Payment overview · 2025
General Payments
$1,118.73
40 reported records · 17 companies
Healthcare provider profile · identity verified
Carlos E Ramos, MD
Allopathic & Osteopathic Physicians|Urology · PANAMA CITY, FL · NPI 1518953090
Verified facts
What the public records show
CMS Open Payments records show Carlos E Ramos, MD received $1,118.73 in general payments during 2025 across 40 reported records.
Dornier MedTech America, Inc accounted for 22.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 22 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Gemtesa, Xtandi.
Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 50 claims for Myrbetriq by this doctor in 2024.
Astellas Pharma US 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 Xtandi as an associated drug or biological on 11345 records involving 5418 distinct recipient NPIs. Public Medicare Part D data also shows 139 claims for Xtandi 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 XTANDI as an associated drug or biological on 19368 records involving 7657 distinct recipient NPIs. Public Medicare Part D data also shows 139 claims for Xtandi by this doctor in 2024.
Sumitomo Pharma America, 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 GEMTESA as an associated drug or biological on 61692 records involving 22152 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Gemtesa 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 |
|---|---|---|---|---|---|
| Dornier MedTech America, Inc | Unresolved — no canonical attribution shown | $246.62 | 22.0% | 1 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $195.59 | 17.5% | 7 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $145.09 | 13.0% | 9 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$77.06 | 6.9% | 2 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $65.11 | 5.8% | 3 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $56.70 | 5.1% | 3 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $53.02 | 4.7% | 3 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $50.95 | 4.5% | 2 | 2025 |
| Olympus America Inc. | Unresolved — no canonical attribution shown | $37.48 | 3.4% | 2 | 2025 |
| Procept Biorobotics Corporation | Unresolved — no canonical attribution shown | $35.13 | 3.1% | 1 | 2025 |
| Dendreon Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $25.72 | 2.3% | 1 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $25.54 | 2.3% | 1 | 2025 |
| Endo USA, Inc. | Unresolved — no canonical attribution shown | $24.09 | 2.1% | 1 | 2025 |
| Ferring Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $22.99 | 2.1% | 1 | 2025 |
| Blue Earth Diagnostics | Unresolved — no canonical attribution shown | $22.39 | 2.0% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $20.89 | 1.9% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $14.36 | 1.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $908.57 | 36 |
| Education | $210.16 | 4 |
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 |
|---|---|---|---|---|---|
| Dornier MedTech Normalized: dornier medtech |
Device | Dornier MedTech America, Inc | $246.62 | 1 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $145.09 | 9 | 2025 |
Source payment records
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| INTERSTIM Normalized: interstim |
Device | Medtronic, Inc. | $77.06 | 2 | 2025 |
Source payment records
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| Nubeqa Normalized: nubeqa |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $65.11 | 3 | 2025 |
Source payment records
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| XTANDI Normalized: xtandi |
Drug | Astellas Pharma US Inc, PFIZER INC. | $59.30 | 6 | 2025 |
Source payment records
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| PLUVICTO Normalized: pluvicto |
Drug | Novartis Pharmaceuticals Corporation | $53.02 | 3 | 2025 |
Source payment records
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| Xofigo Normalized: xofigo |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $40.66 | 2 | 2025 |
Source payment records
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $40.22 | 2 | 2025 |
Source payment records
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| AQUABEAM ROBOTIC SYSTEM Normalized: aquabeam robotic system |
Device | Procept Biorobotics Corporation | $35.13 | 1 | 2025 |
Source payment records
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| IMFINZI Normalized: imfinzi |
Biological | AstraZeneca Pharmaceuticals LP | $35.06 | 1 | 2025 |
Source payment records
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| PROVENGE Normalized: provenge |
Drug | Dendreon Pharmaceuticals LLC | $25.72 | 1 | 2025 |
Source payment records
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| ERLEADA Normalized: erleada |
Drug | Janssen Biotech, Inc. | $25.54 | 1 | 2025 |
Source payment records
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| AVEED Normalized: aveed |
Biological | Endo USA, Inc. | $24.09 | 1 | 2025 |
Source payment records
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| EDEX Normalized: edex |
Drug | Endo USA, Inc. | $24.09 | 1 | 2025 |
Source payment records
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| XIAFLEX Normalized: xiaflex |
Biological | Endo USA, Inc. | $24.09 | 1 | 2025 |
Source payment records
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| ADSTILADRIN Normalized: adstiladrin |
Biological | Ferring Pharmaceuticals Inc. | $22.99 | 1 | 2025 |
Source payment records
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| iTIND System Normalized: itind system |
Device | Olympus America Inc. | $22.55 | 1 | 2025 |
Source payment records
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| POSLUMA Normalized: posluma |
Drug | Blue Earth Diagnostics | $22.39 | 1 | 2025 |
Source payment records
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| Solyx SIS System Normalized: solyx sis system |
Device | Boston Scientific Corporation | $20.89 | 1 | 2025 |
Source payment records
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| ORGOVYX Normalized: orgovyx |
Drug | Sumitomo Pharma America, Inc. | $16.48 | 1 | 2025 |
Source payment records
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| LYNPARZA Normalized: lynparza |
Drug | AstraZeneca Pharmaceuticals LP | $15.89 | 1 | 2025 |
Source payment records
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| EVIS EXERA III VIDEO SYSTEM CENTER Normalized: evis exera iii video system center |
Device | Olympus America Inc. | $14.93 | 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 |
|---|---|---|---|---|---|---|
| GEMTESA gemtesa |
2025 | Gemtesa | 2024 | 33 | exact normalized | Medicare Part D |
| XTANDI xtandi |
2025 | Xtandi | 2024 | 139 | 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 |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
50 | 20 |
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Xtandi open payments reported associated product |
CMS Open Payments — General Payments 11345 supporting records · 5418 recipient NPIs · example record 1238560686 |
Xtandi · 2024 Exact normalized brand match · 1 Part D row |
139 | 18 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | XTANDI open payments reported associated product |
CMS Open Payments — General Payments 19368 supporting records · 7657 recipient NPIs · example record 1228794230 |
Xtandi · 2024 Exact normalized brand match · 1 Part D row |
139 | 18 |
| Sumitomo Pharma America, Inc. Exact reporting entity; no affiliate inference |
2025 | GEMTESA open payments reported associated product |
CMS Open Payments — General Payments 61692 supporting records · 22152 recipient NPIs · example record 1176593503 |
Gemtesa · 2024 Exact normalized brand match · 1 Part D row |
33 | 15 |
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 |
|---|---|---|---|
| Finasteride | Finasteride | 333 | 138 |
| Tamsulosin Hcl | Tamsulosin Hcl | 210 | 99 |
| Xtandi | Enzalutamide | 139 | 18 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 95 | 48 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 77 | 66 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 68 | 56 |
| Cefdinir | Cefdinir | 65 | 52 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 53 | 31 |
| Myrbetriq | Mirabegron | 50 | 20 |
| Metronidazole | Metronidazole | 44 | 44 |
| Dutasteride | Dutasteride | 42 | 13 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 42 | 29 |
| Cephalexin | Cephalexin | 39 | 33 |
| Testosterone Cypionate | Testosterone Cypionate | 35 | 15 |
| Trospium Chloride | Trospium Chloride | 35 | 21 |
| Gemtesa | Vibegron | 33 | 15 |
| Doxazosin Mesylate | Doxazosin Mesylate | 32 | 13 |
| Ibuprofen | Ibuprofen | 27 | 23 |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 23 | 15 |
| Celecoxib | Celecoxib | 21 | 16 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 20 | 17 |
| Allopurinol | Allopurinol | 19 | suppressed |
| Bethanechol Chloride | Bethanechol Chloride | 18 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 17 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 14 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | suppressed |
| Potassium Citrate Er | Potassium Citrate | 13 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 13 | suppressed |
| Ondansetron Odt | Ondansetron | 12 | 11 |
| Bicalutamide | Bicalutamide | 11 | suppressed |
| Prednisone | Prednisone | 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 | $1,118.73 · 40 records | Dornier MedTech America, Inc | ADSTILADRIN, AQUABEAM ROBOTIC SYSTEM, AVEED, BOTOX, Dornier MedTech, EDEX, ERLEADA, EVIS EXERA III VIDEO SYSTEM CENTER, GEMTESA, IMFINZI, INTERSTIM, LYNPARZA, Nubeqa, ORGOVYX, PLUVICTO, POSLUMA, PROVENGE, Solyx SIS System, XIAFLEX, XTANDI, Xofigo, iTIND System | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Gemtesa play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US 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