Physician

Carlos R Ramirez-Ramirez, M.D.

According to 2025 Medicare claims, Carlos Ramirez-Ramirez, M.D. (NPI: 1194793166) practices internal medicine in the Wildwood-The Villages, FL market, with the plurality of this provider's patient population coming from Sumter, FL. This provider's primary affiliated billing organization is PREMIER MEDICAL ASSOCIATES OF FLORIDA HEALTHCARE, PA (NPI: 1023612827; TIN: 853886892) and primary practice location at 33513-8973. Ramirez-Ramirez is affiliated with the NeueHealth Premier ACO, LLC (ACO ID: D0181), participating under the REACH model.

Ramirez-Ramirez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 167 traditional Medicare patients, billed 890 HCPCS/CPT codes, and received $64,234 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 11,477 prescription claims across 813 beneficiaries totaling $1,340,403 in drug costs, led by Januvia (Sitagliptin Phosphate). DME data shows 17 claims. Open Payments data shows 12 records totaling $227. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $32,824 to $64,234. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,173 to $1,340,403. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	111	501	$32,824
2016	93	410	$28,371
2017	94	484	$35,901
2018	220	481	$31,818
2019	643	2,344	$120,127
2020	356	1,395	$71,054
2021	359	1,660	$84,408
2022	356	1,492	$85,125
2023	185	1,035	$66,416
2024	167	890	$64,234

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	15	$1,173
2016	N/R	24	$708
2017	N/R	28	$519
2018	295	724	$51,095
2019	1,019	6,647	$508,120
2020	864	10,269	$863,307
2021	750	10,410	$1,073,528
2022	873	11,163	$1,273,331
2023	822	10,792	$1,352,754
2024	813	11,477	$1,340,403

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	13	29	$406
2020	13	77	$1,428
2021	N/R	27	$379
2022	11	30	$2,199
2023	N/R	15	$261
2024	N/R	17	$378

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$126
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	361	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	65	93	$55
G0444	Annual depression screening, 5 to 15 minutes	60	60	$18
G0442	Annual alcohol misuse screening, 5 to 15 minutes	82	82	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Januvia	Sitagliptin Phosphate	119	7,560	$144,288
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	30	900	$124,385
Eliquis	Apixaban	94	6,465	$119,144
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	78	5,430	$114,458
Jardiance	Empagliflozin	73	5,900	$114,443

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	17	$378

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$227	Amgen Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Carlos R. Ramirez-Ramirez, M.D.?

Tedicare shows public-source Medicare data for Carlos R. Ramirez-Ramirez, M.D. (NPI 1194793166), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Carlos R. Ramirez-Ramirez, M.D. have ACO affiliation data?

Carlos R. Ramirez-Ramirez, M.D. is shown with ACO affiliation data for NeueHealth Premier ACO, LLC (REACH, ACO ID D0181).

What billing organization is linked to Carlos R. Ramirez-Ramirez, M.D.?

Carlos R. Ramirez-Ramirez, M.D. is linked to PREMIER MEDICAL ASSOCIATES OF FLORIDA HEALTHCARE, PA (billing NPI 1023612827) in the available physician profile data.

Does Carlos R. Ramirez-Ramirez, M.D. have Open Payments data?

Carlos R. Ramirez-Ramirez, M.D. has 12 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.