Payment overview · 2025
General Payments
$220.99
6 reported records · 4 companies
Healthcare provider profile · identity verified
Ivan Gustavo Ramos, MD
Allopathic & Osteopathic Physicians|Internal Medicine · BAYMON, PR · NPI 1184602781
Verified facts
What the public records show
CMS Open Payments records show Ivan Gustavo Ramos, MD received $220.99 in general payments during 2025 across 6 reported records.
Terumo Medical Corporation accounted for 53.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, 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 38 claims for Jardiance by this doctor in 2024.
E.R. Squibb & Sons, L.L.C. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ELIQUIS as an associated drug or biological on 27956 records involving 14870 distinct recipient NPIs. Public Medicare Part D data also shows 61 claims for Eliquis 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 |
|---|---|---|---|---|---|
| Terumo Medical Corporation | Unresolved — no canonical attribution shown | $117.15 | 53.0% | 1 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $54.76 | 24.8% | 3 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $25.00 | 11.3% | 1 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $24.08 | 10.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $220.99 | 6 |
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 |
|---|---|---|---|---|---|
| ACCESS Normalized: access |
Device | Terumo Medical Corporation | $117.15 | 1 | 2025 |
Source payment records
|
|||||
| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $54.76 | 3 | 2025 |
Source payment records
|
|||||
| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $25.00 | 1 | 2025 |
Source payment records
|
|||||
| ELIQUIS Normalized: eliquis |
Drug | E.R. Squibb & Sons, L.L.C. | $24.08 | 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 |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 61 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 38 | 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 |
38 | 13 |
| E.R. Squibb & Sons, L.L.C. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 27956 supporting records · 14870 recipient NPIs · example record 1184377713 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
61 | 28 |
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 519 | 185 |
| Gabapentin | Gabapentin | 431 | 131 |
| Synthroid | Levothyroxine Sodium | 400 | 116 |
| Metoprolol Succinate | Metoprolol Succinate | 394 | 153 |
| Simvastatin | Simvastatin | 326 | 105 |
| Losartan Potassium | Losartan Potassium | 323 | 121 |
| Metformin Hcl | Metformin Hcl | 313 | 96 |
| Amlodipine Besylate | Amlodipine Besylate | 293 | 107 |
| Famotidine | Famotidine | 255 | 107 |
| Omeprazole | Omeprazole | 231 | 72 |
| Levothyroxine Sodium | Levothyroxine Sodium | 229 | 83 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 204 | 79 |
| Pantoprazole Sodium | Pantoprazole Sodium | 191 | 77 |
| Clonazepam | Clonazepam | 189 | 31 |
| Farxiga | Dapagliflozin Propanediol | 185 | 57 |
| Glimepiride | Glimepiride | 175 | 52 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 162 | 51 |
| Irbesartan | Irbesartan | 150 | 53 |
| Temazepam | Temazepam | 144 | 37 |
| Enalapril Maleate | Enalapril Maleate | 142 | 44 |
| Tamsulosin Hcl | Tamsulosin Hcl | 140 | 59 |
| Montelukast Sodium | Montelukast Sodium | 137 | 61 |
| Furosemide | Furosemide | 133 | 58 |
| Clopidogrel | Clopidogrel Bisulfate | 131 | 57 |
| Alendronate Sodium | Alendronate Sodium | 129 | 44 |
| Nifedipine Er | Nifedipine | 114 | 48 |
| Donepezil Hcl | Donepezil Hcl | 112 | 44 |
| Glipizide | Glipizide | 100 | 34 |
| Sertraline Hcl | Sertraline Hcl | 100 | 33 |
| Lisinopril | Lisinopril | 95 | 33 |
| Pregabalin | Pregabalin | 90 | suppressed |
| Diclofenac Potassium | Diclofenac Potassium | 87 | 34 |
| Xarelto | Rivaroxaban | 79 | 30 |
| Candesartan Cilexetil | Candesartan Cilexetil | 76 | 24 |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 76 | 26 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 75 | 24 |
| Diclofenac Sodium | Diclofenac Sodium | 68 | 31 |
| Tramadol Hcl | Tramadol Hcl | 62 | 11 |
| Eliquis | Apixaban | 61 | 28 |
| Alprazolam | Alprazolam | 60 | 11 |
| Candesartan-Hydrochlorothiazid | Candesartan/Hydrochlorothiazid | 57 | 15 |
| Duloxetine Hcl | Duloxetine Hcl | 57 | 17 |
| Januvia | Sitagliptin Phosphate | 56 | 15 |
| Breo Ellipta | Fluticasone/Vilanterol | 55 | 22 |
| Hydralazine Hcl | Hydralazine Hcl | 54 | 21 |
| Meclizine Hcl | Meclizine Hcl | 53 | 19 |
| Janumet | Sitagliptin Phos/Metformin Hcl | 50 | 14 |
| Levofloxacin | Levofloxacin | 50 | 47 |
| Nabumetone | Nabumetone | 49 | 14 |
| Latanoprost | Latanoprost | 48 | 17 |
| Lorazepam | Lorazepam | 48 | suppressed |
| Carvedilol | Carvedilol | 46 | 18 |
| Janumet Xr | Sitagliptin Phos/Metformin Hcl | 46 | 13 |
| Fluticasone Propionate | Fluticasone Propionate | 44 | 15 |
| Hydrochlorothiazide | Hydrochlorothiazide | 44 | 19 |
| Pravastatin Sodium | Pravastatin Sodium | 44 | 15 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 43 | 22 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 43 | 19 |
| Metoprolol Tartrate | Metoprolol Tartrate | 43 | 24 |
| Pioglitazone Hcl | Pioglitazone Hcl | 43 | 15 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 42 | 40 |
| Sucralfate | Sucralfate | 42 | 14 |
| Allopurinol | Allopurinol | 41 | 15 |
| Atenolol | Atenolol | 40 | 15 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 40 | 23 |
| Warfarin Sodium | Warfarin Sodium | 40 | 12 |
| Jardiance | Empagliflozin | 38 | 13 |
| Memantine Hcl | Memantine Hcl | 38 | 12 |
| Ezetimibe | Ezetimibe | 37 | 13 |
| Methylprednisolone | Methylprednisolone | 37 | 23 |
| Prednisone | Prednisone | 37 | 15 |
| Trazodone Hcl | Trazodone Hcl | 37 | 11 |
| Fenofibrate | Fenofibrate,micronized | 36 | 13 |
| Lansoprazole | Lansoprazole | 36 | 12 |
| Buspirone Hcl | Buspirone Hcl | 33 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 31 | 11 |
| Finasteride | Finasteride | 30 | 13 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 29 | 14 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 29 | 12 |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 29 | suppressed |
| Pentoxifylline | Pentoxifylline | 29 | suppressed |
| Risperidone | Risperidone | 28 | 14 |
| Spironolactone | Spironolactone | 28 | 17 |
| Trijardy Xr | Empaglifloz/Linaglip/Metformin | 28 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 27 | suppressed |
| Ramipril | Ramipril | 27 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 27 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 26 | 11 |
| Valsartan | Valsartan | 26 | 16 |
| Digoxin | Digoxin | 24 | suppressed |
| Estazolam | Estazolam | 24 | suppressed |
| Fenofibrate | Fenofibrate | 24 | 11 |
| Quetiapine Fumarate | Quetiapine Fumarate | 24 | suppressed |
| Telmisartan | Telmisartan | 24 | suppressed |
| Baclofen | Baclofen | 23 | suppressed |
| Glipizide Er | Glipizide | 23 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 23 | suppressed |
| Glipizide-Metformin | Glipizide/Metformin Hcl | 22 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 22 | suppressed |
| Verapamil Er | Verapamil Hcl | 22 | suppressed |
| Bisoprolol-Hydrochlorothiazide | Bisoprolol/Hydrochlorothiazide | 21 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 20 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 20 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 19 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 19 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 19 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 18 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 18 | suppressed |
| Diclofenac Sodium Er | Diclofenac Sodium | 18 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 18 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 18 | 11 |
| Rivastigmine | Rivastigmine | 18 | suppressed |
| Humalog | Insulin Lispro | 17 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 16 | suppressed |
| Fluconazole | Fluconazole | 14 | 14 |
| Fosinopril Sodium | Fosinopril Sodium | 14 | suppressed |
| Humulin R | Insulin Regular, Human | 14 | suppressed |
| Lamotrigine | Lamotrigine | 14 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 13 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 13 | suppressed |
| Entresto | Sacubitril/Valsartan | 13 | suppressed |
| Hydrocortisone | Hydrocortisone | 13 | suppressed |
| Mirtazapine | Mirtazapine | 13 | suppressed |
| Mupirocin | Mupirocin | 13 | suppressed |
| Nitroglycerin | Nitroglycerin | 13 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 13 | suppressed |
| Azithromycin | Azithromycin | 12 | 11 |
| Bicalutamide | Bicalutamide | 12 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 12 | suppressed |
| Lactulose | Lactulose | 12 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | 12 |
| Amiodarone Hcl | Amiodarone Hcl | 11 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 11 | suppressed |
| Methimazole | Methimazole | 11 | suppressed |
| Ozempic | Semaglutide | 11 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Tradjenta | Linagliptin | 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 | $220.99 · 6 records | Terumo Medical Corporation | ACCESS, ELIQUIS, JARDIANCE, LifeVest | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis 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