Rigoberto Ramirez, MD
Clinical Cardiac Electrophysiology · Kansas City, KSNPI 1467742114
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (44.8%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Medtronic at 54.1% of the total.
Across 334 payments — averaging $96.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$17K
- Boston Scientific$6K
- Biosense Webster, Inc.$5K
- Medical Device Business Services, Inc.$1K
- Abbott$566
- Pfizer$377
- plus $2K from 20 others
What the payments were for
- Consulting fees$3,90012%
- Speaking & faculty fees$3,33310%
- Travel & lodging$10,58533%
- Food & beverage$14,45045%
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 |
|---|---|---|
| Medtronic(2 entities) | 150 | $17,447 |
| Boston Scientific | 69 | $6,031 |
| Biosense Webster, Inc. | 19 | $5,112 |
| Medical Device Business Services, Inc. | 4 | $1,112 |
| Abbott | 9 | $566 |
| Pfizer | 25 | $377 |
| Impulse Dynamics (USA) Inc. | 2 | $290 |
| E.r. Squibb & Sons, L.L.C. | 17 | $274 |
| Atricure, Inc. | 1 | $175 |
| Amgen | 9 | $151 |
| Infobionic, Inc | 1 | $141 |
| Novo Nordisk | 5 | $107 |
| Irhythm Technologies, Inc. | 4 | $84 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $81 |
| Merck | 3 | $55 |
| Philips North America LLC | 2 | $47 |
| Cordis US CORP. | 1 | $36 |
| Angiodynamics, Inc. | 1 | $31 |
| B. Braun Interventional Systems Inc. | 1 | $29 |
| Sanofi | 1 | $23 |
| Boehringer Ingelheim | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $19 |
| AstraZeneca | 1 | $18 |
| Stryker | 1 | $17 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $17 |
| Vifor Pharma, Inc. | 1 | $12 |
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.
- Carto 3$5,113
- GENERAL - THERAPIES$2,827
- AURORA EV-ICD MRI SURESCAN$1,115
- Arctic Front$871
- Micra$789
- COBALT DR MRI SURESCAN$720
- OPTIMIZER$581
- CryoConsole$481
- QDOT MICRO Catheter$395
- EVERA MRI XT DR SURESCAN$386
- Rhythmia Mapping System$311
- Azure$307
- WATCHMAN FLX$257
- Claria MRI$229
- Viva$226
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$175
- Reveal LINQ$151
- AGILIS$146
- MoMe Device$141
- QUADRA ASSURA$139
How this compares
$32,269 in reported general payments places this provider in the 55th percentile of 37 clinical cardiac electrophysiology providers in Kansas.
See all clinical cardiac electrophysiology providers in Kansas →
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 |
|---|---|---|
| EliquisApixaban | 307 | $299,838 |
| XareltoRivaroxaban | 122 | $120,537 |
| MultaqDronedarone Hcl | 35 | $26,729 |
| EntrestoSacubitril/Valsartan | 19 | $20,916 |
| Dofetilide | 77 | $12,230 |
| Repatha SureclickEvolocumab | 17 | $9,120 |
| Flecainide Acetate | 194 | $6,984 |
| Metoprolol Succinate | 418 | $4,504 |
| Mexiletine Hcl | 21 | $2,038 |
| Amiodarone Hcl | 66 | $1,447 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 47 | $994 |
| SotalolSotalol Hcl | 37 | $958 |
| Losartan Potassium | 83 | $731 |
| Rosuvastatin Calcium | 44 | $665 |
| Nebivolol Hcl | 16 | $628 |
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 |
|---|---|---|
| PfizerEliquis | $377 | $299,838307 claims |
| Sanofi-aventis U.S. LLCMultaq | $19 | $26,72935 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 55th percentile of 37 clinical cardiac electrophysiology providers in Kansas.
Other clinical cardiac electrophysiology in Kansas City
- Dhanunjaya LakkireddyKansas City$1.1M
- Rhea PimentelKansas City$163K
- Yeruva Veera Madhu Mohan ReddyKansas City$122K
- Martin EmertKansas City$69K
- Seth SheldonKansas City$64K
- Anila RaoKansas City$57K
- Raghuveer DendiKansas City$53K
- Ninad NadkarniKansas City$52K
- Siva Kumar SomaKansas City$23K
- Neil PhillipsKansas City$17K
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.