Covered recipient · General Payments record

JOSEPH A LARAKERS

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1023057270
CMS profile: 91316
Location: BEEVILLE, TX

General Payments · PY2018–2024

$14,111.33

Reported across 892 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,712.05

90 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	$1,712.05	90

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$292.98	11
Novo Nordisk AS	$248.76	16
Lilly USA, LLC	$168.78	9
Astellas Pharma US Inc	$128.67	7
Janssen Pharmaceuticals, Inc	$112.72	5
Merck Sharp & Dohme Corporation	$109.69	5
Lundbeck LLC	$86.18	5
GlaxoSmithKline, LLC.	$73.51	4
Otsuka America Pharmaceutical, Inc.	$59.53	3
Amgen Inc.	$56.84	4
Sumitomo Pharma America, Inc.	$52.09	2
DEXCOM, INC.	$45.66	3
Takeda Pharmaceuticals U.S.A., Inc.	$43.67	3
Axsome Therapeutics, Inc.	$43.40	2
PFIZER INC.	$35.65	2
Phathom Pharmaceuticals, Inc.	$35.36	2
Bayer HealthCare Pharmaceuticals Inc.	$31.36	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$30.00	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.03	1
Exact Sciences Corporation	$19.23	1
IRONSHORE PHARMACEUTICALS INC.	$16.94	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,074.83	155
PY2019	$2,073.29	140
PY2020	$2,021.16	125
PY2021	$2,415.32	142
PY2022	$2,046.06	128
PY2023	$1,768.62	112
PY2024	$1,712.05	90

Payment records · PY2024 (90)

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

Program year 2024 2018 2019 2020 2021 2022 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
Amgen Inc.	$13.28	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1117305625	CMS
Amgen Inc.	$13.15	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1117305627	CMS
Amgen Inc.	$14.81	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1117305629	CMS
Amgen Inc.	$15.60	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1117305631	CMS
Astellas Pharma US Inc	$16.06	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1139296956	CMS
Astellas Pharma US Inc	$19.27	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1139295948	CMS
Astellas Pharma US Inc	$22.26	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1139336400	CMS
Astellas Pharma US Inc	$13.85	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1139352585	CMS
Astellas Pharma US Inc	$13.81	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1139375397	CMS
Astellas Pharma US Inc	$21.86	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1139382978	CMS
Astellas Pharma US Inc	$21.56	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1139424309	CMS
AstraZeneca Pharmaceuticals LP	$129.77	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1105496349	CMS
AstraZeneca Pharmaceuticals LP	$13.45	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1105538955	CMS
AstraZeneca Pharmaceuticals LP	$20.59	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1104414757	CMS
AstraZeneca Pharmaceuticals LP	$17.70	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1104764346	CMS
AstraZeneca Pharmaceuticals LP	$17.05	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1105634758	CMS
AstraZeneca Pharmaceuticals LP	$17.77	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1105627403	CMS
AstraZeneca Pharmaceuticals LP	$13.73	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1105447329	CMS
AstraZeneca Pharmaceuticals LP	$17.56	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1104234113	CMS
AstraZeneca Pharmaceuticals LP	$17.03	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1104456088	CMS
AstraZeneca Pharmaceuticals LP	$14.96	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1105294445	CMS
AstraZeneca Pharmaceuticals LP	$13.37	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1105454749	CMS
Axsome Therapeutics, Inc.	$20.56	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1148293796	CMS
Axsome Therapeutics, Inc.	$22.84	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1148293798	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.49	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1086214821	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.87	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1086146433	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.03	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1117840059	CMS
Dexcom, Inc.	$14.61	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1153311368	CMS
Dexcom, Inc.	$15.32	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1153311370	CMS
Dexcom, Inc.	$15.73	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1153311372	CMS
Exact Sciences Corporation	$19.23	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1114749088	CMS
GlaxoSmithKline, LLC.	$20.48	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1116228417	CMS
GlaxoSmithKline, LLC.	$16.94	06/01/2024	Food and Beverage	Undisputed	01/23/2026	1116674835	CMS
GlaxoSmithKline, LLC.	$17.73	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1116216393	CMS
GlaxoSmithKline, LLC.	$18.36	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1116293215	CMS
IRONSHORE PHARMACEUTICALS INC.	$16.94	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1146289986	CMS
Janssen Pharmaceuticals, Inc	$19.58	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1078194059	CMS
Janssen Pharmaceuticals, Inc	$21.75	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1078194073	CMS
Janssen Pharmaceuticals, Inc	$25.51	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1078194061	CMS
Janssen Pharmaceuticals, Inc	$22.94	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1078194067	CMS
Janssen Pharmaceuticals, Inc	$22.94	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1078194063	CMS
Lilly USA, LLC	$17.09	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1135102729	CMS
Lilly USA, LLC	$27.90	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1135103641	CMS
Lilly USA, LLC	$17.61	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1135091333	CMS
Lilly USA, LLC	$20.12	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1135102731	CMS
Lilly USA, LLC	$21.02	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1135101242	CMS
Lilly USA, LLC	$12.80	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1135080766	CMS
Lilly USA, LLC	$16.92	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1135103643	CMS
Lilly USA, LLC	$15.20	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1135080768	CMS
Lilly USA, LLC	$20.12	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1135085910	CMS
Lundbeck LLC	$18.04	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1145937894	CMS
Lundbeck LLC	$15.44	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1145937896	CMS
Lundbeck LLC	$18.88	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1145937898	CMS
Lundbeck LLC	$17.06	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1145937900	CMS
Lundbeck LLC	$16.76	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1145937902	CMS
Merck Sharp & Dohme LLC	$19.51	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1141723360	CMS
Merck Sharp & Dohme LLC	$19.53	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1141878589	CMS
Merck Sharp & Dohme LLC	$23.93	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1141723362	CMS
Merck Sharp & Dohme LLC	$23.00	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1141961526	CMS
Merck Sharp & Dohme LLC	$23.72	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1141981949	CMS
Novo Nordisk Inc	$13.14	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1096784224	CMS
Novo Nordisk Inc	$18.56	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1097800697	CMS
Novo Nordisk Inc	$23.83	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1096728390	CMS
Novo Nordisk Inc	$14.19	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1097601707	CMS
Novo Nordisk Inc	$14.15	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1096968842	CMS
Novo Nordisk Inc	$11.49	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1097442208	CMS
Novo Nordisk Inc	$12.25	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1097104759	CMS
Novo Nordisk Inc	$14.68	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1096936337	CMS
Novo Nordisk Inc	$16.34	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1097789545	CMS
Novo Nordisk Inc	$4.10	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1097235873	CMS
Novo Nordisk Inc	$22.91	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1096720473	CMS
Novo Nordisk Inc	$12.87	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1097727343	CMS
Novo Nordisk Inc	$15.50	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1096854833	CMS
Novo Nordisk Inc	$19.75	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1097122814	CMS
Novo Nordisk Inc	$22.42	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1097628253	CMS
Novo Nordisk Inc	$12.58	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1097443139	CMS
Otsuka America Pharmaceutical, Inc.	$23.82	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1118928029	CMS
Otsuka America Pharmaceutical, Inc.	$19.78	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1118928031	CMS
Otsuka America Pharmaceutical, Inc.	$15.93	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1118928033	CMS
PFIZER INC.	$15.38	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1131615535	CMS
PFIZER INC.	$20.27	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1131765848	CMS
Phathom Pharmaceuticals, Inc.	$17.35	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1151086543	CMS
Phathom Pharmaceuticals, Inc.	$18.01	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1151086545	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.66	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1153622403	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.34	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153674026	CMS
Sumitomo Pharma America, Inc.	$26.80	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1148879234	CMS
Sumitomo Pharma America, Inc.	$25.29	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1148879236	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.24	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1137613877	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.56	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1137613880	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$14.87	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1137613884	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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