirez, MD
Neurological Surgery · Lake Mary, FLNPI 1689847733
Payments from drug & device makers
Across 467 payments — averaging $314.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Surgentec$58K
- Spine Wave, Inc.$36K
- Si-bone, Inc.$13K
- Captiva Spine Inc$12K
- Augmedics Inc.$8K
- Abbott$4K
- plus $15K from 34 others
What the payments were for
- Royalty or licence$39,67527%
- Consulting fees$64,55244%
- Speaking & faculty fees$4,0313%
- Travel & lodging$24,45617%
- Food & beverage$12,9049%
- Education$1,1001%
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 |
|---|---|---|
| Surgentec | 8 | $58,384 |
| Spine Wave, Inc. | 44 | $36,281 |
| Si-bone, Inc. | 59 | $12,617 |
| Captiva Spine Inc | 4 | $12,166 |
| Augmedics Inc. | 12 | $8,067 |
| Abbott | 70 | $4,466 |
| Alphatec Spine, Inc | 13 | $4,422 |
| Nevro Corp. | 47 | $3,316 |
| Nexxt Spine LLC | 4 | $1,143 |
| Medtronic(2 entities) | 57 | $1,128 |
| Boston Scientific | 32 | $1,045 |
| MML US, Inc. | 10 | $801 |
| Globus Medical | 19 | $398 |
| Stryker | 7 | $334 |
| Arthrex | 2 | $315 |
| Curonix LLC | 9 | $298 |
| Radius Health, Inc. | 19 | $280 |
| Zimmer Biomet | 12 | $167 |
| Axonics, Inc. | 2 | $164 |
| Zimvie Inc. | 5 | $105 |
| Choice Spine, LLC | 1 | $104 |
| Elevation Spine, Inc. | 3 | $103 |
| Astellas Pharma US Inc | 1 | $94 |
| Xenix Medical LLC | 1 | $85 |
| Surgalign Spine Technologies, Inc. | 2 | $73 |
| Stimwave Technologies Incorporated | 6 | $52 |
| Zyla Life Sciences, Inc. | 3 | $40 |
| Spineology Inc. | 2 | $33 |
| Irras USA, Inc. | 1 | $31 |
| Kerecis Limited | 1 | $30 |
| Pacira Pharmaceuticals Incorporated | 1 | $21 |
| GRT US Holding, Inc. | 1 | $21 |
| Biotronik NRO, Inc. | 1 | $19 |
| Almatica Pharma LLC | 1 | $19 |
| Relievant Medsystems, Inc. | 2 | $18 |
| Centinel Spine, LLC | 1 | $17 |
| Arkis Biosciences Inc | 1 | $16 |
| Ceribell, Inc. | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $15 |
| Spinal Elements, Inc. | 1 | $13 |
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.
- TiLink$50,331
- Xvision$38,536
- ION$22,399
- EXCEED BIPLANAR EXPANDABLE INTERBODY SYSTEM$14,872
- CapLOX II$12,166
- iFuse Implant$11,258
- Spinal Implants$8,400
- ION Facet Screw$8,053
- ION Facet Screw System$6,428
- Other - Miscellaneous$4,185
- PROCLAIM$2,345
- Senza$2,305
- Nexxt Spine Product Portfolio$1,098
- Posterior Fixation$955
- SNIPER SPINE SYSTEM$800
- Transfasten$639
- ReActiv8$422
- Proclaim IPG$335
- Proclaim Family of SCS IPGs$260
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$254
How this compares
$146,717 in reported general payments places this provider in the 85th percentile of 556 neurological surgery providers in Florida.
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 |
|---|---|---|
| Baclofen | 52 | $560 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 74 | $473 |
| Cephalexin | 35 | $431 |
| Methocarbamol | 15 | $168 |
| Gabapentin | 12 | $117 |
| Ciprofloxacin Hcl | 13 | $102 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $96 |
| Oxycodone Hcl | 17 | $94 |
| Meloxicam | 38 | $68 |
| Tramadol Hcl | 16 | $50 |
| Prednisone | 15 | $50 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lake Mary
- Stephen ParkerJacksonville$18.7M
- Ira GoodmanOrlando$10.4M
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
- Kim ManwaringOrlando$5M
- Ricardo HanelJacksonville$3.8M
- Brian HohGainesville$3.7M
- Paul SawinWinter Park$3M
- John MainOcala$2.8M
- Michael WangMiami$2.5M
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.