Dr. Sylvester Ramirez, MD
What this data tells you about Dr. Ramirez
Dr. Sylvester Ramirez is an otolaryngology specialist in Kerrville, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ramirez performed 1,560 Medicare services across 1,097 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ramirez received a total of $1,018 from 11 pharmaceutical and/or device companies across 39 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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.
Medicare Practice Summary
Medicare Utilization ↗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 (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. |
402 | $86 | $225 |
| 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. |
314 | $61 | $150 |
| 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. |
167 | $69 | $210 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
107 | $29 | $138 |
| Nasal endoscopy A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages. |
84 | $137 | $285 |
| High dose rate electronic brachytherapy, external | 70 | $174 | $464 |
| 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. |
67 | $37 | $123 |
| Flexible laryngoscopy A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx. |
63 | $94 | $340 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
60 | $337 | $925 |
| Radiation treatment planning, 1 area This procedure involves gathering the necessary data to design the most effective radiation therapy plan for a single treatment area. |
37 | $202 | $520 |
| Skin cancer removal, face/ears/eyes/nose/lips, 2.1-3.0 cm Surgical removal of a cancerous skin growth from the face, ears, eyelids, nose, lips, or mouth. The procedure involves excising a lesion measuring between 2.1 and 3.0 centimeters. |
33 | $124 | $630 |
| Surgical removal of cancerous skin growth, face/ears/eyelids/nose/lips/mouth, 3.1-4.0 cm Surgical excision of a cancerous skin lesion located on the face, ears, eyelids, nose, lips, or mouth. The procedure involves removing a growth measuring between 3.1 and 4.0 centimeters. |
29 | $169 | $770 |
| 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. |
27 | $99 | $310 |
| Intermediate wound repair, face or mouth, 2.5 cm or less A medical procedure to close a wound on the face, ears, eyelids, nose, lips, or mouth that is 2.5 centimeters or smaller. This type of repair involves more than simple closure but is less complex than a major repair. |
18 | $177 | $577 |
| Chemical application to prevent wound tissue regrowth A chemical agent is applied to a wound to inhibit the regrowth of tissue. This procedure focuses on the application of the substance to manage the wound bed. |
17 | $28 | $145 |
| Removal of noncancer skin growth, face/ears/eyelids/nose/lips/mouth, 1.1-2.0 cm This procedure involves the surgical removal of a benign skin growth from the face, ears, eyelids, nose, lips, or mouth. The growth removed measures between 1.1 and 2.0 centimeters in diameter. |
14 | $79 | $399 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
14 | $43 | $170 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
13 | $276 | $817 |
| Surgical removal of skin cancer, 3.1-4.0 cm Surgical excision of a cancerous skin growth from the scalp, neck, hands, feet, or genitals measuring 3.1 to 4.0 centimeters. |
12 | $139 | $676 |
| Complex wound repair, 1.1-2.5 cm A surgical procedure to close a complex wound measuring between 1.1 and 2.5 centimeters on areas such as the face, neck, hands, or feet. |
12 | $267 | $755 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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. Ramirez is a clinical cardiology specialist, with above-average Medicare volume (top 26% in TX), with low-engagement industry engagement, 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
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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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