RxDoctor Payments Data

Ramtin Ramsey, MD

Internal Medicine · Bismarck, NDNPI 1225244221

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 32 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 14 manufacturers, the largest accounting for just 22.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $456 and has fallen 55.2% since, to $205 in 2025.

$958in general payments, 2019–2025

Across 32 payments — averaging $29.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • E.r. Squibb & Sons, L.L.C.$217
  • Boehringer Ingelheim$193
  • Amarin Pharma, Inc.$125
  • AbbVie$112
  • Novartis$73
  • Novo Nordisk$55
  • plus $185 from 8 others

What the payments were for

  • Food & beverage$958100%

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

19
20
21
22
23
25

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.

How this compares

$958 in reported general payments places this provider in the 80th percentile of 159 internal medicine providers in North Dakota.

See all internal medicine providers in North Dakota

Medicare billing

Part B allowed, 2024
$82,139
Medicare patients
264
Services billed
954

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

DrugClaimsCost to plans & patients
Duloxetine Hcl26$493
Metoprolol Succinate21$455
Gabapentin21$388
Pantoprazole Sodium25$355
Isosorbide Mononitrate ErIsosorbide Mononitrate21$350
Amlodipine Besylate24$222
Rosuvastatin Calcium16$216
Atorvastatin Calcium11$130
Levothyroxine Sodium12$117
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav12$89
Sertraline Hcl11$86
Tamsulosin Hcl11$69
Prednisone12$25

Paid to pharmacies, not to this prescriber.

Other internal medicine in Bismarck

See the full list for North Dakota

Where these figures come from

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