Medicare Enrolled
Dr. Samuel Ramirez, MD
Family Medicine · McAllen, 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. 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? Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Ramirez
Dr. Samuel Ramirez is a family medicine in McAllen, TX, with 19 years in practice. Based on federal Medicare data, Dr. Ramirez performed 4,410 Medicare services across 3,139 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ramirez received a total of $15,469 from 69 pharmaceutical and/or device companies across 1070 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Ramirez is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice▲ Top 5% volume in TX$ $15,469 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,410
Medicare services
Top 5% in TX for family medicine
3,139
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~232 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) | 443 | $59 | $169 |
| Complete blood count (CBC) with differential | 427 | $8 | $23 |
| Comprehensive metabolic blood panel | 417 | $10 | $30 |
| Office visit, established patient (30-39 min) | 411 | $84 | $246 |
| Blood draw (venipuncture) | 383 | $8 | $13 |
| Lipid panel (cholesterol and triglycerides) | 350 | $13 | $34 |
| Hemoglobin A1c test (diabetes monitoring) | 293 | $9 | $40 |
| Automated urinalysis | 189 | $2 | $30 |
| Urinalysis with microscopic exam | 177 | $3 | $18 |
| Drug injection, under skin or into muscle | 155 | $10 | $42 |
| Ldl cholesterol level | 137 | $10 | $80 |
| Annual wellness visit, follow-up | 125 | $124 | $270 |
| Dexamethasone injection (steroid) | 116 | $0 | $3 |
| Annual depression screening | 70 | $18 | $39 |
| Advance care planning consultation, first 30 min | 54 | $72 | $172 |
| Annual alcohol misuse screening, 5 to 15 minutes | 53 | $18 | $40 |
| Flu vaccine administration | 51 | $30 | $49 |
| Bone density scan (DEXA) | 46 | $36 | $82 |
| Chest X-ray, 2 views | 41 | $18 | $64 |
| Chronic care management, first 20 min/month | 40 | $40 | $76 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 39 | $1 | $13 |
| Flu vaccine, high-dose | 37 | $71 | $96 |
| Detection test by immunoassay with direct visual observation for influenza virus | 32 | $16 | $38 |
| Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 29 | $31 | $86 |
| Injection, ketorolac tromethamine, per 15 mg | 28 | $0 | $31 |
| Betamethasone steroid injection | 25 | $5 | $27 |
| Basic metabolic blood panel | 24 | $8 | $36 |
| Telephone medical discussion with physician, 5-10 minutes | 24 | $22 | $111 |
| Telephone medical discussion with physician, 11-20 minutes | 22 | $50 | $182 |
| Ceftriaxone antibiotic injection | 20 | $0 | $27 |
| Red blood cell sedimentation rate, to detect inflammation, non-automated | 19 | $4 | $26 |
| Electrocardiogram (EKG), 12-lead | 19 | $11 | $32 |
| X-ray of lower and sacral spine, 2-3 views | 17 | $18 | $74 |
| Injection, lincomycin hcl, up to 300 mg | 17 | $7 | $21 |
| Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 16 | $16 | $39 |
| Knee X-ray, 3 views | 14 | $18 | $62 |
| Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 14 | $33 | $75 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 13 | $35 | $87 |
| Urine microalbumin (protein) analysis | 12 | $6 | $18 |
| Chronic care management, additional 20 min/month | 11 | $33 | $60 |
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 ↗$15,469
Total received (2018-2024)
Avg $2,210/year across 7 years
Top 2% in TX for family medicine
69
Companies
1,070
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
$15,453 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$16 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$2,303
2023$2,150
2022$2,478
2021$2,881
2020$2,248
2019$1,773
2018$1,637
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$1,763
AstraZeneca Pharmaceuticals LP
$1,488
Amgen Inc.
$1,311
ABBVIE INC.
$1,022
Lilly USA, LLC
$714
Amarin Pharma Inc.
$663
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$655
PFIZER INC.
$578
Boehringer Ingelheim Pharmaceuticals, Inc.
$492
SANOFI-AVENTIS U.S. LLC
$481
Merck Sharp & Dohme Corporation
$379
Antares Pharma, Inc.
$353
Astellas Pharma US Inc
$346
AbbVie Inc.
$333
Romark Laboratories, LC
$278
Takeda Pharmaceuticals U.S.A., Inc.
$257
Kowa Pharmaceuticals America, Inc.
$249
Radius Health, Inc.
$215
Biohaven Pharmaceutical Holding Company Ltd.
$206
Biohaven Pharmaceuticals, Inc.
$197
Janssen Pharmaceuticals, Inc
$196
Ironwood Pharmaceuticals, Inc
$172
Teva Pharmaceuticals USA, Inc.
$168
Allergan, Inc.
$161
Abbott Laboratories
$149
DEXCOM, INC.
$137
Phathom Pharmaceuticals, Inc.
$133
AbbVie, Inc.
$130
Dexcom, Inc.
$125
Genentech USA, Inc.
$125
GlaxoSmithKline, LLC.
$125
Allergan Inc.
$122
Esperion Therapeutics, Inc.
$121
Shire North American Group Inc
$117
ARBOR PHARMACEUTICALS, INC.
$113
Merck Sharp & Dohme LLC
$106
Mannkind Corporation
$97
Novartis Pharmaceuticals Corporation
$94
IRONWOOD PHARMACEUTICALS, INC
$91
Horizon Therapeutics plc
$89
Sumitomo Pharma America, Inc.
$88
Bayer Healthcare Pharmaceuticals Inc.
$78
Otsuka America Pharmaceutical, Inc.
$66
Intuity Medical Inc
$52
SANOFI PASTEUR INC.
$51
Eisai Inc.
$47
UROVANT SCIENCES INC
$46
Bayer HealthCare Pharmaceuticals Inc.
$42
Paratek Pharmaceuticals, Inc.
$41
Mylan Specialty L.P.
$39
Melinta Therapeutics, Inc.
$32
Arbor Pharmaceuticals, Inc.
$32
Tris Pharma Inc
$31
Corcept Therapeutics
$27
Phadia US Inc.
$20
Corium, LLC
$20
Exact Sciences Corporation
$20
EISAI INC.
$19
Averitas Pharma Inc.
$18
Supernus Pharmaceuticals, Inc.
$18
RedHill Biopharma Inc.
$18
Avanir Pharmaceuticals, Inc.
$17
Sanofi Pasteur Inc.
$16
AMAG Pharmaceuticals, Inc.
$16
Aytu Bioscience, Inc
$14
Philips Electronics North America Corporation
$13
Synergy Pharmaceuticals Inc
$13
Biogen, Inc.
$13
MannKind Corporation
$13
Top 3 companies account for 29.5% of total payments
Associated products mentioned in payments ›
ADUHELM · AFREZZA · AIRSUPRA · AJOVY · ALINIA · ANORO · ANORO ELLIPTA · AREXVY · AUSTEDO · Aciphex · Aimovig · Alinia · Alinia Tablets 500mg 30 count bottle · Amitiza · Androgel · Azstarys · BELSOMRA · BREO · BREZTRI · BYDUREON · BYSTOLIC · Baxdela · COLOGUARD · COMIRNATY · CREON · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · DUEXIS · Dayvigo · Dexcom G6 Transmitter · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · Enbrel · Evekeo · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GEMTESA · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LIVALO · LYRICA · Linzess · Livalo · MENACTRA · MOUNJARO · MYDAYIS · MYRBETRIQ · Motegrity · Myrbetriq · NEXLETOL · NEXLIZET · NOCDURNA · NUEDEXTA · NURTEC ODT · NUZYRA · OFEV · OTREXUP · Otezla · Otovel · Otrexup · Ozempic · PENNSAID · PREVNAR 13 · Pogo Automatic Blood Glucose Monitoring System · Prolia · QULIPTA · QUTENZA · REXULTI · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · SYNJARDY · Saxenda · TLANDO · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Talicia · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · Uloric · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · VYLEESI · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xofluza · Xultophy 100/3.6 · YUPELRI · Yupelri · inCourage
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in TX.
Equivalent to $351 per 100 Medicare services performed
Geographic Context
Family Medicines within 10 mi
254
Per 100K population
28.8
County median income
$52,281
Nearest hospital
SOUTH TEXAS HEALTH SYSTEM
3.4 mi
3.4 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 5% in TX), and high industry engagement (low-engagement, top 2%), with 19 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. Ramirez experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Ramirez performed 443 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 $15,469 from 69 companies across 1,070 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 family medicines in McAllen?
Dr. Ramirez's average Medicare payment per service is $27. 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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