Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

SERGIO J RYBKA

Allopathic & Osteopathic Physicians Urology

NPI
1023111374
CMS profile
677441
Location
CARLSBAD, NM

General Payments · PY2018

$991.20

  • Reported across 8 records
  • CMS publication 2026-01-23

Latest program year · PY2018

$991.20

8 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

PY2018 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $646.87 4
Food and Beverage $344.33 4

By paying entity

PY2018 · sorted by reported total

Paying entityAmountRecords
BOSTON SCIENTIFIC CORPORATION $890.89 6
HealthTronics Mobile Solutions, LLC $76.15 1
Astellas Pharma US Inc $24.16 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $991.20 8

Payment records · PY2018 (8)

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

Program year 2018
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Astellas Pharma US Inc $24.16 12/13/2018 Food and Beverage Undisputed 01/23/2026 582485479 CMS
BOSTON SCIENTIFIC CORPORATION $88.37 04/20/2018 Travel and Lodging Undisputed 01/23/2026 549374503 CMS
BOSTON SCIENTIFIC CORPORATION $169.02 04/21/2018 Food and Beverage Undisputed 01/23/2026 549374511 CMS
BOSTON SCIENTIFIC CORPORATION $75.00 05/30/2018 Food and Beverage Undisputed 01/23/2026 549374525 CMS
BOSTON SCIENTIFIC CORPORATION $207.19 05/30/2018 Travel and Lodging Undisputed 01/23/2026 549374529 CMS
BOSTON SCIENTIFIC CORPORATION $276.31 05/30/2018 Travel and Lodging Undisputed 01/23/2026 549374537 CMS
BOSTON SCIENTIFIC CORPORATION $75.00 05/30/2018 Travel and Lodging Undisputed 01/23/2026 549374543 CMS
HealthTronics Mobile Solutions, LLC $76.15 07/24/2018 Food and Beverage Undisputed 01/23/2026 534691569 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
Source files
Dataset page · Bulk file · PY2018
Generated from
OP_DTL_GNRL_PGYR2018_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.