Sergio Ramon
Pediatrics · San Antonio, TXNPI 1407866734
Payments from drug & device makers
Across 111 payments — averaging $18.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$345
- Ironshore Pharmaceuticals Inc.$343
- Sanofi Pasteur Inc.$337
- Collegium Pharmaceutical, Inc.$247
- Tris Pharma Inc$123
- Cranial Technologies, Inc$89
- plus $544 from 12 others
What the payments were for
- Food & beverage$2,028100%
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 |
|---|---|---|
| Merck | 18 | $345 |
| Ironshore Pharmaceuticals Inc. | 23 | $343 |
| Sanofi Pasteur Inc. | 13 | $337 |
| Collegium Pharmaceutical, Inc. | 17 | $247 |
| Tris Pharma Inc | 6 | $123 |
| Cranial Technologies, Inc | 5 | $89 |
| Supernus Pharmaceuticals, Inc. | 4 | $82 |
| Noven Therapeutics, LLC | 3 | $74 |
| Vertical Pharmaceuticals, LLC | 4 | $74 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $55 |
| Alk-abello, Inc | 2 | $53 |
| Corium, LLC | 5 | $47 |
| Shire North American Group Inc | 2 | $34 |
| Pfizer | 2 | $31 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $27 |
| Sobi, Inc | 1 | $27 |
| Verrica Pharmaceuticals Inc. | 1 | $22 |
| Azurity Pharmaceuticals, Inc. | 1 | $17 |
How this compares
$2,028 in reported general payments places this provider in the 90th percentile of 5,361 pediatrics providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RybelsusSemaglutide | 11 | $10,126 |
Paid to pharmacies, not to this prescriber.
Other pediatrics in San Antonio
- Kenneth EtokhanaSan Antonio$3.2M
- Melissa SvobodaSan Antonio$175K
- Dianna BurnsSan Antonio$100K
- Patricia AmersonSan Antonio$73K
- Kashif AliHouston$19.1M
- Clifford YutThe Woodlands$10.2M
- Ionela IacobasHouston$10.1M
- Khozema PalanpurwalaHouston$9.7M
- Robert BellBeaumont$9.3M
- John ClintonPort Lavaca$8.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.