Covered recipient · General Payments record
LUIS CELESTINO AFONSO
Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease
General Payments · PY2018–2024
$4,106.17
- Reported across 198 records
- CMS publication 2026-01-23
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 | $822.26 | 36 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Medtronic, Inc. | $208.30 | 7 |
| Alnylam Pharmaceuticals Inc. | $201.43 | 12 |
| Novo Nordisk AS | $101.59 | 2 |
| LANTHEUS MEDICAL IMAGING, INC. | $79.00 | 3 |
| Merck Sharp & Dohme Corporation | $70.39 | 4 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $47.62 | 2 |
| Kestra Medical Technology Services, Inc. | $39.34 | 2 |
| Amgen Inc. | $20.63 | 1 |
| Kiniksa Pharmaceuticals International, plc | $18.87 | 1 |
| Janssen Pharmaceuticals, Inc | $17.98 | 1 |
| E.R. Squibb & Sons, L.L.C. | $17.11 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (36)
Sorted by paying entity, then date · as published by 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
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.