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 →
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What this data tells you about Dr. Ramirez
Dr. Samuel Ramirez is a family medicine specialist in Mcallen, TX, with 19 years of NPI registration. 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) 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. |
443 | $59 | $169 |
| 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. |
427 | $8 | $23 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
417 | $10 | $30 |
| 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. |
411 | $84 | $246 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
383 | $8 | $13 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
350 | $13 | $34 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
293 | $9 | $40 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
189 | $2 | $30 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
177 | $3 | $18 |
| 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. |
155 | $10 | $42 |
| 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. |
137 | $10 | $80 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
125 | $124 | $270 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
116 | $0 | $3 |
| Annual depression screening | 70 | $18 | $39 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
54 | $72 | $172 |
| Annual alcohol misuse screening, 5 to 15 minutes | 53 | $18 | $40 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
51 | $30 | $49 |
| 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. |
46 | $36 | $82 |
| 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. |
41 | $18 | $64 |
| 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. |
40 | $40 | $76 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
39 | $1 | $13 |
| 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. |
37 | $71 | $96 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
32 | $16 | $38 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
29 | $31 | $86 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
28 | $0 | $31 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
25 | $5 | $27 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
24 | $8 | $36 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
24 | $22 | $111 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
22 | $50 | $182 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
20 | $0 | $27 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
19 | $4 | $26 |
| 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. |
19 | $11 | $32 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
17 | $18 | $74 |
| Lincomycin antibiotic injection An injection of lincomycin hydrochloride, an antibiotic medication, administered in a dose of up to 300 mg. |
17 | $7 | $21 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
16 | $16 | $39 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
14 | $18 | $62 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
14 | $33 | $75 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
13 | $35 | $87 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
12 | $6 | $18 |
| 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. |
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 medicine physicians 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), with low-engagement industry engagement in the top 2% of TX peers, with 19 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. 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 medicine physicians 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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