Has Sylvester Ramirez, MD received payments from drug or device companies?

Yes. Drug and device makers reported $1,267 in general payments to Sylvester Ramirez, MD across 50 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Sylvester Ramirez, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Sylvester Ramirez, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Sylvester Ramirez, MD

Otolaryngology · Kerrville, TXNPI 1972599942

Payments from drug & device makers

$1,267in general payments, 2019–2025

Across 50 payments — averaging $25.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Inspire Medical Systems, Inc.$619
Aerin Medical Inc.$194
Acclarent, Inc$173
GSK$117
Medtronic$59
Stryker$48
plus $57 from 2 others

What the payments were for

Travel & lodging$20516%
Food & beverage$1,06284%

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
Inspire Medical Systems, Inc.	20	$619
Aerin Medical Inc.	8	$194
Acclarent, Inc	9	$173
GSK	6	$117
Medtronic	2	$59
Stryker	2	$48
Akebia Therapeutics Inc	2	$44
Boston Scientific	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.

Inspire Upper Airway Stimulation System$312

How this compares

$1,267 in reported general payments places this provider in the 40th percentile of 729 otolaryngology providers in Texas.

See all otolaryngology providers in Texas →

Medicare billing

Part B allowed, 2024

$242,142

Medicare patients

521

Services billed

1,582

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
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth	36	$4,183
Ofloxacin	48	$993
Ipratropium Bromide	22	$611
Azelastine Hcl	34	$580
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	59	$464
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	108	$434
Fluticasone Propionate	29	$367
Methylprednisolone	56	$307
Doxycycline Hyclate	39	$234
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	22	$160
Cefdinir	15	$151
Mupirocin	24	$142
Prednisone	55	$125
Levothyroxine Sodium	39	$89
Meclizine Hcl	16	$71

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Kerrville

Laurence ChuAustin$37.4M
Mark ZafereoHouston$7.8M
Neil GrossHouston$1.5M
Chad McDuffieFrisco$1.5M
Ian AlexanderBoerne$999K
Stephen LaiHouston$968K
Benjamin CilentoSpring$963K
Amber LuongHouston$793K
Jeffrey RosenbloomSan Antonio$720K
Masayoshi TakashimaHouston$644K

See the full list for Texas →

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.

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