Medicare Enrolled
Dr. Eduardo Ramirez, MD
Internal Medicine · Winter Haven, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Ramirez from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Ramirez?
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What this data tells you about Dr. Ramirez
Dr. Eduardo Ramirez is an internal medicine specialist in Winter Haven, FL, with 10 years of NPI registration. Based on federal Medicare data, Dr. Ramirez performed 2,298 Medicare services across 1,722 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ramirez received a total of $3,621 from 34 pharmaceutical and/or device companies across 144 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Ramirez is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 10 years in practice
▲ Top 18% volume in FL
$3,621 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,298
Medicare services
Top 18% in FL for internal medicine
1,722
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~230 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
288 | $65 | $173 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
235 | $8 | $10 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
187 | $8 | $24 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
162 | $10 | $29 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
145 | $3 | $15 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
141 | $13 | $37 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
131 | $5 | $17 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
129 | $16 | $52 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
119 | $6 | $8 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
105 | $11 | $33 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
84 | $94 | $244 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
67 | $10 | $25 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
60 | $28 | $85 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
35 | $8 | $24 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
34 | $109 | $320 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
30 | $112 | $343 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
28 | $72 | $117 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
28 | $29 | $30 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
25 | $0 | $9 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
20 | $23 | $65 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
20 | $15 | $60 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
19 | $62 | $215 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
17 | $13 | $40 |
| Iron level test | 17 | $6 | $18 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
17 | $9 | $24 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
17 | $43 | $109 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
15 | $14 | $60 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
15 | $8 | $25 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
15 | $8 | $25 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
15 | $9 | $55 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
14 | $9 | $27 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
14 | $214 | $524 |
| PSA test (prostate cancer screening) | 13 | $18 | $55 |
| Automated red blood cell count An automated laboratory test that measures the number of red blood cells in a blood sample. |
13 | $4 | $12 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
12 | $36 | $97 |
| Urine total protein level A laboratory test that measures the total amount of protein present in a urine sample. |
12 | $4 | $10 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$3,621
Total received (2018-2024)
Avg $604/year across 6 years
Top 17% in FL for internal medicine
34
Companies
144
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,548 (98.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$73 (2.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,550
2023
$1,247
2022
$210
2020
$37
2019
$293
2018
$284
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Merck Sharp & Dohme LLC
$265
Boehringer Ingelheim Pharmaceuticals, Inc.
$262
Dexcom, Inc.
$251
Novo Nordisk Inc
$236
AstraZeneca Pharmaceuticals LP
$220
Eisai Inc.
$196
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$180
Lilly USA, LLC
$173
Bayer Healthcare Pharmaceuticals Inc.
$152
PFIZER INC.
$148
PFIZER PHARMACEUTICALS LLC
$137
Novartis Pharmaceuticals Corporation
$135
Janssen Pharmaceuticals, Inc
$131
ABBVIE INC.
$122
GlaxoSmithKline, LLC.
$116
Bayer HealthCare Pharmaceuticals Inc.
$116
Amgen Inc.
$104
EMD Serono, Inc.
$98
Phathom Pharmaceuticals, Inc.
$95
Exact Sciences Corporation
$82
SANOFI-AVENTIS U.S. LLC
$66
Tandem Diabetes Care, Inc.
$53
Xeris Pharmaceuticals, Inc.
$41
Astellas Pharma US Inc
$38
Amneal Pharmaceuticals LLC
$31
Abbott Laboratories
$24
Baxter Healthcare
$24
Otsuka America Pharmaceutical, Inc.
$22
SHIELD THERAPEUTICS INC
$21
Corcept Therapeutics
$20
E.R. Squibb & Sons, L.L.C.
$17
Tolmar, Inc.
$17
Esperion Therapeutics, Inc.
$16
Nevro Corp.
$14
Top 3 companies account for 21.5% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · BRILINTA · Betaseron · Cologuard Collection Kit · DEXCOM G7 GSS (161) · DIABETES - DISEASE · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · FARXIGA · GVOKE HYPOPEN · Hillrom - Cardiac Ambulatory Monitor · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LEQVIO · Leqembi · LifeVest · MOUNJARO · Mavenclad · NEXLETOL · NURTEC ODT · OFEV · Ozempic · PREVNAR 20 · PROCLAIM · QULIPTA · REXULTI · Repatha · Rybelsus · SOLIQUA 100/33 · STEGLATRO · Senza · TRADJENTA · TRELEGY ELLIPTA · UBRELVY · UNITHROID · VERQUVO · VOQUEZNA · VRAYLAR · Veozah · Wegovy · XARELTO · t:slim X2 Insulin Pump with Control-IQ
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $158 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
274
Per 100K population
36.0
County median income
$63,644
Nearest hospital
WINTER HAVEN HOSPITAL
6.0 mi
6.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Ramirez is a clinical cardiology specialist, with above-average Medicare volume (top 18% in FL), with low-engagement industry engagement in the top 17% of FL peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Ramirez experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Ramirez performed 288 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Ramirez receive payments from pharmaceutical companies?
Yes. Dr. Ramirez received a total of $3,621 from 34 companies across 144 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Ramirez's costs compare to other internal medicine physicians in Winter Haven?
Dr. Ramirez's average Medicare payment per service is $26. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Ramirez) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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