RANA O AFIFI

Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery HOUSTON, TX NPI 1013340132

General Payments — all program years on this page

$43,333.03

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 194
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,053.88 across 12 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 $1,053.8812

By paying entity

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

Paying entityAmountRecords
W. L. Gore & Associates, Inc. $380.293
Medtronic, Inc. $207.036
Penumbra, Inc. $185.411
Bolton Medical Inc $144.011
Cook Medical LLC $137.141

By program year

Program yearAmountRecords
2018 $5,604.3447
2019 $1,560.5229
2020 $7,497.2726
2021 $4,938.7219
2022 $14,096.9728
2023 $8,581.3333
2024 $1,053.8812

Records — PY2024 (12)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1095789179 Penumbra, Inc. $185.41 06/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117026425 Medtronic, Inc. $6.46 07/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117026427 Medtronic, Inc. $32.25 06/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117026429 Medtronic, Inc. $16.49 08/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117026431 Medtronic, Inc. $12.59 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117026433 Medtronic, Inc. $12.32 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117026435 Medtronic, Inc. $126.92 09/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118327488 Cook Medical LLC $137.14 03/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148116407 W. L. Gore & Associates, Inc. $64.90 06/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148116448 W. L. Gore & Associates, Inc. $183.54 07/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148116531 W. L. Gore & Associates, Inc. $131.85 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1150736966 Bolton Medical Inc $144.01 06/20/2024 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.