Payment overview · 2025
General Payments
$54.11
3 reported records · 2 companies
Healthcare provider profile · identity verified
Roberto Ramirez, MD
Allopathic & Osteopathic Physicians|Family Medicine · KENEDY, TX · NPI 1033191762
Verified facts
What the public records show
CMS Open Payments records show Roberto Ramirez, MD received $54.11 in general payments during 2025 across 3 reported records.
Lilly USA, LLC accounted for 70.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 40 claims for Farxiga by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Symbicort by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 77 claims for Jardiance by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 61 claims for Mounjaro by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 22 claims for Trulicity by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $37.92 | 70.1% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $16.19 | 29.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $54.11 | 3 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $37.92 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $37.92 | 2 | 2025 |
Source payment records
|
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 61 | exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
40 | suppressed by CMS |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
77 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
61 | 11 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
22 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Alprazolam | Alprazolam | 530 | 89 |
| Losartan Potassium | Losartan Potassium | 453 | 87 |
| Pantoprazole Sodium | Pantoprazole Sodium | 403 | 93 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 376 | 44 |
| Hydrochlorothiazide | Hydrochlorothiazide | 341 | 68 |
| Levothyroxine Sodium | Levothyroxine Sodium | 322 | 68 |
| Metformin Hcl | Metformin Hcl | 309 | 62 |
| Sertraline Hcl | Sertraline Hcl | 299 | 54 |
| Atorvastatin Calcium | Atorvastatin Calcium | 296 | 75 |
| Gabapentin | Gabapentin | 243 | 49 |
| Pravastatin Sodium | Pravastatin Sodium | 231 | 49 |
| Amoxicillin | Amoxicillin | 228 | 137 |
| Meloxicam | Meloxicam | 228 | 54 |
| Amlodipine Besylate | Amlodipine Besylate | 225 | 49 |
| Metoprolol Succinate | Metoprolol Succinate | 212 | 45 |
| Zolpidem Tartrate | Zolpidem Tartrate | 200 | 31 |
| Tamsulosin Hcl | Tamsulosin Hcl | 192 | 37 |
| Tramadol Hcl | Tramadol Hcl | 185 | 36 |
| Lisinopril | Lisinopril | 183 | 43 |
| Azithromycin | Azithromycin | 169 | 115 |
| Benazepril Hcl | Benazepril Hcl | 155 | 35 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 148 | 44 |
| Atenolol | Atenolol | 140 | 28 |
| Clopidogrel | Clopidogrel Bisulfate | 140 | 26 |
| Methocarbamol | Methocarbamol | 137 | 33 |
| Eliquis | Apixaban | 129 | 16 |
| Furosemide | Furosemide | 122 | 29 |
| Januvia | Sitagliptin Phosphate | 114 | 20 |
| Naproxen | Naproxen | 114 | 38 |
| Metoprolol Tartrate | Metoprolol Tartrate | 108 | 25 |
| Omeprazole | Omeprazole | 108 | 19 |
| Potassium Chloride | Potassium Chloride | 106 | 27 |
| Donepezil Hcl | Donepezil Hcl | 104 | 19 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 104 | 27 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 103 | 57 |
| Escitalopram Oxalate | Escitalopram Oxalate | 102 | 18 |
| Glipizide | Glipizide | 101 | 23 |
| Carvedilol | Carvedilol | 100 | 23 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 99 | 42 |
| Montelukast Sodium | Montelukast Sodium | 96 | 17 |
| Allopurinol | Allopurinol | 95 | 28 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 94 | 21 |
| Cefuroxime | Cefuroxime Axetil | 88 | 40 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 85 | 54 |
| Tradjenta | Linagliptin | 84 | 13 |
| Famotidine | Famotidine | 82 | 17 |
| Solifenacin Succinate | Solifenacin Succinate | 79 | 18 |
| Ondansetron Odt | Ondansetron | 78 | 33 |
| Jardiance | Empagliflozin | 77 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 69 | 15 |
| Simvastatin | Simvastatin | 69 | 15 |
| Dicyclomine Hcl | Dicyclomine Hcl | 64 | 21 |
| Finasteride | Finasteride | 64 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 61 | 22 |
| Mounjaro | Tirzepatide | 61 | 11 |
| Fluconazole | Fluconazole | 58 | 23 |
| Pregabalin | Pregabalin | 58 | 11 |
| Nystatin | Nystatin | 56 | 28 |
| Paroxetine Hcl | Paroxetine Hcl | 55 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 54 | suppressed |
| Clonazepam | Clonazepam | 53 | suppressed |
| Spironolactone | Spironolactone | 53 | suppressed |
| Ozempic | Semaglutide | 52 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 48 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 48 | 18 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 48 | suppressed |
| Glimepiride | Glimepiride | 47 | suppressed |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 44 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 44 | suppressed |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 44 | suppressed |
| Lorazepam | Lorazepam | 44 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 43 | 30 |
| Promethazine Hcl | Promethazine Hcl | 43 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 43 | suppressed |
| Carisoprodol | Carisoprodol | 42 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 42 | suppressed |
| Dexlansoprazole Dr | Dexlansoprazole | 42 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 42 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 41 | suppressed |
| Levofloxacin | Levofloxacin | 41 | 22 |
| Farxiga | Dapagliflozin Propanediol | 40 | suppressed |
| Ibuprofen | Ibuprofen | 40 | 12 |
| Buspirone Hcl | Buspirone Hcl | 39 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 39 | 28 |
| Ramipril | Ramipril | 39 | suppressed |
| Telmisartan | Telmisartan | 39 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 37 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 36 | 23 |
| Nifedipine Er | Nifedipine | 35 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 33 | suppressed |
| Lidocaine | Lidocaine | 32 | 14 |
| Breo Ellipta | Fluticasone/Vilanterol | 31 | suppressed |
| Estradiol | Estradiol | 30 | suppressed |
| Ezetimibe | Ezetimibe | 30 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 30 | suppressed |
| Methylprednisolone | Methylprednisolone | 30 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 30 | suppressed |
| Xarelto | Rivaroxaban | 30 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 29 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 29 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 28 | suppressed |
| Mupirocin | Mupirocin | 28 | 15 |
| Clindamycin Hcl | Clindamycin Hcl | 27 | 12 |
| Irbesartan | Irbesartan | 27 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 27 | suppressed |
| Rybelsus | Semaglutide | 26 | suppressed |
| Synjardy | Empagliflozin/Metformin Hcl | 26 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 25 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 25 | suppressed |
| Carbamazepine | Carbamazepine | 24 | suppressed |
| Celecoxib | Celecoxib | 24 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 24 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 23 | suppressed |
| Ofloxacin | Ofloxacin | 23 | 22 |
| Sumatriptan Succinate | Sumatriptan Succinate | 23 | suppressed |
| Aripiprazole | Aripiprazole | 22 | suppressed |
| Benazepril-Hydrochlorothiazide | Benazepril/Hydrochlorothiazide | 22 | suppressed |
| Carvedilol Er | Carvedilol Phosphate | 22 | suppressed |
| Trulicity | Dulaglutide | 22 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Lovastatin | Lovastatin | 21 | suppressed |
| Cilostazol | Cilostazol | 20 | suppressed |
| Fluvastatin Er | Fluvastatin Sodium | 20 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 20 | suppressed |
| Temazepam | Temazepam | 20 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 20 | suppressed |
| Ursodiol | Ursodiol | 20 | suppressed |
| Baclofen | Baclofen | 19 | suppressed |
| Ciprofloxacin-Dexamethasone | Ciprofloxacin Hcl/Dexameth | 19 | 17 |
| Levemir Flexpen | Insulin Detemir | 19 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 19 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 18 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 18 | suppressed |
| Sucralfate | Sucralfate | 18 | suppressed |
| Synthroid | Levothyroxine Sodium | 18 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 18 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 17 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 17 | 13 |
| Humalog Mix 75-25 Kwikpen | Insulin Lispro Protamin/Lispro | 17 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 17 | suppressed |
| Lactulose | Lactulose | 17 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Myrbetriq | Mirabegron | 17 | suppressed |
| Prednisone | Prednisone | 17 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 16 | suppressed |
| Glyburide-Metformin Hcl | Glyburide/Metformin Hcl | 16 | suppressed |
| Moxifloxacin | Moxifloxacin Hcl | 16 | 13 |
| Verapamil Er | Verapamil Hcl | 16 | suppressed |
| Linzess | Linaclotide | 15 | suppressed |
| Saxagliptin Hcl | Saxagliptin Hcl | 14 | suppressed |
| Topiramate | Topiramate | 14 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Clotrimazole | Clotrimazole | 13 | suppressed |
| Glipizide Er | Glipizide | 13 | suppressed |
| Hydrocortisone | Hydrocortisone | 13 | suppressed |
| Levetiracetam | Levetiracetam | 13 | suppressed |
| Novolog | Insulin Aspart | 13 | suppressed |
| Novolog Mix 70-30 Flexpen | Insulin Aspart Prot/Insuln Asp | 13 | suppressed |
| Valsartan | Valsartan | 13 | suppressed |
| Atenolol-Chlorthalidone | Atenolol/Chlorthalidone | 12 | suppressed |
| Chlorthalidone | Chlorthalidone | 12 | suppressed |
| Exelon | Rivastigmine | 12 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 12 | suppressed |
| Hydrocodone-Ibuprofen | Hydrocodone/Ibuprofen | 12 | suppressed |
| Ibu | Ibuprofen | 12 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 12 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 12 | suppressed |
| Minoxidil | Minoxidil | 12 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 12 | suppressed |
| Xifaxan | Rifaximin | 12 | suppressed |
| Bupropion Xl | Bupropion Hcl | 11 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 11 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 11 | suppressed |
| Memantine Hcl | Memantine Hcl | 11 | suppressed |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 11 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $54.11 · 3 records | Lilly USA, LLC | MOUNJARO, ZEPBOUND | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error