Ramiro Maldonado, MD
Ophthalmology · Durham, NCNPI 1215228036
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.8% of the total across 27 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 18 manufacturers, the largest accounting for just 16.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,276 and has fallen 78.5% since, to $275 in 2025.
Across 27 payments — averaging $111.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron$503
- Insmed, Inc.$275
- Bausch & Lomb Americas Inc.$231
- Regeneron Healthcare Solutions, Inc.$224
- Heidelberg Engineering, Inc.$205
- Genentech, Inc.$199
- plus $1K from 12 others
Across 5 payments — averaging $1566.40 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AbbVie$8K
What the payments were for
- Consulting fees$2759%
- Food & beverage$2,72491%
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 |
|---|---|---|
| Regeneron | 5 | $503 |
| Insmed, Inc. | 1 | $275 |
| Bausch & Lomb Americas Inc. | 2 | $231 |
| Regeneron Healthcare Solutions, Inc. | 2 | $224 |
| Heidelberg Engineering, Inc. | 1 | $205 |
| Genentech, Inc. | 2 | $199 |
| Spark Therapeutics, Inc. | 2 | $173 |
| Coherus Oncology, Inc. | 2 | $168 |
| Dutch Ophthalmic, USA | 1 | $150 |
| Eyepoint US, Inc. | 1 | $134 |
| Genentech USA, Inc. | 1 | $126 |
| Rhythm Pharmaceuticals, Inc. | 1 | $125 |
| Apellis Pharmaceuticals, Inc. | 1 | $108 |
| AbbVie | 1 | $103 |
| Ocular Therapeutix, Inc. | 1 | $93 |
| Novartis | 1 | $89 |
| Alcon | 1 | $61 |
| Astellas Pharma US Inc | 1 | $32 |
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.
- EYLEA$346
- VABYSMO$262
- XIPERE$231
- VISUDYNE$231
- Spectralis$205
- EVA, combined machine$150
- TISSUEBLUE$150
- Cimerli$141
- YUTIQ$134
- Imcivree$125
- EYLEA HD$124
- RETISERT$121
- OZURDEX$103
How this compares
$2,999 in reported general payments places this provider in the 70th percentile of 588 ophthalmology providers in North Carolina.
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 |
|---|---|---|
| Ketorolac Tromethamine | 13 | $757 |
| ErythromycinErythromycin Base | 14 | $167 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Durham
- Julie WoodwardDurham$1M
- Lejla VajzovicDurham$681K
- Terry KimDurham$605K
- Leon HerndonDurham$230K
- Glenn JaffeDurham$218K
- Robin VannDurham$213K
- Anthony KuoDurham$186K
- Michael RichardDurham$113K
- Priyatham MettuDurham$111K
- Jason LissDurham$69K
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.