Medical Doctor Program year 2024 Reported 2023–2024 Source: CMS Open Payments, 2026 publication

Jose Ramirez-Franco

Anesthesiology San German, PR Medical Doctor

NPI 1639675846 CMS profile 11340522

Carr 2 Km 173.4, San German, PR 00683

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General payments

$5,640

21 records reported · program years 2023–2024

Research payments

$0

Paid to them · None reported · program years 2023–2024

Ownership & investment interest

$0

None reported

Through program year 2024, Jose Ramirez-Franco of San German, PR is reported in the CMS Open Payments database as having received $5,640 across 21 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 96th percentile of Anesthesiology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

2 rows
Year Kind Relative to this record's peak year Amount Records
2024 General $254 2
2023 General $5,387 19

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Jose Ramirez-Franco
  • Anesthesiology median
  • Middle half of Anesthesiology
  • National median

In program year 2025, general payments to Jose Ramirez-Franco were reported at $0. Among 18,548 Anesthesiology profiles paid that year, the median was $58 and the middle half received between $26 and $153.

Show as a table
Year Jose Ramirez-Franco Anesthesiology median Middle half National median
2019 $0 $72 $23–$151 $163
2020 $0 $36 $17–$120 $114
2021 $0 $49 $21–$135 $132
2022 $0 $52 $22–$144 $149
2023 $5,387 $53 $23–$143 $160
2024 $254 $55 $25–$150 $164
2025 $0 $58 $26–$153 $169

Breakdown

Who paid General payments · program years 2023–2024
  1. Medtronic, Inc. $3,853 16 payments
  2. Nevro Corp. $1,735 3 payments
  3. SPR Therapeutics, Inc $53 2 payments

Every payment, record by record

What the payments were for General payments · program years 2023–2024
  1. Grant $2,500 1 payment
  2. Travel and Lodging $1,242 7 payments
  3. Education $1,135 1 payment
  4. Food and Beverage $763 12 payments
Products named General payments · program years 2023–2024
  1. SYNCHROMEDII $2,500 1 payment
  2. Senza Spinal Cord Stimulator $1,632 2 payments
  3. VANTA ADAPTIVESTIM $1,059 12 payments
  4. INTELLIS ADAPTIVESTIM $254 2 payments
  5. Senza Spinal Cord Stimulator $103 1 payment
  6. SPRINT PNS System $53 2 payments
  7. KYPHON EXPRESS II KYPHOPAK TRAY $39 1 payment

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 9 drugs

Part D claims

347

Median for Anesthesiology: 322

Drug cost

$7,386

Median for Anesthesiology: $8,738

Branded share of claims

0%

Median for Anesthesiology: 25.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Pregabalin Generic 39 $1,923
Celecoxib Generic 16 $1,508
Gabapentin Generic 84 $1,502
Duloxetine Hcl Generic 71 $1,020
Diclofenac Sodium Generic 32 $581
Tramadol Hcl Generic 58 $307
Baclofen Generic 20 $206
Amitriptyline Hcl Generic 13 $194
Cyclobenzaprine Hcl Generic 14 $145

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 3,517 Part D prescribers listed as Anesthesiology; they describe a distribution and say nothing about conduct.

Records

21 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Anesthesiology in Puerto Rico

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2024

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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