Payment overview · 2025
General Payments
60 reported records · 9 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology · PARMA, OH · NPI 1366481830
Verified facts
CMS Open Payments records show James Ramicone, D.O. received $1,038.54 in general payments during 2025 across 60 reported records.
Boston Scientific Corporation accounted for 44.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 16 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported BRILINTA as an associated drug or biological on 993 records involving 512 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Brilinta by this doctor in 2024.
PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 722 claims for Eliquis by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
60 reported records · 9 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $459.19 | 44.2% | 43 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$167.72 | 16.1% | 2 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $118.85 | 11.4% | 1 | 2025 |
| BridgeBio Pharma, Inc. | Unresolved — no canonical attribution shown | $72.93 | 7.0% | 3 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $71.15 | 6.8% | 3 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $51.90 | 5.0% | 3 | 2025 |
| SCPHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $41.38 | 4.0% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $37.79 | 3.6% | 2 | 2025 |
| Impulse Dynamics (USA) Inc. | Unresolved — no canonical attribution shown | $17.63 | 1.7% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,038.54 | 60 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| General - Therapies Normalized: general therapies |
Device | Boston Scientific Corporation | $333.44 | 38 | 2025 |
Source payment records
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| JOT DX Normalized: jot dx |
Device | Abbott Laboratories | $118.85 | 1 | 2025 |
Source payment records
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| FARAPULSE Normalized: farapulse |
Device | Boston Scientific Corporation | $107.92 | 3 | 2025 |
Source payment records
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| FFRANGIO Normalized: ffrangio |
Device | Medtronic, Inc. | $98.18 | 1 | 2025 |
Source payment records
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| Attruby Normalized: attruby |
Drug | BridgeBio Pharma, Inc. | $72.93 | 3 | 2025 |
Source payment records
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| HAWKONE Normalized: hawkone |
Device | Medtronic, Inc. | $69.54 | 1 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $51.90 | 3 | 2025 |
Source payment records
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| FUROSCIX Normalized: furoscix |
Drug | SCPHARMACEUTICALS INC. | $41.38 | 2 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $37.83 | 2 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $37.83 | 2 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $37.79 | 2 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $33.32 | 1 | 2025 |
Source payment records
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| Optimizer Normalized: optimizer |
Device | Impulse Dynamics (USA) Inc. | $17.63 | 1 | 2025 |
Source payment records
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| PAXLOVID Normalized: paxlovid |
Drug | PFIZER INC. | $16.19 | 1 | 2025 |
Source payment records
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| WATCHMAN FLX Normalized: watchman flx |
Device | Boston Scientific Corporation | $15.32 | 1 | 2025 |
Source payment records
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| General - CRM_CRM Normalized: general crm crm |
Device | Boston Scientific Corporation | $2.51 | 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.
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 722 | 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
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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | BRILINTA open payments reported associated product |
CMS Open Payments — General Payments 993 supporting records · 512 recipient NPIs · example record 1206131430 |
Brilinta · 2024 Exact normalized brand match · 1 Part D row |
33 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
722 | 196 |
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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Eliquis | Apixaban | 722 | 196 |
| Metoprolol Succinate | Metoprolol Succinate | 588 | 187 |
| Metoprolol Tartrate | Metoprolol Tartrate | 485 | 155 |
| Flecainide Acetate | Flecainide Acetate | 392 | 103 |
| Atorvastatin Calcium | Atorvastatin Calcium | 320 | 101 |
| Xarelto | Rivaroxaban | 297 | 68 |
| Amiodarone Hcl | Amiodarone Hcl | 256 | 88 |
| Amlodipine Besylate | Amlodipine Besylate | 256 | 71 |
| Losartan Potassium | Losartan Potassium | 241 | 73 |
| Furosemide | Furosemide | 215 | 67 |
| Lisinopril | Lisinopril | 214 | 70 |
| Atenolol | Atenolol | 188 | 53 |
| Dofetilide | Dofetilide | 147 | 41 |
| Torsemide | Torsemide | 142 | 46 |
| Warfarin Sodium | Warfarin Sodium | 128 | 39 |
| Multaq | Dronedarone Hcl | 114 | 25 |
| Carvedilol | Carvedilol | 92 | 28 |
| Hydrochlorothiazide | Hydrochlorothiazide | 92 | 34 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 74 | 30 |
| Simvastatin | Simvastatin | 72 | 23 |
| Spironolactone | Spironolactone | 69 | 21 |
| Digoxin | Digoxin | 60 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 55 | 19 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 53 | 18 |
| Doxazosin Mesylate | Doxazosin Mesylate | 49 | 11 |
| Potassium Chloride | Potassium Chloride | 44 | 16 |
| Jantoven | Warfarin Sodium | 36 | suppressed |
| Entresto | Sacubitril/Valsartan | 34 | 13 |
| Brilinta | Ticagrelor | 33 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 32 | suppressed |
| Nitroglycerin | Nitroglycerin | 28 | 14 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 26 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 25 | 11 |
| Midodrine Hcl | Midodrine Hcl | 25 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 25 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 24 | suppressed |
| Diltiazem 24hr Er (Xr) | Diltiazem Hcl | 22 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 21 | suppressed |
| Dabigatran Etexilate | Dabigatran Etexilate Mesylate | 20 | suppressed |
| Ezetimibe | Ezetimibe | 19 | suppressed |
| Propafenone Hcl Er | Propafenone Hcl | 17 | suppressed |
| Mexiletine Hcl | Mexiletine Hcl | 14 | suppressed |
| Nifedipine Er | Nifedipine | 12 | suppressed |
| Ramipril | Ramipril | 12 | suppressed |
| Valsartan | Valsartan | 12 | suppressed |
| Verapamil Er | Verapamil Hcl | 12 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 11 | suppressed |
Timeline
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 | $1,038.54 · 60 records | Boston Scientific Corporation | Attruby, ELIQUIS, FARAPULSE, FARXIGA, FFRANGIO, FUROSCIX, General - CRM_CRM, General - Therapies, HAWKONE, JOT DX, Optimizer, Ozempic, PAXLOVID, Rybelsus, WATCHMAN FLX, Wegovy | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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