Ruth Ramirez
Adult Health · Las Vegas, NVNPI 1386731651
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.6% of the total across 150 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by AbbVie at 26.9% of the total. Reporting peaked in 2021 at $3,012 and has fallen 99.3% since, to $20 in 2023.
Across 150 payments — averaging $25.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Neurocrine Biosciences, Inc.$742
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$716
- Alkermes, Inc.$424
- Otsuka America Pharmaceutical, Inc.$379
- Teva Pharmaceuticals USA, Inc.$114
- plus $387 from 8 others
What the payments were for
- Food & beverage$3,72699%
- Education$531%
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 |
|---|---|---|
| AbbVie | 42 | $1,017 |
| Neurocrine Biosciences, Inc. | 32 | $742 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 23 | $716 |
| Alkermes, Inc. | 12 | $424 |
| Otsuka America Pharmaceutical, Inc. | 16 | $379 |
| Teva Pharmaceuticals USA, Inc. | 5 | $114 |
| Vanda Pharmaceuticals Inc. | 4 | $91 |
| Supernus Pharmaceuticals, Inc. | 5 | $65 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $64 |
| Eisai Inc. | 3 | $63 |
| Sunovion Pharmaceuticals Inc. | 2 | $47 |
| Johnson & Johnson | 1 | $23 |
| Kyowa Kirin, Inc. | 1 | $20 |
| Biohaven Pharmaceuticals, 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.
How this compares
$3,779 in reported general payments places this provider in the 85th percentile of 90 adult health providers in Nevada.
Other adult health in Las Vegas
- Marcia Castro-RosenbergLas Vegas$64K
- Amanda SquiersLas Vegas$36K
- Jasmina FornbacherLas Vegas$14K
- Marcella PomeranzLas Vegas$14K
- Karisa SonLas Vegas$10K
- Jessica LuceroLas Vegas$6K
- Monica LynamLas Vegas$5K
- Thomas McNeilLas Vegas$5K
- Roger ConantLas Vegas$4K
- Gener CruzLas Vegas$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.