Payment overview · 2025
General Payments
$120.14
2 reported records · 2 companies
Healthcare provider profile · identity verified
Diahnara Mercado Ramirez, MD
Allopathic & Osteopathic Physicians|General Practice · ANASCO, PR · NPI 1043208432
Verified facts
What the public records show
CMS Open Payments records show Diahnara Mercado Ramirez, MD received $120.14 in general payments during 2025 across 2 reported records.
Lilly USA, LLC accounted for 74.9% 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: Jardiance.
Boehringer Ingelheim Pharmaceuticals, Inc. 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 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Jardiance by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYNJARDY as an associated drug or biological on 33 records involving 33 distinct recipient NPIs. Public Medicare Part D data also shows 26 claims for Synjardy 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 23 claims for Jardiance 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 | $90.03 | 74.9% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $30.11 | 25.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $120.14 | 2 |
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 | $90.03 | 1 | 2025 |
Source payment records
|
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $30.11 | 1 | 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 23 Beneficiary count suppressed |
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 |
|---|---|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
23 | suppressed by CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | SYNJARDY open payments reported associated product |
CMS Open Payments — General Payments 33 supporting records · 33 recipient NPIs · example record 1222725005 |
Synjardy · 2024 Exact normalized brand match · 1 Part D row |
26 | 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 |
23 | 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 |
|---|---|---|---|
| Famotidine | Famotidine | 703 | 94 |
| Gabapentin | Gabapentin | 608 | 82 |
| Alendronate Sodium | Alendronate Sodium | 367 | 42 |
| Montelukast Sodium | Montelukast Sodium | 259 | 32 |
| Synthroid | Levothyroxine Sodium | 250 | 34 |
| Atorvastatin Calcium | Atorvastatin Calcium | 235 | 64 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 228 | 64 |
| Diclofenac Sodium | Diclofenac Sodium | 163 | 56 |
| Metformin Hcl | Metformin Hcl | 161 | 41 |
| Pantoprazole Sodium | Pantoprazole Sodium | 157 | 21 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 148 | 29 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 145 | 32 |
| Clopidogrel | Clopidogrel Bisulfate | 140 | 21 |
| Buspirone Hcl | Buspirone Hcl | 134 | 25 |
| Losartan Potassium | Losartan Potassium | 122 | 41 |
| Tamsulosin Hcl | Tamsulosin Hcl | 115 | 15 |
| Amlodipine Besylate | Amlodipine Besylate | 109 | 37 |
| Simvastatin | Simvastatin | 108 | 33 |
| Lisinopril | Lisinopril | 97 | 27 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 87 | 13 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 84 | 20 |
| Metoprolol Succinate | Metoprolol Succinate | 80 | 25 |
| Jentadueto | Linagliptin/Metformin Hcl | 79 | 15 |
| Raloxifene Hcl | Raloxifene Hcl | 79 | suppressed |
| Alprazolam | Alprazolam | 74 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 73 | 13 |
| Hydrochlorothiazide | Hydrochlorothiazide | 73 | 22 |
| Lansoprazole | Lansoprazole | 72 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 66 | 28 |
| Omeprazole | Omeprazole | 63 | 12 |
| Baclofen | Baclofen | 60 | 21 |
| Citalopram Hbr | Citalopram Hydrobromide | 59 | 17 |
| Enalapril Maleate | Enalapril Maleate | 59 | 13 |
| Glimepiride | Glimepiride | 59 | 15 |
| Temazepam | Temazepam | 57 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 52 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 50 | 25 |
| Fluticasone Propionate | Fluticasone Propionate | 48 | 20 |
| Levothyroxine Sodium | Levothyroxine Sodium | 48 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 45 | 13 |
| Irbesartan | Irbesartan | 44 | 12 |
| Pregabalin | Pregabalin | 44 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 43 | suppressed |
| Anastrozole | Anastrozole | 42 | suppressed |
| Atenolol | Atenolol | 40 | suppressed |
| Azithromycin | Azithromycin | 38 | 31 |
| Finasteride | Finasteride | 38 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 37 | suppressed |
| Carvedilol | Carvedilol | 36 | 11 |
| Clonazepam | Clonazepam | 36 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 36 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 36 | suppressed |
| Glipizide | Glipizide | 35 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 34 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 34 | suppressed |
| Ezetimibe | Ezetimibe | 32 | suppressed |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 32 | suppressed |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 32 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 32 | 17 |
| Eliquis | Apixaban | 31 | suppressed |
| Galantamine Hbr | Galantamine Hbr | 31 | suppressed |
| Latanoprost | Latanoprost | 31 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 30 | suppressed |
| Pentoxifylline | Pentoxifylline | 30 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 30 | suppressed |
| Furosemide | Furosemide | 29 | 12 |
| Janumet | Sitagliptin Phos/Metformin Hcl | 29 | suppressed |
| Advocate Syringes | Syringe-Needle,insulin,0.5 Ml | 28 | suppressed |
| Allopurinol | Allopurinol | 28 | suppressed |
| Diclofenac Potassium | Diclofenac Potassium | 27 | 13 |
| Donepezil Hcl | Donepezil Hcl | 27 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 27 | suppressed |
| Synjardy | Empagliflozin/Metformin Hcl | 26 | suppressed |
| Cilostazol | Cilostazol | 24 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 24 | suppressed |
| Nabumetone | Nabumetone | 24 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 24 | 11 |
| Desonide | Desonide | 23 | suppressed |
| Dexamethasone | Dexamethasone | 23 | 17 |
| Jardiance | Empagliflozin | 23 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 23 | suppressed |
| Verapamil Er | Verapamil Hcl | 23 | suppressed |
| Silver Sulfadiazine | Silver Sulfadiazine | 22 | 12 |
| Warfarin Sodium | Warfarin Sodium | 22 | suppressed |
| Hydrocortisone | Hydrocortisone | 21 | suppressed |
| Meloxicam | Meloxicam | 21 | suppressed |
| Advocate Syringes | Syringe And Needle,insulin,1ml | 20 | suppressed |
| Ketoconazole | Ketoconazole | 19 | suppressed |
| Levofloxacin | Levofloxacin | 19 | 16 |
| Memantine Hcl | Memantine Hcl | 19 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 19 | suppressed |
| Ciclopirox | Ciclopirox | 18 | 11 |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 18 | suppressed |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 18 | suppressed |
| Lactulose | Lactulose | 18 | suppressed |
| Bupropion Xl | Bupropion Hcl | 17 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 17 | suppressed |
| Levoxyl | Levothyroxine Sodium | 17 | suppressed |
| Prednisone | Prednisone | 17 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 17 | suppressed |
| Candesartan Cilexetil | Candesartan Cilexetil | 16 | suppressed |
| Spironolactone | Spironolactone | 16 | suppressed |
| Sucralfate | Sucralfate | 15 | suppressed |
| Tradjenta | Linagliptin | 15 | suppressed |
| Advocate Syringes | Syring-Needl,disp,insul,0.3 Ml | 14 | suppressed |
| Betamethasone Valerate | Betamethasone Valerate | 14 | suppressed |
| Fluconazole | Fluconazole | 14 | 13 |
| Lamotrigine | Lamotrigine | 14 | suppressed |
| Lidocaine | Lidocaine | 14 | suppressed |
| Mirtazapine | Mirtazapine | 14 | suppressed |
| Phenobarbital | Phenobarbital | 13 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 13 | suppressed |
| Risperidone | Risperidone | 13 | suppressed |
| Rivastigmine | Rivastigmine | 13 | suppressed |
| Timolol Maleate | Timolol Maleate | 13 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 12 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 12 | 11 |
| Doxepin Hcl | Doxepin Hcl | 12 | suppressed |
| Lorazepam | Lorazepam | 12 | suppressed |
| Propylthiouracil | Propylthiouracil | 12 | suppressed |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 12 | suppressed |
| Telmisartan-Hydrochlorothiazid | Telmisartan/Hydrochlorothiazid | 12 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 12 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 11 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 11 | suppressed |
| Insulin Lispro | Insulin Lispro | 11 | suppressed |
| Insulin Syringe | Syringe And Needle,insulin,1ml | 11 | suppressed |
| Xarelto | Rivaroxaban | 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 | $120.14 · 2 records | Lilly USA, LLC | JARDIANCE, MOUNJARO | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jardiance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Boehringer Ingelheim Pharmaceuticals, Inc.?
- 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