Payment overview · 2025
General Payments
$33.12
1 reported records · 1 companies
Healthcare provider profile · identity verified
Griselle Gerena Ramirez, MD
Allopathic & Osteopathic Physicians|Family Medicine · SAN LORENZO, PR · NPI 1245280270
Verified facts
What the public records show
CMS Open Payments records show Griselle Gerena Ramirez, MD received $33.12 in general payments during 2025 across 1 reported records.
Genentech USA, Inc. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $33.12 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $33.12 | 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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Actemra Normalized: actemra |
Biological | Genentech USA, Inc. | $33.12 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 |
|---|---|---|---|
| Synthroid | Levothyroxine Sodium | 858 | 101 |
| Atorvastatin Calcium | Atorvastatin Calcium | 826 | 113 |
| Gabapentin | Gabapentin | 734 | 90 |
| Losartan Potassium | Losartan Potassium | 665 | 88 |
| Montelukast Sodium | Montelukast Sodium | 595 | 82 |
| Famotidine | Famotidine | 591 | 85 |
| Simvastatin | Simvastatin | 577 | 70 |
| Omeprazole | Omeprazole | 480 | 63 |
| Pantoprazole Sodium | Pantoprazole Sodium | 474 | 75 |
| Metformin Hcl | Metformin Hcl | 400 | 51 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 376 | 54 |
| Amlodipine Besylate | Amlodipine Besylate | 353 | 46 |
| Alendronate Sodium | Alendronate Sodium | 346 | 44 |
| Hydrochlorothiazide | Hydrochlorothiazide | 328 | 37 |
| Metoprolol Succinate | Metoprolol Succinate | 314 | 39 |
| Furosemide | Furosemide | 309 | 36 |
| Lisinopril | Lisinopril | 308 | 39 |
| Clonazepam | Clonazepam | 275 | 39 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 273 | 48 |
| Clopidogrel | Clopidogrel Bisulfate | 266 | 39 |
| Pentoxifylline | Pentoxifylline | 260 | 33 |
| Irbesartan | Irbesartan | 250 | 31 |
| Ezetimibe | Ezetimibe | 236 | 30 |
| Diclofenac Potassium | Diclofenac Potassium | 231 | 45 |
| Enalapril Maleate | Enalapril Maleate | 231 | 25 |
| Tamsulosin Hcl | Tamsulosin Hcl | 225 | 36 |
| Glimepiride | Glimepiride | 212 | 30 |
| Temazepam | Temazepam | 210 | 31 |
| Carvedilol | Carvedilol | 166 | 20 |
| Pioglitazone Hcl | Pioglitazone Hcl | 166 | 18 |
| Glipizide | Glipizide | 159 | 21 |
| Fluticasone Propionate | Fluticasone Propionate | 152 | 26 |
| Lansoprazole | Lansoprazole | 152 | 24 |
| Donepezil Hcl | Donepezil Hcl | 145 | 20 |
| Spironolactone | Spironolactone | 135 | 15 |
| Buspirone Hcl | Buspirone Hcl | 134 | 21 |
| Alprazolam | Alprazolam | 131 | 19 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 130 | 23 |
| Metoprolol Tartrate | Metoprolol Tartrate | 128 | 15 |
| Mirtazapine | Mirtazapine | 127 | 24 |
| Pregabalin | Pregabalin | 123 | 16 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 122 | 51 |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 122 | 16 |
| Nabumetone | Nabumetone | 117 | 24 |
| Farxiga | Dapagliflozin Propanediol | 116 | 14 |
| Sure Comfort | Syringe-Needle,insulin,0.5 Ml | 112 | 14 |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 109 | 16 |
| Tizanidine Hcl | Tizanidine Hcl | 104 | 20 |
| Eliquis | Apixaban | 102 | 13 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 101 | 17 |
| Prednisone | Prednisone | 101 | 14 |
| Janumet | Sitagliptin Phos/Metformin Hcl | 100 | 15 |
| Levothyroxine Sodium | Levothyroxine Sodium | 96 | 16 |
| Humulin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 95 | 13 |
| Methylprednisolone | Methylprednisolone | 95 | 53 |
| Cilostazol | Cilostazol | 93 | 13 |
| Glipizide Er | Glipizide | 89 | suppressed |
| Naproxen | Naproxen | 89 | 20 |
| Candesartan Cilexetil | Candesartan Cilexetil | 88 | suppressed |
| Atenolol | Atenolol | 87 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 87 | 13 |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 86 | 13 |
| Levetiracetam | Levetiracetam | 86 | 11 |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 84 | 16 |
| Sertraline Hcl | Sertraline Hcl | 83 | 14 |
| Meloxicam | Meloxicam | 82 | 14 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 81 | 15 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 78 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 77 | 15 |
| Januvia | Sitagliptin Phosphate | 72 | 12 |
| Azithromycin | Azithromycin | 69 | 55 |
| Tramadol Hcl | Tramadol Hcl | 68 | 19 |
| Doxazosin Mesylate | Doxazosin Mesylate | 67 | suppressed |
| Finasteride | Finasteride | 67 | suppressed |
| Xarelto | Rivaroxaban | 64 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 63 | suppressed |
| Memantine Hcl | Memantine Hcl | 63 | suppressed |
| Baclofen | Baclofen | 61 | 11 |
| Pravastatin Sodium | Pravastatin Sodium | 60 | suppressed |
| Celecoxib | Celecoxib | 59 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 57 | suppressed |
| Naproxen Sodium | Naproxen Sodium | 57 | 21 |
| Sucralfate | Sucralfate | 56 | suppressed |
| Sulindac | Sulindac | 55 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 53 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 52 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 51 | 17 |
| Warfarin Sodium | Warfarin Sodium | 50 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 48 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 47 | suppressed |
| Bumetanide | Bumetanide | 46 | suppressed |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 45 | suppressed |
| Ketoconazole | Ketoconazole | 44 | 24 |
| Ropinirole Hcl | Ropinirole Hcl | 42 | suppressed |
| Humulin N | Insulin Nph Human Isophane | 38 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 36 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 36 | suppressed |
| Latanoprost | Latanoprost | 36 | suppressed |
| Lovastatin | Lovastatin | 36 | suppressed |
| Sure Comfort | Syringe And Needle,insulin,1ml | 36 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 35 | suppressed |
| Bupropion Xl | Bupropion Hcl | 34 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 34 | suppressed |
| Humalog | Insulin Lispro | 34 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 34 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 33 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 33 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 33 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 33 | suppressed |
| Dexamethasone | Dexamethasone | 32 | 18 |
| Escitalopram Oxalate | Escitalopram Oxalate | 32 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 31 | suppressed |
| Nifedipine Er | Nifedipine | 31 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 30 | suppressed |
| Cholestyramine | Cholestyramine (With Sugar) | 29 | suppressed |
| Risperidone | Risperidone | 29 | suppressed |
| Verapamil Er | Verapamil Hcl | 29 | suppressed |
| Amantadine | Amantadine Hcl | 28 | 28 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 28 | 27 |
| Jardiance | Empagliflozin | 28 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 27 | suppressed |
| Insulin Syringe | Syring-Needl,disp,insul,0.3 Ml | 26 | suppressed |
| Keppra | Levetiracetam | 26 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 26 | suppressed |
| Brilinta | Ticagrelor | 25 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 25 | suppressed |
| Fenofibrate | Fenofibrate | 25 | suppressed |
| Topiramate | Topiramate | 25 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 24 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 23 | suppressed |
| Pentips Pen Needle | Pen Needle, Diabetic | 23 | suppressed |
| Methotrexate | Methotrexate Sodium | 22 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 22 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 21 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 20 | 15 |
| Fluticasone Propionate Hfa | Fluticasone Propionate | 20 | suppressed |
| Nitroglycerin | Nitroglycerin | 20 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 20 | suppressed |
| Timolol Maleate | Timolol Maleate | 20 | suppressed |
| Cephalexin | Cephalexin | 19 | 16 |
| Lamotrigine | Lamotrigine | 19 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 18 | suppressed |
| Moxifloxacin Hcl | Moxifloxacin Hcl | 18 | 16 |
| Neomycin-Polymyxin-Hydrocort | Neomycin/Polymyxin B/Hydrocort | 18 | 15 |
| Potassium Chloride | Potassium Chloride | 18 | suppressed |
| Entresto | Sacubitril/Valsartan | 17 | suppressed |
| Pioglitazone-Metformin | Pioglitazone Hcl/Metformin Hcl | 17 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 16 | suppressed |
| Hydrocortisone Butyrate | Hydrocortisone Butyrate | 16 | suppressed |
| Mupirocin | Mupirocin Calcium | 16 | 14 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 15 |
| Theophylline Er | Theophylline Anhydrous | 16 | suppressed |
| Allopurinol | Allopurinol | 15 | suppressed |
| Chlorthalidone | Chlorthalidone | 15 | suppressed |
| Etodolac | Etodolac | 15 | suppressed |
| Jentadueto | Linagliptin/Metformin Hcl | 15 | suppressed |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 15 | 13 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 15 | suppressed |
| Valsartan | Valsartan | 15 | suppressed |
| Enulose | Lactulose | 14 | suppressed |
| Fluconazole | Fluconazole | 14 | 12 |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Ramipril | Ramipril | 14 | suppressed |
| Ultiguard Safepack-Pen Needle | Pen Needle, Diabetic,disp Unit | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 13 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 13 | suppressed |
| Carbamazepine | Carbamazepine | 13 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 13 | suppressed |
| Desloratadine | Desloratadine | 13 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 13 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 13 | suppressed |
| Sevelamer Carbonate | Sevelamer Carbonate | 13 | suppressed |
| Bicillin L-A | Penicillin G Benzathine | 12 | suppressed |
| Brimonidine Tartrate | Brimonidine Tartrate | 12 | suppressed |
| Carbamazepine Er | Carbamazepine | 12 | suppressed |
| Dovato | Dolutegravir Sodium/Lamivudine | 12 | suppressed |
| Dutasteride | Dutasteride | 12 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 12 | suppressed |
| Humalog Mix 75-25 | Insulin Lispro Protamin/Lispro | 12 | suppressed |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 12 | suppressed |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 12 | suppressed |
| Lorazepam | Lorazepam | 12 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 12 | suppressed |
| Captopril | Captopril | 11 | suppressed |
| Humulin R | Insulin Regular, Human | 11 | suppressed |
| Lacosamide | Lacosamide | 11 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 11 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 11 | suppressed |
| Trueplus Insulin Syringe | Syring-Needl,disp,insul,0.3 Ml | 11 | suppressed |
| Trueplus Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 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 | $33.12 · 1 records | Genentech USA, Inc. | Actemra | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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