Ramiro Cardenas Lara, MD
Endocrinology, Diabetes & Metabolism · Tucson, AZNPI 1750733481
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,166 of the $6,202 with a category attached, or 83.3%. 18 manufacturers reported payments, led by Medtronic at 27.9% of the total. Reporting peaked in 2024 at $3,299 and has fallen 53.3% since, to $1,541 in 2025.
Across 56 payments — averaging $110.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Abbott$1K
- Novo Nordisk$705
- Corcept Therapeutics$347
- Cequr Corporation$314
- Kyowa Kirin, Inc.$259
- plus $2K from 12 others
What the payments were for
- Travel & lodging$1,03617%
- Food & beverage$5,16683%
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 |
|---|---|---|
| Medtronic | 17 | $1,733 |
| Abbott | 9 | $1,041 |
| Novo Nordisk | 6 | $705 |
| Corcept Therapeutics | 3 | $347 |
| Cequr Corporation | 1 | $314 |
| Kyowa Kirin, Inc. | 2 | $259 |
| Insulet Corporation | 2 | $255 |
| Sanofi-aventis U.S. LLC | 2 | $251 |
| Lilly USA, LLC | 3 | $250 |
| Madrigal Pharmaceuticals | 1 | $150 |
| Amgen | 1 | $141 |
| Amryt Pharma Holdings Ltd | 1 | $125 |
| Bayer | 1 | $122 |
| Eisai Inc. | 1 | $122 |
| Boehringer Ingelheim | 1 | $122 |
| Dexcom, Inc. | 1 | $116 |
| Ascendis Pharma Endocrinology Inc | 1 | $81 |
| Novartis | 3 | $71 |
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.
- MINIMED 780G$1,090
- FREESTYLE LIBRE 3$641
- CeQur Simplicity$314
- CRYSVITA$259
- Omnipod$255
- Korlym$252
- TZIELD$251
- Wegovy$244
- REZDIFFRA$150
- Repatha$141
- FreeStyle Libre$126
- Ozempic$125
- RYBELSUS$125
- MYCAPSSA$125
- Leqembi$122
- Kerendia$122
- JARDIANCE$122
- DEXCOM G6 TRANSMITTER$116
How this compares
$6,202 in reported general payments places this provider in the 70th percentile of 148 endocrinology, diabetes & metabolism providers in Arizona.
See all endocrinology, diabetes & metabolism providers in Arizona →
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 |
|---|---|---|
| TrulicityDulaglutide | 15 | $25,661 |
| OzempicSemaglutide | 15 | $24,020 |
| JardianceEmpagliflozin | 17 | $21,217 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 22 | $3,074 |
| Hydrocortisone | 19 | $1,027 |
| Levothyroxine Sodium | 65 | $503 |
| Metformin Hcl | 11 | $112 |
| Dexamethasone | 14 | $11 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity | $250 | $25,66115 claims |
| Novo NordiskOzempic | $705 | $24,02015 claims |
| Boehringer IngelheimJardiance | $122 | $21,21717 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 70th percentile of 148 endocrinology, diabetes & metabolism providers in Arizona.
Other endocrinology, diabetes & metabolism in Tucson
- Muhammad SethiTucson$670K
- Karen HerbstTucson$200K
- Nora BarsonyTucson$121K
- Maria PosadasTucson$24K
- Dorota PucykTucson$15K
- Neda EbrahimiTucson$11K
- Casey RendonTucson$9K
- Jonathan InselTucson$7K
- Roshanak HabibiTucson$7K
- Cynthia Rivas PajueloTucson$4K
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.