Payment overview · 2025
General Payments
$22.59
1 reported records · 1 companies
Healthcare provider profile · identity verified
Juan Ivan Ramirez, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · WIMBERLEY, TX · NPI 1205835071
Verified facts
What the public records show
CMS Open Payments records show Juan Ivan Ramirez, M.D. received $22.59 in general payments during 2025 across 1 reported records.
Novo Nordisk Inc accounted for 100.0% of that reported general-payment amount.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 64 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $22.59 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $22.59 | 1 |
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
Payment records were found, but the reported records did not identify a specific associated product for this analysis.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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 |
|---|---|---|---|---|---|---|
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
64 | 12 |
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 |
|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 702 | 105 |
| Alprazolam | Alprazolam | 375 | 71 |
| Lisinopril | Lisinopril | 313 | 91 |
| Levothyroxine Sodium | Levothyroxine Sodium | 291 | 89 |
| Trazodone Hcl | Trazodone Hcl | 289 | 71 |
| Gabapentin | Gabapentin | 234 | 55 |
| Atorvastatin Calcium | Atorvastatin Calcium | 224 | 63 |
| Amlodipine Besylate | Amlodipine Besylate | 220 | 68 |
| Losartan Potassium | Losartan Potassium | 219 | 67 |
| Zolpidem Tartrate | Zolpidem Tartrate | 206 | 34 |
| Pantoprazole Sodium | Pantoprazole Sodium | 192 | 58 |
| Carisoprodol | Carisoprodol | 158 | 24 |
| Omeprazole | Omeprazole | 157 | 47 |
| Methylprednisolone | Methylprednisolone | 147 | 121 |
| Tamsulosin Hcl | Tamsulosin Hcl | 145 | 49 |
| Metformin Hcl | Metformin Hcl | 139 | 36 |
| Tramadol Hcl | Tramadol Hcl | 134 | 35 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 133 | 25 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 120 | 41 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 118 | 32 |
| Hydrochlorothiazide | Hydrochlorothiazide | 115 | 35 |
| Lorazepam | Lorazepam | 114 | 30 |
| Azithromycin | Azithromycin | 111 | 97 |
| Diazepam | Diazepam | 101 | 28 |
| Testosterone Cypionate | Testosterone Cypionate | 100 | 20 |
| Clonazepam | Clonazepam | 97 | 19 |
| Citalopram Hbr | Citalopram Hydrobromide | 94 | 26 |
| Furosemide | Furosemide | 93 | 21 |
| Sertraline Hcl | Sertraline Hcl | 93 | 25 |
| Metoprolol Succinate | Metoprolol Succinate | 86 | 22 |
| Metoprolol Tartrate | Metoprolol Tartrate | 81 | 22 |
| Simvastatin | Simvastatin | 80 | 25 |
| Duloxetine Hcl | Duloxetine Hcl | 79 | 18 |
| Fluoxetine Hcl | Fluoxetine Hcl | 77 | 18 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 70 | 24 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 69 | 46 |
| Ozempic | Semaglutide | 64 | 12 |
| Doxycycline Hyclate | Doxycycline Hyclate | 58 | 46 |
| Montelukast Sodium | Montelukast Sodium | 58 | 17 |
| Mounjaro | Tirzepatide | 58 | suppressed |
| Prednisone | Prednisone | 58 | 37 |
| Estradiol | Estradiol | 57 | 17 |
| Atenolol | Atenolol | 56 | 15 |
| Meloxicam | Meloxicam | 55 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 53 | 12 |
| Escitalopram Oxalate | Escitalopram Oxalate | 53 | 14 |
| Synthroid | Levothyroxine Sodium | 51 | 14 |
| Allopurinol | Allopurinol | 49 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 48 | 40 |
| Ropinirole Hcl | Ropinirole Hcl | 45 | 12 |
| Alendronate Sodium | Alendronate Sodium | 44 | 11 |
| Pregabalin | Pregabalin | 43 | suppressed |
| Acyclovir | Acyclovir | 42 | 23 |
| Celecoxib | Celecoxib | 42 | 11 |
| Myrbetriq | Mirabegron | 42 | suppressed |
| Cephalexin | Cephalexin | 41 | 34 |
| Ventolin Hfa | Albuterol Sulfate | 41 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 38 | 12 |
| Bupropion Hcl | Bupropion Hcl | 37 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 37 | 31 |
| Pravastatin Sodium | Pravastatin Sodium | 37 | suppressed |
| Eliquis | Apixaban | 36 | 11 |
| Mirtazapine | Mirtazapine | 36 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 36 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 35 | 21 |
| Ezetimibe | Ezetimibe | 34 | 13 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 34 | 11 |
| Pioglitazone Hcl | Pioglitazone Hcl | 33 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 32 | suppressed |
| Temazepam | Temazepam | 32 | suppressed |
| Fluconazole | Fluconazole | 31 | 12 |
| Methocarbamol | Methocarbamol | 31 | 13 |
| Glipizide | Glipizide | 30 | suppressed |
| Potassium Chloride | Potassium Chloride | 30 | 11 |
| Valacyclovir | Valacyclovir Hcl | 29 | suppressed |
| Bupropion Xl | Bupropion Hcl | 28 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 27 | 11 |
| Carvedilol | Carvedilol | 27 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 27 | suppressed |
| Ibuprofen | Ibuprofen | 27 | suppressed |
| Ondansetron Odt | Ondansetron | 27 | 19 |
| Trintellix | Vortioxetine Hydrobromide | 27 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 26 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 26 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 26 | suppressed |
| Euthyrox | Levothyroxine Sodium | 23 | suppressed |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 23 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 23 | suppressed |
| Colchicine | Colchicine | 22 | suppressed |
| Gentamicin Sulfate | Gentamicin Sulfate | 22 | 17 |
| Liothyronine Sodium | Liothyronine Sodium | 21 | suppressed |
| Xarelto | Rivaroxaban | 21 | suppressed |
| Lamotrigine | Lamotrigine | 20 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 20 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 19 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 19 | suppressed |
| Irbesartan | Irbesartan | 19 | suppressed |
| Memantine Hcl | Memantine Hcl | 19 | suppressed |
| Telmisartan | Telmisartan | 19 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 18 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 17 | suppressed |
| Ramipril | Ramipril | 17 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 16 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 16 | suppressed |
| Finasteride | Finasteride | 16 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 16 | suppressed |
| Amoxicillin | Amoxicillin | 15 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 15 | suppressed |
| Indomethacin | Indomethacin | 15 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | suppressed |
| Levetiracetam | Levetiracetam | 15 | suppressed |
| Lovastatin | Lovastatin | 15 | suppressed |
| Armour Thyroid | Thyroid,pork | 14 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 14 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 14 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 14 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 14 | suppressed |
| Trulicity | Dulaglutide | 14 | suppressed |
| Verapamil Er | Verapamil Hcl | 14 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 13 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 13 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 13 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 13 | suppressed |
| Estradiol (Twice Weekly) | Estradiol | 13 | suppressed |
| Hydromorphone Hcl | Hydromorphone Hcl | 13 | suppressed |
| Metaxalone | Metaxalone | 13 | suppressed |
| Nifedipine Er | Nifedipine | 13 | suppressed |
| Vyvanse | Lisdexamfetamine Dimesylate | 13 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 12 | suppressed |
| Morphine Sulfate | Morphine Sulfate | 12 | 12 |
| Nortriptyline Hcl | Nortriptyline Hcl | 12 | suppressed |
| Progesterone | Progesterone, Micronized | 12 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 12 | suppressed |
| Testosterone | Testosterone | 12 | suppressed |
| Topiramate | Topiramate | 12 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 12 | suppressed |
| Jantoven | Warfarin Sodium | 11 | suppressed |
| Januvia | Sitagliptin Phosphate | 11 | suppressed |
| Vraylar | Cariprazine Hcl | 11 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 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 | $22.59 · 1 records | Novo Nordisk Inc | — | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk 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