Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Karelia Ruiz

Internal Medicine Hialeah, FL Medical Doctor

NPI 1508864356 CMS profile 159055

17670 Nw 78Th Ave Ste 201, Hialeah, FL 33015

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General payments

$12,299

635 records reported · program years 2019–2025

Research payments

$96,914

Paid to them · 10 records reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$7,692,345 paid to institutions, not to them · program years 2020–2025

Through program year 2025, Karelia Ruiz of Hialeah, FL is reported in the CMS Open Payments database as having received $12,299 across 635 general payments and $96,914 in research payments paid to them. Separately, studies naming them as principal investigator received $7,692,345 in research payments, paid to institutions rather than 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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 99th percentile of Internal Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

8 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $698 25
2024 General $1,412 62
2023 General $1,650 87
2022 General $1,643 83
2022 Research $96,914 10
2021 General $2,202 116
2020 General $2,475 132
2019 General $2,219 130

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Karelia Ruiz
  • Internal Medicine median
  • Middle half of Internal Medicine
  • National median

In program year 2025, general payments to Karelia Ruiz were reported at $698. Among 52,115 Internal Medicine profiles paid that year, the median was $156 and the middle half received between $47 and $551.

Show as a table
Year Karelia Ruiz Internal Medicine median Middle half National median
2019 $2,219 $159 $48–$570 $163
2020 $2,475 $119 $33–$402 $114
2021 $2,202 $135 $37–$521 $132
2022 $1,643 $141 $42–$496 $149
2023 $1,650 $149 $45–$519 $160
2024 $1,412 $154 $47–$537 $164
2025 $698 $156 $47–$551 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Novo Nordisk Inc $1,388 72 payments
  2. GlaxoSmithKline, LLC. $1,359 66 payments
  3. Amgen Inc. $1,044 43 payments
  4. Lilly USA, LLC $976 65 payments
  5. AstraZeneca Pharmaceuticals LP $844 46 payments
  6. Boehringer Ingelheim Pharmaceuticals, Inc. $562 29 payments
  7. Sanofi-Aventis U.S. LLC $560 32 payments
  8. Sumitomo Pharma America, Inc. $483 21 payments
  9. Salix Pharmaceuticals, a division of Bausch Health US, LLC $478 28 payments
  10. Astellas Pharma US Inc $464 21 payments
  11. Other $4,140 212 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $12,195 633 payments
  2. Education $104 2 payments
Products named General payments · program years 2019–2025
  1. Ozempic $1,181 60 payments
  2. TRELEGY ELLIPTA $1,172 56 payments
  3. RYBELSUS $804 43 payments
  4. GEMTESA $588 26 payments
  5. JARDIANCE Diabetes $544 35 payments
  6. TRULICITY $525 37 payments
  7. Repatha $513 27 payments
  8. XIFAXAN $474 27 payments
  9. JARDIANCE Diabetes $461 24 payments
  10. TRADJENTA $446 23 payments
  11. Other $9,774 543 payments

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

Research payments came from Research payments · program years 2019–2025
  1. First Wave BioPharma, Inc. $96,914 10 payments

Prescribing to Medicare patients

Part D · data year 2024 · 159 drugs

Part D claims

9,968

Median for Internal Medicine: 777

Drug cost

$1,426,858

Median for Internal Medicine: $73,373

Branded share of claims

21.5%

Median for Internal Medicine: 19.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Ozempic Semaglutide Brand 83 $141,611
Mounjaro Tirzepatide Brand 81 $116,121
Tradjenta Linagliptin Brand 87 $103,562
Jardiance Empagliflozin Brand 73 $90,945
Prolia Denosumab Brand 46 $81,247
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 63 $75,040
Eliquis Apixaban Brand 49 $74,691
Januvia Sitagliptin Phosphate Brand 55 $70,817
Linzess Linaclotide Brand 54 $69,019
Creon Lipase/Protease/Amylase Brand 18 $54,451

The 10 drugs with the highest cost, of 159 counted.

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 104,182 Part D prescribers listed as Internal Medicine; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 33 billing codes

Paid by Medicare

$114,760

Of which drugs: $2,068

Medicare patients

102

Average age 76

Services billed

2,229

77 women, 25 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Depression 75%
Arthritis 70%
Diabetes 59%
Chronic kidney disease 52%
Osteoporosis 45%
COPD 40%
Ischemic heart disease 33%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Vaccine for influenza for injection into muscle 90662 Office 21 22 $1,712

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 26 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
KRYSTEXXA
  • Amgen Inc. $275
$275 — —
GEMTESA
  • Sumitomo Pharma America, Inc. $139
$139 36 —
UNITHROID
  • Amneal Pharmaceuticals LLC $107
$107 — —
Repatha
  • Amgen Inc. $91
$91 16 —
JARDIANCE
  • Lilly USA, LLC $60
  • Boehringer Ingelheim Pharmaceuticals, Inc. $22
$81 73 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 26 with Patron

Records

645 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 Internal Medicine in Florida

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 2025

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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