Payment overview · 2025
General Payments
$237.70
6 reported records · 4 companies
Healthcare provider profile · identity verified
Carlos R Ramirez-Ramirez, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease · THE VILLAGES, FL · NPI 1194793166
Verified facts
What the public records show
CMS Open Payments records show Carlos R Ramirez-Ramirez, M.D. received $237.70 in general payments during 2025 across 6 reported records.
EMD Serono, Inc. accounted for 57.2% 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.
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 73 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 11 claims for Mounjaro 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 |
|---|---|---|---|---|---|
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $136.06 | 57.2% | 2 | 2025 |
| KLS-Martin L.P. | Unresolved — no canonical attribution shown | $65.66 | 27.6% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $20.00 | 8.4% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $15.98 | 6.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $237.70 | 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 |
|---|---|---|---|---|---|
| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $20.00 | 1 | 2025 |
Source payment records
|
|||||
| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $15.98 | 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 |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 11 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 |
|---|---|---|---|---|---|---|
| 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 |
73 | 28 |
| 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 |
11 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 784 | 257 |
| Levothyroxine Sodium | Levothyroxine Sodium | 632 | 188 |
| Metformin Hcl | Metformin Hcl | 451 | 154 |
| Lisinopril | Lisinopril | 385 | 122 |
| Simvastatin | Simvastatin | 374 | 123 |
| Amlodipine Besylate | Amlodipine Besylate | 365 | 120 |
| Omeprazole | Omeprazole | 365 | 117 |
| Gabapentin | Gabapentin | 324 | 127 |
| Losartan Potassium | Losartan Potassium | 282 | 89 |
| Hydrochlorothiazide | Hydrochlorothiazide | 222 | 68 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 198 | 73 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 183 | 58 |
| Ezetimibe | Ezetimibe | 166 | 53 |
| Pantoprazole Sodium | Pantoprazole Sodium | 157 | 55 |
| Metoprolol Tartrate | Metoprolol Tartrate | 140 | 49 |
| Azithromycin | Azithromycin | 139 | 117 |
| Metoprolol Succinate | Metoprolol Succinate | 139 | 49 |
| Pravastatin Sodium | Pravastatin Sodium | 131 | 40 |
| Tamsulosin Hcl | Tamsulosin Hcl | 127 | 46 |
| Januvia | Sitagliptin Phosphate | 119 | 27 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 115 | 21 |
| Trazodone Hcl | Trazodone Hcl | 106 | 39 |
| Alprazolam | Alprazolam | 102 | 42 |
| Carvedilol | Carvedilol | 100 | 34 |
| Glimepiride | Glimepiride | 100 | 35 |
| Furosemide | Furosemide | 97 | 36 |
| Eliquis | Apixaban | 94 | 31 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 90 | 38 |
| Montelukast Sodium | Montelukast Sodium | 90 | 29 |
| Clotrimazole | Clotrimazole | 87 | 43 |
| Clopidogrel | Clopidogrel Bisulfate | 79 | 29 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 78 | 27 |
| Fenofibrate | Fenofibrate | 75 | 32 |
| Sertraline Hcl | Sertraline Hcl | 74 | 29 |
| Jardiance | Empagliflozin | 73 | 28 |
| Glipizide | Glipizide | 71 | 24 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 70 | 16 |
| Famotidine | Famotidine | 69 | 26 |
| Meloxicam | Meloxicam | 69 | 25 |
| Clonazepam | Clonazepam | 65 | 17 |
| Ibuprofen | Ibuprofen | 65 | 24 |
| Baclofen | Baclofen | 64 | 25 |
| Sildenafil Citrate | Sildenafil Citrate | 64 | 13 |
| Duloxetine Hcl | Duloxetine Hcl | 61 | 23 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 61 | 17 |
| Alendronate Sodium | Alendronate Sodium | 59 | 19 |
| Atenolol | Atenolol | 59 | 19 |
| Allopurinol | Allopurinol | 57 | 18 |
| Levofloxacin | Levofloxacin | 57 | 50 |
| Synthroid | Levothyroxine Sodium | 57 | 16 |
| Fluticasone Propionate | Fluticasone Propionate | 56 | 30 |
| Citalopram Hbr | Citalopram Hydrobromide | 55 | 20 |
| Zolpidem Tartrate | Zolpidem Tartrate | 54 | 21 |
| Donepezil Hcl | Donepezil Hcl | 50 | 19 |
| Ropinirole Hcl | Ropinirole Hcl | 50 | 18 |
| Valsartan | Valsartan | 49 | 13 |
| Potassium Chloride | Potassium Chloride | 48 | 21 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 47 | 16 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 47 | 14 |
| Ozempic | Semaglutide | 47 | 12 |
| Tramadol Hcl | Tramadol Hcl | 47 | 22 |
| Nitroglycerin | Nitroglycerin | 46 | 21 |
| Fenofibrate | Fenofibrate Nanocrystallized | 44 | 17 |
| Oxybutynin Chloride | Oxybutynin Chloride | 43 | 16 |
| Farxiga | Dapagliflozin Propanediol | 40 | 11 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 40 | 15 |
| Buspirone Hcl | Buspirone Hcl | 37 | 12 |
| Fenofibrate | Fenofibrate,micronized | 37 | 12 |
| Lorazepam | Lorazepam | 36 | 12 |
| Oxycodone Hcl | Oxycodone Hcl | 36 | suppressed |
| Pregabalin | Pregabalin | 36 | 14 |
| Ramipril | Ramipril | 36 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 36 | 12 |
| Bupropion Xl | Bupropion Hcl | 35 | 13 |
| Celecoxib | Celecoxib | 35 | 16 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 35 | suppressed |
| Xarelto | Rivaroxaban | 35 | suppressed |
| Finasteride | Finasteride | 33 | 13 |
| Pioglitazone Hcl | Pioglitazone Hcl | 33 | 11 |
| Prednisone | Prednisone | 32 | 31 |
| Spironolactone | Spironolactone | 32 | 12 |
| Escitalopram Oxalate | Escitalopram Oxalate | 31 | 13 |
| Nifedipine Er | Nifedipine | 31 | suppressed |
| Biktarvy | Bictegrav/Emtricit/Tenofov Ala | 30 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 30 | 11 |
| Breo Ellipta | Fluticasone/Vilanterol | 28 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 28 | 12 |
| Enalapril Maleate | Enalapril Maleate | 28 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 28 | 11 |
| Paroxetine Hcl | Paroxetine Hcl | 28 | 11 |
| Tizanidine Hcl | Tizanidine Hcl | 28 | 13 |
| Bumetanide | Bumetanide | 27 | 12 |
| Fluoxetine Hcl | Fluoxetine Hcl | 27 | 11 |
| Lovastatin | Lovastatin | 27 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 25 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 24 | suppressed |
| Fluconazole | Fluconazole | 24 | 21 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 24 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 24 | 12 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 24 | suppressed |
| Repatha Sureclick | Evolocumab | 24 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 24 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 23 | suppressed |
| Latanoprost | Latanoprost | 23 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 22 | suppressed |
| Calcitriol | Calcitriol | 22 | suppressed |
| Ketoconazole | Ketoconazole | 22 | suppressed |
| Glipizide Er | Glipizide | 21 | suppressed |
| Estradiol | Estradiol | 20 | suppressed |
| Lansoprazole | Lansoprazole | 19 | suppressed |
| Mupirocin | Mupirocin | 19 | 14 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 19 | 14 |
| Valacyclovir | Valacyclovir Hcl | 19 | suppressed |
| Diazepam | Diazepam | 18 | suppressed |
| Sucralfate | Sucralfate | 18 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 17 | suppressed |
| Topiramate | Topiramate | 17 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 16 | 13 |
| Meclizine Hcl | Meclizine Hcl | 16 | 11 |
| Methocarbamol | Methocarbamol | 16 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 16 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 16 | suppressed |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 15 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 15 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 15 | suppressed |
| Novolog Flexpen | Insulin Aspart | 15 | suppressed |
| Levetiracetam | Levetiracetam | 14 | suppressed |
| Novolin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 14 | suppressed |
| Primidone | Primidone | 14 | suppressed |
| Temazepam | Temazepam | 14 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 14 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 13 | 13 |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 11 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 13 | suppressed |
| Gemfibrozil | Gemfibrozil | 13 | suppressed |
| Ranolazine Er | Ranolazine | 13 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 13 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 12 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 12 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 12 | suppressed |
| Descovy | Emtricitabine/Tenofov Alafenam | 12 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 12 | suppressed |
| Lamotrigine | Lamotrigine | 12 | suppressed |
| Metronidazole | Metronidazole | 12 | 11 |
| Mirtazapine | Mirtazapine | 12 | suppressed |
| Ondansetron Odt | Ondansetron | 12 | suppressed |
| Tivicay | Dolutegravir Sodium | 12 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 11 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 11 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 11 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 11 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 11 | suppressed |
| Mounjaro | Tirzepatide | 11 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 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 | $237.70 · 6 records | EMD Serono, Inc. | MOUNJARO, The Cologuard Plus Collection Kit | 2 | — |
| 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 Lilly USA, LLC?
- 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