Medicare Enrolled

Dr. John Ramsay, MD

Family Medicine · Fredericksburg, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
514 W WINDCREST ST, Fredericksburg, TX 78624
8309970330
In practice since 2005 (20 years)
NPI: 1053306704 verify on NPPES ↗
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 →
Are you Dr. Ramsay? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ramsay

Dr. John Ramsay is a family medicine in Fredericksburg, TX, with 20 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)1,002$58$125
Blood draw (venipuncture)410$8$15
Chronic care management, first 20 min/month393$43$65
Complete blood count (CBC) with differential336$8$45
Comprehensive metabolic blood panel329$10$88
Lipid panel (cholesterol and triglycerides)272$13$107
Annual alcohol misuse screening, 5 to 15 minutes233$18$35
Annual depression screening212$18$33
Annual wellness visit, follow-up210$126$170
Steroid injection (triamcinolone)180$1$13
Dexamethasone injection (steroid)160$0$10
PSA test (prostate cancer screening)106$18$92
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage90$22$34
Flu vaccine administration89$30$34
Thyroid stimulating hormone (TSH) test78$16$108
Hemoglobin A1c test (diabetes monitoring)77$10$91
Chronic care management, additional 20 min/month77$35$55
Free thyroxine (T4) test66$9$81
Urinalysis with microscopic exam63$3$29
Office visit, established patient (30-39 min)61$80$180
Drug injection, under skin or into muscle51$10$35
Bone density scan (DEXA)45$37$300
Pneumonia vaccine administration23$30$34
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use21$283$360
Basic metabolic blood panel19$8$76
Prostate cancer screening; prostate specific antigen test (psa)19$19$92
Ldl cholesterol level18$10$64
Joint injection, major joint16$46$243
Office visit, established patient (10-19 min)15$43$77
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment14$161$197
Destruction of precancerous skin growth, 113$45$159
Electrocardiogram (EKG), 12-lead12$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
Looking for a family medicine in Fredericksburg?
Compare family medicines in the Fredericksburg area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family Medicines within 10 mi
47
Per 100K population
172.8
County median income
$67,799
Nearest hospital
HILL COUNTRY MEMORIAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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), and high industry engagement (low-engagement, top 13%), with 20 years of practice experience.

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 medicines 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →