Healthcare provider profile · identity verified

Horacio R Ramirez, MD

Family Practice · SAN ANTONIO, TX · NPI 1992728893

Profile state: partd only Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

We did not find matching Open Payments records for this doctor in 2025.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

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.

Analysis 1 · Payment-linked products

Products named in Open Payments records

No payment-linked product analysis is available because no matching General Payment records were found for the selected year.

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.

There is no payer-company set available for this comparison.

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	691	218
Lisinopril	Lisinopril	398	126
Metformin Hcl	Metformin Hcl	376	118
Levothyroxine Sodium	Levothyroxine Sodium	360	115
Losartan Potassium	Losartan Potassium	343	109
Rosuvastatin Calcium	Rosuvastatin Calcium	321	108
Amlodipine Besylate	Amlodipine Besylate	250	84
Omeprazole	Omeprazole	228	77
Simvastatin	Simvastatin	222	66
Alendronate Sodium	Alendronate Sodium	218	73
Tamsulosin Hcl	Tamsulosin Hcl	212	73
Montelukast Sodium	Montelukast Sodium	182	60
Famotidine	Famotidine	174	70
Metoprolol Succinate	Metoprolol Succinate	166	58
Hydrochlorothiazide	Hydrochlorothiazide	156	53
Meloxicam	Meloxicam	147	55
Gabapentin	Gabapentin	145	52
Glipizide	Glipizide	129	41
Fluticasone Propionate	Fluticasone Propionate	122	57
Metoprolol Tartrate	Metoprolol Tartrate	121	42
Trazodone Hcl	Trazodone Hcl	110	36
Pantoprazole Sodium	Pantoprazole Sodium	103	37
Pravastatin Sodium	Pravastatin Sodium	103	32
Albuterol Sulfate Hfa	Albuterol Sulfate	93	29
Metformin Hcl Er	Metformin Hcl	89	32
Clopidogrel	Clopidogrel Bisulfate	82	31
Duloxetine Hcl	Duloxetine Hcl	82	21
Furosemide	Furosemide	82	30
Carvedilol	Carvedilol	80	26
Sertraline Hcl	Sertraline Hcl	79	30
Allopurinol	Allopurinol	76	25
Ezetimibe	Ezetimibe	65	23
Mounjaro	Tirzepatide	64	15
Escitalopram Oxalate	Escitalopram Oxalate	62	19
Finasteride	Finasteride	55	15
Eliquis	Apixaban	54	16
Alprazolam	Alprazolam	53	19
Ozempic	Semaglutide	53	suppressed
Enalapril Maleate	Enalapril Maleate	52	14
Farxiga	Dapagliflozin Propanediol	52	12
Potassium Chloride	Potassium Chloride	49	16
Spironolactone	Spironolactone	45	14
Cephalexin	Cephalexin	42	37
Diclofenac Sodium	Diclofenac Sodium	42	20
Jardiance	Empagliflozin	42	12
Oxybutynin Chloride	Oxybutynin Chloride	41	13
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	40	14
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	40	17
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	40	14
Pioglitazone Hcl	Pioglitazone Hcl	38	14
Levocetirizine Dihydrochloride	Levocetirizine Dihydrochloride	37	11
Glipizide Er	Glipizide	36	suppressed
Nifedipine Er	Nifedipine	35	13
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	35	33
Ibuprofen	Ibuprofen	34	14
Mometasone Furoate	Mometasone Furoate	34	14
Oxybutynin Chloride Er	Oxybutynin Chloride	33	11
Baclofen	Baclofen	32	17
Benazepril Hcl	Benazepril Hcl	32	suppressed
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	32	suppressed
Vitamin D2	Ergocalciferol (Vitamin D2)	32	12
Fluoxetine Hcl	Fluoxetine Hcl	31	11
Meclizine Hcl	Meclizine Hcl	31	20
Paxlovid	Nirmatrelvir/Ritonavir	31	30
Sildenafil Citrate	Sildenafil Citrate	31	suppressed
Hydroxyzine Hcl	Hydroxyzine Hcl	30	13
Valsartan	Valsartan	29	11
Atenolol	Atenolol	28	suppressed
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	27	27
Chlorthalidone	Chlorthalidone	27	suppressed
Glimepiride	Glimepiride	26	12
Olmesartan Medoxomil	Olmesartan Medoxomil	26	suppressed
Hydralazine Hcl	Hydralazine Hcl	25	suppressed
Isosorbide Mononitrate Er	Isosorbide Mononitrate	25	suppressed
Lovastatin	Lovastatin	25	suppressed
Myrbetriq	Mirabegron	25	suppressed
Ramipril	Ramipril	25	suppressed
Doxycycline Hyclate	Doxycycline Hyclate	24	24
Synthroid	Levothyroxine Sodium	24	suppressed
Esomeprazole Magnesium	Esomeprazole Magnesium	23	suppressed
Sucralfate	Sucralfate	23	11
Wixela Inhub	Fluticasone Propion/Salmeterol	23	suppressed
Januvia	Sitagliptin Phosphate	22	suppressed
Methylprednisolone	Methylprednisolone	22	22
Symbicort	Budesonide/Formoterol Fumarate	22	suppressed
Venlafaxine Hcl Er	Venlafaxine Hcl	22	suppressed
Ciprofloxacin Hcl	Ciprofloxacin Hcl	21	18
Advair Diskus	Fluticasone Propion/Salmeterol	20	suppressed
Buspirone Hcl	Buspirone Hcl	20	11
Bydureon Bcise	Exenatide Microspheres	20	suppressed
Prednisone	Prednisone	20	suppressed
Pregabalin	Pregabalin	20	suppressed
Trulicity	Dulaglutide	20	suppressed
Azelastine Hcl	Azelastine Hcl	19	suppressed
Memantine Hcl	Memantine Hcl	19	suppressed
Ondansetron Hcl	Ondansetron Hcl	19	suppressed
Donepezil Hcl	Donepezil Hcl	18	12
Tramadol Hcl	Tramadol Hcl	18	13
Triamcinolone Acetonide	Triamcinolone Acetonide	18	11
Estradiol	Estradiol	17	suppressed
Omega-3 Acid Ethyl Esters	Omega-3 Acid Ethyl Esters	17	suppressed
Telmisartan	Telmisartan	17	suppressed
Hydroxyzine Pamoate	Hydroxyzine Pamoate	16	suppressed
Megestrol Acetate	Megestrol Acetate	16	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	16	suppressed
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	15	suppressed
Lantus	Insulin Glargine,hum.Rec.Anlog	15	suppressed
Lubiprostone	Lubiprostone	15	suppressed
Nitroglycerin	Nitroglycerin	15	suppressed
Acyclovir	Acyclovir	14	suppressed
Citalopram Hbr	Citalopram Hydrobromide	14	suppressed
Clobetasol Propionate	Clobetasol Propionate	14	suppressed
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	14	suppressed
Fenofibrate	Fenofibrate Nanocrystallized	14	suppressed
Lidocaine	Lidocaine	14	suppressed
Solifenacin Succinate	Solifenacin Succinate	14	suppressed
Terbinafine Hcl	Terbinafine Hcl	14	suppressed
Calcitriol	Calcitriol	13	suppressed
Clorazepate Dipotassium	Clorazepate Dipotassium	13	suppressed
Irbesartan	Irbesartan	13	suppressed
Lorazepam	Lorazepam	13	suppressed
Methocarbamol	Methocarbamol	13	suppressed
Nano 2nd Gen Pen Needle	Pen Needle, Diabetic	13	suppressed
Verapamil Er	Verapamil Hcl	13	suppressed
Amiodarone Hcl	Amiodarone Hcl	12	suppressed
Janumet	Sitagliptin Phos/Metformin Hcl	12	suppressed
Janumet Xr	Sitagliptin Phos/Metformin Hcl	12	suppressed
Levemir Flexpen	Insulin Detemir	12	suppressed
Linzess	Linaclotide	12	suppressed
Warfarin Sodium	Warfarin Sodium	12	suppressed
Spiriva Handihaler	Tiotropium Bromide	11	suppressed
Torsemide	Torsemide	11	suppressed
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	11	suppressed
Valacyclovir	Valacyclovir Hcl	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	—	—	—	—	—
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

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

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