Roberto Garcia Ramirez
Internal Medicine · Miami, FLNPI 1679650428
Payments from drug & device makers
Across 88 payments — averaging $21,368 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Janssen Research & Development, LLC$1.7M
- Modernatx, Inc.$145K
- Novo Nordisk$186
- Eyepoint US, Inc.$51
- Lilly USA, LLC$22
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$20
- plus $13 from 1 others
What the payments were for
- Food & beverage$293100%
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 |
|---|---|---|
| Janssen Research & Development, LLC | 57 | $1,735,110 |
| Modernatx, Inc. | 25 | $144,955 |
| Novo Nordisk | 2 | $186 |
| Eyepoint US, Inc. | 1 | $51 |
| Lilly USA, LLC | 1 | $22 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $20 |
| Johnson & Johnson | 1 | $13 |
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.
- RYBELSUS$122
How this compares
$1,880,357 in reported general payments places this provider in the 95th percentile of 8,530 internal medicine providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Diclofenac Sodium | 338 | $49,801 |
| Oxycodone Hcl | 710 | $26,211 |
| Omeprazole-Sodium BicarbonateOmeprazole/Sodium Bicarbonate | 19 | $11,645 |
| LinzessLinaclotide | 12 | $6,535 |
| Naloxone Hcl | 43 | $3,093 |
| Ibuprofen | 347 | $1,126 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 26 | $472 |
| Omeprazole | 103 | $441 |
| Alprazolam | 37 | $203 |
| Famotidine | 22 | $184 |
| Pantoprazole Sodium | 34 | $163 |
| Fluticasone Propionate | 11 | $144 |
| Gabapentin | 44 | $125 |
| IbuIbuprofen | 38 | $121 |
| Rosuvastatin Calcium | 14 | $114 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Miami
- Mark KutnerMiami$35.7M
- Mercedes Ponce de LeonMiami$6.8M
- Alejandro de la CruzMiami$6.2M
- Roberto SotolongoMiami$5.8M
- Enrique PelayoMiami$5.4M
- Renato DominguezMiami$5.2M
- Ramses VegaMiami$4.4M
- Dunia Llapur HernandezMiami$4.3M
- Yaneicy Gonzalez RojasCoral Gables$93.5M
- Juan Carlos RondonHollywood$66.8M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.