Ramiro de la Torre, MD
Neurological Surgery · Garden City, MINPI 1689909343
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $16,259 of the $24,837 with a category attached, or 65.5%. It is spread thinly across 43 manufacturers, the largest accounting for just 18.2%.
Across 297 payments — averaging $83.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$5K
- Medtronic$3K
- Corelink, LLC$3K
- Curonix LLC$2K
- Aesculap Implant Systems, LLC$2K
- Abbott$2K
- plus $9K from 37 others
What the payments were for
- Travel & lodging$16,25965%
- Food & beverage$8,50234%
- Entertainment$760%
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.
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.
- CREO$2,431
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$1,695
- ACTIVL$1,572
- IFUSE IMPLANT SYSTEM$1,143
- PROCLAIM$1,028
- ALTAVIVA$921
- INTERSTIM$733
- Stimrouter Implantable Kit$685
- TLIF$594
- FORTIFY$567
- Xvision$527
- O-ARM$524
- VariLift-LX$215
- Evoke SCS$208
- FLOWTRIEVER CATHETER, S$160
- CT THROMBECTOMY SYSTEM KIT$160
- COFLEX INTERLAMINAR TECHNOLOGY, 10MM$155
- Medical Device$143
- UNIVERSAL NEURO 3$139
- NA$139
How this compares
$24,837 in reported general payments places this provider in the 80th percentile of 256 neurological surgery providers in Michigan.
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 |
|---|---|---|
| Nurtec OdtRimegepant Sulfate | 11 | $20,602 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 412 | $6,326 |
| ZtlidoLidocaine | 12 | $4,079 |
| Lidocaine | 32 | $4,015 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 203 | $3,602 |
| Gabapentin | 303 | $3,216 |
| Tizanidine Hcl | 222 | $1,917 |
| Duloxetine Hcl | 128 | $1,490 |
| Cyclobenzaprine Hcl | 140 | $1,047 |
| Diclofenac Sodium | 33 | $719 |
| Omeprazole | 121 | $686 |
| Pregabalin | 92 | $684 |
| Ibuprofen | 72 | $539 |
| Baclofen | 58 | $439 |
| Morphine Sulfate | 16 | $430 |
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 |
|---|---|---|
| PfizerNurtec Odt | $238 | $20,60211 claims |
| Scilex Pharmaceuticals Inc.Ztlido | $15 | $4,07912 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 80th percentile of 256 neurological surgery providers in Michigan.
Other neurological surgery in Garden City
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
- Daniel OrringerAnn Arbor$500K
- Vittorio MorrealeShelby Twp$439K
- Noojan KazemiAnn Arbor$406K
- Azam BasheerDetroit$405K
- Sonia EdenDetroit$329K
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.