RAFAEL A PERFECTO VIERA

Allopathic & Osteopathic Physicians|General Practice WINTER GARDEN, FL NPI 1003205519

General Payments — all program years on this page

$3,788.49

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 192
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,032.04 across 41 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $1,032.0441

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2018 $182.4112
2019 $96.986
2020 $307.6420
2021 $579.7030
2022 $685.4535
2023 $904.2748
2024 $1,032.0441

Records — PY2024 (41)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1086125612 Bayer Healthcare Pharmaceuticals Inc. $30.59 04/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086176280 Bayer Healthcare Pharmaceuticals Inc. $29.06 05/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086240048 Bayer Healthcare Pharmaceuticals Inc. $13.42 12/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086268427 Bayer Healthcare Pharmaceuticals Inc. $25.69 06/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1089468826 Daiichi Sankyo Inc. $25.29 03/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096683585 Novo Nordisk Inc $23.93 10/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097272240 Novo Nordisk Inc $18.77 01/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097569863 Novo Nordisk Inc $24.32 08/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097600658 Novo Nordisk Inc $22.81 02/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104319882 AstraZeneca Pharmaceuticals LP $125.00 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104466778 AstraZeneca Pharmaceuticals LP $17.77 05/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104510574 AstraZeneca Pharmaceuticals LP $16.99 10/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104753220 AstraZeneca Pharmaceuticals LP $17.53 03/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104781140 AstraZeneca Pharmaceuticals LP $21.74 08/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105237569 AstraZeneca Pharmaceuticals LP $13.45 05/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105239653 ABBVIE INC. $16.99 03/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105239657 ABBVIE INC. $19.52 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105239661 ABBVIE INC. $22.34 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105239665 ABBVIE INC. $24.76 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105239669 ABBVIE INC. $15.40 10/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105570667 AstraZeneca Pharmaceuticals LP $18.51 01/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105855016 AstraZeneca Pharmaceuticals LP $18.37 04/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105879972 AstraZeneca Pharmaceuticals LP $91.49 02/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114831963 Exact Sciences Corporation $20.18 08/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116412563 GlaxoSmithKline, LLC. $15.83 08/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116614166 GlaxoSmithKline, LLC. $21.74 04/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117653546 Amgen Inc. $23.17 02/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117831617 Boehringer Ingelheim Pharmaceuticals, Inc. $13.46 08/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1129450570 Esperion Therapeutics, Inc. $13.81 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1130994476 PFIZER INC. $14.36 01/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135201599 Lilly USA, LLC $19.73 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135300803 Lilly USA, LLC $18.23 03/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135300807 Lilly USA, LLC $21.81 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139358185 Astellas Pharma US Inc $24.17 05/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1145955759 Lundbeck LLC $21.77 09/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148902775 Sumitomo Pharma America, Inc. $15.76 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148902777 Sumitomo Pharma America, Inc. $23.21 07/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151109714 Phathom Pharmaceuticals, Inc. $29.92 03/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151109716 Phathom Pharmaceuticals, Inc. $31.27 04/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151109718 Phathom Pharmaceuticals, Inc. $25.95 08/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153577307 Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.93 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.