Ramon Mourelo, MD
Surgery · Casa Grande, AZNPI 1528095262
Payments from drug & device makers
What this record shows
This record is dominated by education: $275,000 of the $316,806 with a category attached, or 86.8%. Intuitive Surgical accounts for 96.8% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2019 at $115,738 and has fallen 88.6% since, to $13,158 in 2025. Among surgery clinicians in AZ with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 400 payments — averaging $792.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$307K
- Davol Inc.$9K
- Medtronic$181
- BD$155
- Varian Medical Systems, Inc.$111
- Tactile Systems Technology Inc$103
- plus $515 from 17 others
What the payments were for
- Speaking & faculty fees$17,4205%
- Travel & lodging$5,6432%
- Food & beverage$18,3866%
- Education$275,00087%
- Gifts$3570%
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 |
|---|---|---|
| Intuitive Surgical | 346 | $306,567 |
| Davol Inc. | 23 | $9,174 |
| Medtronic | 2 | $181 |
| BD | 1 | $155 |
| Varian Medical Systems, Inc. | 1 | $111 |
| Tactile Systems Technology Inc | 5 | $103 |
| Covidien LP | 3 | $72 |
| Focal Therapeutics, Inc. | 1 | $72 |
| Merck | 3 | $71 |
| AbbVie | 2 | $51 |
| Amneal Pharmaceuticals LLC | 1 | $29 |
| Daiichi Sankyo Inc. | 1 | $25 |
| Lexicon Pharmaceuticals, Inc. | 1 | $22 |
| Servier Pharmaceuticals LLC | 1 | $21 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $20 |
| Pfizer | 1 | $19 |
| Johnson & Johnson | 1 | $19 |
| Avanos Medical | 1 | $19 |
| Smith+Nephew | 1 | $18 |
| Baxter Healthcare | 1 | $15 |
| Lilly USA, LLC | 1 | $14 |
| Elucent Medical | 1 | $14 |
| Novartis | 1 | $14 |
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.
- Da Vinci Surgical System$301,811
- Phasix Mesh$735
- PHASIX$169
- Dextile$154
- XENMATRIX$142
- TrueBeam$111
How this compares
$316,806 in reported general payments places this provider in the 95th percentile of 614 surgery 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 |
|---|---|---|
| GattexTeduglutide | 12 | $556,290 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 19 | $295 |
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc.Gattex | $20 | $556,29012 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 95th percentile of 614 surgery providers in Arizona.
Other surgery in Casa Grande
- Hadi NajafianSun City$1.6M
- Conrad BallecerPhoenix$893K
- Jennifer PrestonPhoenix$320K
- Simon LavotshkinYuma$309K
- Morgan CriggerPhoenix$235K
- Ryan PinnellGlendale$225K
- Vikram DekaPhoenix$154K
- Eric ThomasPeoria$149K
- Rifat LatifiTucson$144K
- Maria BrownMesa$137K
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.