Ramon Ramirez, APRN
Payments from drug & device makers
Across 246 payments — averaging $22.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- GSK$678
- Sanofi$506
- Regeneron Healthcare Solutions, Inc.$415
- Boehringer Ingelheim$322
- Takeda Pharmaceuticals U.S.A., Inc.$311
- plus $2K from 19 others
What the payments were for
- Food & beverage$5,52499%
- Education$751%
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 |
|---|---|---|
| AstraZeneca | 43 | $1,629 |
| GSK | 43 | $678 |
| Sanofi | 23 | $506 |
| Regeneron Healthcare Solutions, Inc. | 30 | $415 |
| Boehringer Ingelheim | 18 | $322 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $311 |
| Mallinckrodt Hospital Products Inc. | 8 | $239 |
| United Therapeutics Corporation | 8 | $222 |
| Pulmonx Corporation | 3 | $194 |
| Viatris Specialty LLC | 11 | $171 |
| Amgen | 7 | $130 |
| Electromed, Inc. | 9 | $121 |
| Mylan Specialty L.p. | 5 | $114 |
| Merck | 5 | $94 |
| Insmed, Inc. | 5 | $89 |
| Verona Pharma, Inc. | 5 | $77 |
| Sanofi-aventis U.S. LLC | 1 | $57 |
| AbbVie | 2 | $39 |
| Optinose US, Inc. | 2 | $38 |
| ANI Pharmaceuticals, Inc. | 2 | $35 |
| Harmony Biosciences LLC | 1 | $29 |
| Actelion Pharmaceuticals US, Inc. | 1 | $26 |
| Philips North America LLC | 1 | $25 |
| Novo Nordisk | 1 | $23 |
| Breas Medical, Inc. | 1 | $15 |
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.
- FASENRA$513
- AIRSUPRA$510
- BEVESPI AEROSPHERE$388
- BREZTRI$385
- TEZSPIRE$234
- CHARTIS CATHETER$147
- ZEPHYR DELIVERY CATHETER$147
- ZEPHYR ENDOBRONCHIAL VALVE$147
- PULMONX CHARTIS TABLET CONSOLE$147
- DUPIXENT$115
- GLASSIA$115
How this compares
$5,599 in reported general payments places this provider in the 95th percentile of 2,026 family providers in Oklahoma.
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 |
|---|---|---|
| Atorvastatin Calcium | 39 | $973 |
| Rosuvastatin Calcium | 19 | $826 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 29 | $757 |
| Lisinopril | 45 | $367 |
| Amlodipine Besylate | 27 | $365 |
| Omeprazole | 17 | $246 |
| Tamsulosin Hcl | 14 | $238 |
| Losartan Potassium | 12 | $208 |
| Levothyroxine Sodium | 18 | $175 |
| Metformin Hcl | 14 | $140 |
| Doxycycline Hyclate | 11 | $104 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $84 |
| Hydrochlorothiazide | 14 | $79 |
Paid to pharmacies, not to this prescriber.
Other family in Tulsa
- Candy WilliamsTulsa$22K
- Jillian OakleafTulsa$15K
- Lee MatlockTulsa$15K
- Vanessa ZickefooseTulsa$13K
- Erin RowanTulsa$13K
- Lora HortonTulsa$12K
- Darla NorrisTulsa$11K
- Cristina BarnesTulsa$11K
- Ashley RiouseTulsa$10K
- Jaclyn DrassTulsa$9K
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.