Covered recipient · General Payments record

SARAH LEE DOWDA

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1003514324
CMS profile: 11437977
Location: BAKERSFIELD, CA

General Payments · PY2023–2024

$2,268.22

Reported across 81 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,065.81

51 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,065.81	51

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Otsuka America Pharmaceutical, Inc.	$227.30	7
Acerta Pharma LLC	$166.96	10
Lilly USA, LLC	$93.72	6
Novo Nordisk AS	$87.51	5
Amgen Inc.	$83.63	4
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$80.95	5
PFIZER INC.	$64.84	3
BAXTER HEALTHCARE	$46.29	2
Exact Sciences Corporation	$41.56	2
DEXCOM, INC.	$34.10	1
SHIELD THERAPEUTICS INC	$32.31	1
VERTEX PHARMACEUTICALS INCORPORATED	$31.10	1
Daiichi Sankyo Inc.	$22.93	1
Alexion Pharmaceuticals, Inc.	$22.37	1
Phathom Pharmaceuticals, Inc.	$16.69	1
Mylan Specialty L.P.	$13.55	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$1,202.41	30
PY2024	$1,065.81	51

Payment records · PY2024 (51)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Alexion Pharmaceuticals, Inc.	$22.37	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1123311870	CMS
Amgen Inc.	$20.73	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1117544152	CMS
Amgen Inc.	$21.81	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1117544154	CMS
Amgen Inc.	$19.86	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1117544156	CMS
Amgen Inc.	$21.23	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1117544158	CMS
AstraZeneca Pharmaceuticals LP	$7.44	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1123302426	CMS
AstraZeneca Pharmaceuticals LP	$19.35	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1123307740	CMS
AstraZeneca Pharmaceuticals LP	$15.16	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1123309130	CMS
AstraZeneca Pharmaceuticals LP	$23.60	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1123312342	CMS
AstraZeneca Pharmaceuticals LP	$14.20	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1123311786	CMS
AstraZeneca Pharmaceuticals LP	$17.12	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1123302448	CMS
AstraZeneca Pharmaceuticals LP	$14.52	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1123304866	CMS
AstraZeneca Pharmaceuticals LP	$14.07	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1123309030	CMS
AstraZeneca Pharmaceuticals LP	$17.34	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1123310962	CMS
AstraZeneca Pharmaceuticals LP	$24.16	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1123307764	CMS
Baxter Healthcare	$23.13	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1118294876	CMS
Baxter Healthcare	$23.16	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1118294878	CMS
Daiichi Sankyo Inc.	$22.93	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1089416866	CMS
Dexcom, Inc.	$34.10	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1153385462	CMS
Exact Sciences Corporation	$26.85	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1128380768	CMS
Exact Sciences Corporation	$14.71	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1128380772	CMS
Lilly USA, LLC	$13.46	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1135861883	CMS
Lilly USA, LLC	$14.86	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1135938794	CMS
Lilly USA, LLC	$17.59	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1135903910	CMS
Lilly USA, LLC	$14.86	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1135938796	CMS
Lilly USA, LLC	$16.34	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1135940076	CMS
Lilly USA, LLC	$16.61	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1135938798	CMS
Mylan Specialty L.P.	$13.55	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1147372269	CMS
Novo Nordisk Inc	$15.87	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1108567967	CMS
Novo Nordisk Inc	$18.62	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1108565793	CMS
Novo Nordisk Inc	$21.28	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1108571708	CMS
Novo Nordisk Inc	$18.42	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1108568179	CMS
Novo Nordisk Inc	$13.32	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1108573240	CMS
Otsuka America Pharmaceutical, Inc.	$18.39	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1119061240	CMS
Otsuka America Pharmaceutical, Inc.	$25.68	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1119061242	CMS
Otsuka America Pharmaceutical, Inc.	$25.38	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1119061244	CMS
Otsuka America Pharmaceutical, Inc.	$119.90	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1119061246	CMS
Otsuka America Pharmaceutical, Inc.	$18.40	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1119061248	CMS
Otsuka America Pharmaceutical, Inc.	$17.60	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1119061250	CMS
Otsuka America Pharmaceutical, Inc.	$1.95	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1119061252	CMS
PFIZER INC.	$14.99	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1131336213	CMS
PFIZER INC.	$24.53	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1131634324	CMS
PFIZER INC.	$25.32	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1131870686	CMS
Phathom Pharmaceuticals, Inc.	$16.69	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1151161796	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.30	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1153583420	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.62	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1153531640	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.99	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1153697599	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.23	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1153578211	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.81	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1153551623	CMS
SHIELD THERAPEUTICS INC	$32.31	10/19/2024	Food and Beverage	Undisputed	01/23/2026	1150150267	CMS
VERTEX PHARMACEUTICALS INCORPORATED	$31.10	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1105902640	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2023, 2024
Source files: Dataset page · Bulk file · PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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