Ralph Ramos, DPM
Foot & Ankle Surgery · Petersburg, VANPI 1659738227
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,055 of the $6,734 with a category attached, or 60.2%. 23 manufacturers reported payments, led by Fortis Surgical, LLC at 25.2% of the total. Reporting peaked in 2023 at $1,847 and has fallen 53.1% since, to $867 in 2025.
Across 105 payments — averaging $64.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Fortis Surgical, LLC$2K
- Stryker$1K
- Smith+Nephew$972
- Amgen$925
- Celularity Inc.$344
- Medical Device Business Services, Inc.$315
- plus $1K from 17 others
What the payments were for
- Travel & lodging$1,16417%
- Food & beverage$4,05560%
- Education$1,51522%
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 |
|---|---|---|
| Fortis Surgical, LLC | 5 | $1,696 |
| Stryker | 9 | $1,360 |
| Smith+Nephew | 21 | $972 |
| Amgen(2 entities) | 31 | $925 |
| Celularity Inc. | 2 | $344 |
| Medical Device Business Services, Inc. | 1 | $315 |
| Kerecis Limited | 9 | $193 |
| Medline Industries LP | 1 | $135 |
| Bioventus LLC | 5 | $125 |
| Johnson & Johnson | 1 | $121 |
| Linvatec Corporation | 1 | $115 |
| AbbVie | 5 | $78 |
| Organogenesis Inc. | 2 | $68 |
| Polynovo North America LLC | 2 | $60 |
| Trice Medical, Inc. | 1 | $38 |
| Averitas Pharma Inc. | 2 | $33 |
| Integra Lifesciences Corporation | 1 | $27 |
| ANI Pharmaceuticals, Inc. | 1 | $27 |
| Convatec Inc. | 1 | $26 |
| Advanced Oxygen Therapy Inc. | 1 | $21 |
| Sanara Medtech Inc. | 1 | $20 |
| Dynasplint Systems Inc. | 1 | $18 |
| Arthrex | 1 | $18 |
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
$6,734 in reported general payments places this provider in the 65th percentile of 260 foot & ankle surgery 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 |
|---|---|---|
| Ammonium Lactate | 194 | $4,437 |
| CiclopiroxCiclopirox Olamine | 173 | $1,988 |
| Clotrimazole | 59 | $717 |
| Ciclopirox | 14 | $554 |
| Pregabalin | 23 | $447 |
| Gabapentin | 44 | $346 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 20 | $312 |
| Mupirocin | 20 | $125 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 26 | $102 |
| Silver Sulfadiazine | 18 | $100 |
| Meloxicam | 26 | $44 |
| Tramadol Hcl | 23 | $39 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Petersburg
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
- Bradley LevittVirginia Beach$243K
- Richard DernerLake Ridge$212K
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.