Medicare Enrolled
Dr. John Ramsay, MD
Family Medicine · Fredericksburg, TX
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. Ramsay 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 →
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What this data tells you about Dr. Ramsay
Dr. John Ramsay is a family medicine specialist in Fredericksburg, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ramsay performed 4,710 Medicare services across 2,895 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ramsay received a total of $4,857 from 43 pharmaceutical and/or device companies across 289 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Ramsay 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.
✓ 20 years in practice
▲ Top 4% volume in TX
$4,857 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,710
Medicare services
Top 4% in TX for family medicine
2,895
Unique beneficiaries
$33
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~236 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. |
1,002 | $58 | $125 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
410 | $8 | $15 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
393 | $43 | $65 |
| 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. |
336 | $8 | $45 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
329 | $10 | $88 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
272 | $13 | $107 |
| Annual alcohol misuse screening, 5 to 15 minutes | 233 | $18 | $35 |
| Annual depression screening | 212 | $18 | $33 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
210 | $126 | $170 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
180 | $1 | $13 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
160 | $0 | $10 |
| PSA test (prostate cancer screening) | 106 | $18 | $92 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
90 | $22 | $34 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
89 | $30 | $34 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
78 | $16 | $108 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
77 | $10 | $91 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
77 | $35 | $55 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
66 | $9 | $81 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
63 | $3 | $29 |
| 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. |
61 | $80 | $180 |
| 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. |
51 | $10 | $35 |
| 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. |
45 | $37 | $300 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
23 | $30 | $34 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
21 | $283 | $360 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
19 | $8 | $76 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
19 | $19 | $92 |
| LDL cholesterol level test A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol. |
18 | $10 | $64 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
16 | $46 | $243 |
| 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. |
15 | $43 | $77 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
14 | $161 | $197 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
13 | $45 | $159 |
| 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. |
12 | $9 | $83 |
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 ↗$4,857
Total received (2018-2024)
Avg $694/year across 7 years
Top 13% in TX for family medicine
43
Companies
289
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
$4,735 (97.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$121 (2.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$984
2023
$698
2022
$650
2021
$991
2020
$586
2019
$596
2018
$350
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$544
Amgen Inc.
$468
Lilly USA, LLC
$362
GlaxoSmithKline, LLC.
$326
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$321
Novo Nordisk Inc
$315
AbbVie Inc.
$264
Amarin Pharma Inc.
$236
AstraZeneca Pharmaceuticals LP
$188
Astellas Pharma US Inc
$183
PFIZER INC.
$157
Allergan Inc.
$151
Janssen Pharmaceuticals, Inc
$140
Allergan, Inc.
$137
Otsuka America Pharmaceutical, Inc.
$130
Inspire Medical Systems, Inc.
$94
Exact Sciences Corporation
$92
SANOFI PASTEUR INC.
$73
Genentech USA, Inc.
$71
Shire North American Group Inc
$53
AbbVie, Inc.
$47
Biohaven Pharmaceutical Holding Company Ltd.
$42
Biohaven Pharmaceuticals, Inc.
$35
Takeda Pharmaceuticals U.S.A., Inc.
$34
Merck Sharp & Dohme LLC
$34
Bayer HealthCare Pharmaceuticals Inc.
$31
ALK-Abello, Inc
$30
Novartis Pharmaceuticals Corporation
$29
Merck Sharp & Dohme Corporation
$28
Abbott Laboratories
$24
Tris Pharma Inc
$24
Supernus Pharmaceuticals, Inc.
$22
Evofem Biosciences, Inc.
$21
Hologic, LLC
$20
Boston Scientific Corporation
$19
Medtronic USA, Inc.
$19
PhotoniCare Inc
$18
Kowa Pharmaceuticals America, Inc.
$17
Phathom Pharmaceuticals, Inc.
$15
Sanofi Pasteur Inc.
$15
Cranial Technologies, Inc
$14
AMAG Pharmaceuticals, Inc.
$11
Sumitomo Pharma America, Inc.
$1
Top 3 companies account for 28.3% of total payments
Associated products mentioned in payments ›
ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BEXSERO · BEYFORTUS · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · Cologuard Collection Kit · Doc Band · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · GARDASIL · GEMTESA · GENERAL - PAIN MANAGEMENT · Grastek · INSPIRE · INVOKANA · JARDIANCE · KYPHON Balloon Kyphoplasty · Kerendia · LILETTA · LINZESS · MAKENA · MENACTRA · MENQUADFI · MOUNJARO · MYRBETRIQ · NURTEC ODT · Orilissa · Otezla · OtoSight Middle Ear Scope · Ozempic · PNEUMOVAX 23 · PREVNAR 20 · PROCLAIM · Phexxi · Prolia · QULIPTA · Qelbree · REXULTI · ROTATEQ · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · STEGLATRO · SYNTHROID · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · TRUMENBA · ThinPrep · UBRELVY · VAXELIS · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza
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 $103 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
47
Per 100K population
172.8
County median income
$67,799
Nearest hospital
HILL COUNTRY MEMORIAL HOSPITAL
0.0 mi
0.0 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. Ramsay is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement in the top 13% of TX peers, with 20 years of NPI registration.
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. Ramsay experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Ramsay performed 1,002 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. Ramsay receive payments from pharmaceutical companies?
Yes. Dr. Ramsay received a total of $4,857 from 43 companies across 289 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. Ramsay's costs compare to other family medicine physicians in Fredericksburg?
Dr. Ramsay's average Medicare payment per service is $33. 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. Ramsay) 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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