Covered recipient · General Payments record

ROY BARCO

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1033436191
CMS profile: 364339
Location: MUSCLE SHOALS, AL

General Payments · PY2018–2024

$6,785.86

Reported across 447 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,746.22

111 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	$1,746.22	111

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$383.77	32
Lilly USA, LLC	$270.30	20
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$155.87	9
Acerta Pharma LLC	$134.47	9
Novo Nordisk AS	$114.26	6
Exact Sciences Corporation	$111.26	4
Bayer HealthCare Pharmaceuticals Inc.	$79.82	4
Amgen Inc.	$70.53	4
PFIZER INC.	$67.82	4
Almatica Pharma Inc.	$61.73	3
IDORSIA PHARMACEUTICALS US INC	$48.84	3
Indivior Inc.	$48.69	2
Braeburn Inc.	$44.05	2
Axsome Therapeutics, Inc.	$27.25	2
SCILEX PHARMACEUTICALS INC.	$20.60	1
USWM, LLC	$19.85	1
Gilead Sciences, Inc.	$18.57	1
Astellas Pharma US Inc	$18.53	1
Phathom Pharmaceuticals, Inc.	$18.02	1
Otsuka America Pharmaceutical, Inc.	$16.81	1
TOLMAR, INC.	$15.18	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$117.81	8
PY2019	$277.97	16
PY2020	$716.98	43
PY2021	$1,251.40	89
PY2022	$1,422.64	96
PY2023	$1,252.84	84
PY2024	$1,746.22	111

Payment records · PY2024 (111)

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
ABBVIE INC.	$18.08	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1103278687	CMS
ABBVIE INC.	$8.47	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1103278689	CMS
ABBVIE INC.	$12.71	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1103278691	CMS
ABBVIE INC.	$3.16	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1103278693	CMS
ABBVIE INC.	$12.96	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1103278695	CMS
ABBVIE INC.	$9.21	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1103278697	CMS
ABBVIE INC.	$11.48	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1103278699	CMS
ABBVIE INC.	$11.80	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1103278701	CMS
ABBVIE INC.	$14.52	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1103278703	CMS
ABBVIE INC.	$8.45	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1103278705	CMS
ABBVIE INC.	$8.79	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1103278707	CMS
ABBVIE INC.	$19.73	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1103278709	CMS
ABBVIE INC.	$13.38	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1103278711	CMS
ABBVIE INC.	$13.70	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1103278713	CMS
ABBVIE INC.	$8.37	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1103278715	CMS
ABBVIE INC.	$5.04	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1103278717	CMS
ABBVIE INC.	$12.60	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1103278719	CMS
ABBVIE INC.	$13.81	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1103278721	CMS
ABBVIE INC.	$15.50	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1103278723	CMS
ABBVIE INC.	$15.77	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1103278725	CMS
ABBVIE INC.	$11.88	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1103278727	CMS
ABBVIE INC.	$19.81	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1103278729	CMS
ABBVIE INC.	$17.00	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1103278731	CMS
ABBVIE INC.	$8.87	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1103278733	CMS
ABBVIE INC.	$2.57	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1103278735	CMS
ABBVIE INC.	$3.48	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1103278737	CMS
ABBVIE INC.	$1.68	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1103278739	CMS
ABBVIE INC.	$18.41	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1103278741	CMS
ABBVIE INC.	$11.12	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1103278743	CMS
ABBVIE INC.	$20.51	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1103278745	CMS
ABBVIE INC.	$18.45	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1103278747	CMS
ABBVIE INC.	$12.46	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1103278749	CMS
Almatica Pharma LLC	$20.53	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1137556162	CMS
Almatica Pharma LLC	$22.05	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1137556169	CMS
Almatica Pharma LLC	$19.15	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1137556175	CMS
Amgen Inc.	$15.65	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1117501400	CMS
Amgen Inc.	$15.82	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1115439992	CMS
Amgen Inc.	$18.46	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1117501402	CMS
Amgen Inc.	$20.60	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1117501404	CMS
Astellas Pharma US Inc	$18.53	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1139278624	CMS
AstraZeneca Pharmaceuticals LP	$13.76	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1105442845	CMS
AstraZeneca Pharmaceuticals LP	$14.92	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1105322564	CMS
AstraZeneca Pharmaceuticals LP	$7.15	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1104253805	CMS
AstraZeneca Pharmaceuticals LP	$15.50	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1105637234	CMS
AstraZeneca Pharmaceuticals LP	$17.59	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1104523988	CMS
AstraZeneca Pharmaceuticals LP	$15.23	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1104727637	CMS
AstraZeneca Pharmaceuticals LP	$13.40	08/10/2024	Food and Beverage	Undisputed	01/23/2026	1105774968	CMS
AstraZeneca Pharmaceuticals LP	$19.88	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1104731669	CMS
AstraZeneca Pharmaceuticals LP	$17.04	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1105633240	CMS
Axsome Therapeutics, Inc.	$13.85	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1148317368	CMS
Axsome Therapeutics, Inc.	$13.40	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1148317370	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.94	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1086208429	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.96	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1086219803	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.96	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1086159438	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.96	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1086263086	CMS
Braeburn Inc.	$25.41	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1125606955	CMS
Braeburn Inc.	$18.64	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1125606957	CMS
Exact Sciences Corporation	$28.24	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1114585451	CMS
Exact Sciences Corporation	$29.60	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1114585455	CMS
Exact Sciences Corporation	$25.38	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1114585458	CMS
Exact Sciences Corporation	$28.04	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1114585462	CMS
Gilead Sciences, Inc.	$18.57	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1133760052	CMS
IDORSIA PHARMACEUTICALS US INC	$17.40	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1146766544	CMS
IDORSIA PHARMACEUTICALS US INC	$15.43	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1146777422	CMS
IDORSIA PHARMACEUTICALS US INC	$16.01	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1146793634	CMS
Indivior Inc.	$22.18	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1144524009	CMS
Indivior Inc.	$26.51	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1144524011	CMS
Lilly USA, LLC	$19.64	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1135393329	CMS
Lilly USA, LLC	$31.11	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1135376910	CMS
Lilly USA, LLC	$10.56	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135404812	CMS
Lilly USA, LLC	$11.08	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1135366426	CMS
Lilly USA, LLC	$9.06	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1135376912	CMS
Lilly USA, LLC	$17.27	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1135359000	CMS
Lilly USA, LLC	$10.48	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1135376914	CMS
Lilly USA, LLC	$10.32	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1135376916	CMS
Lilly USA, LLC	$9.29	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1135393331	CMS
Lilly USA, LLC	$9.97	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1135359002	CMS
Lilly USA, LLC	$14.43	07/05/2024	Food and Beverage	Undisputed	01/23/2026	1135366428	CMS
Lilly USA, LLC	$9.17	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1135359004	CMS
Lilly USA, LLC	$16.84	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1135366430	CMS
Lilly USA, LLC	$10.56	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1135404814	CMS
Lilly USA, LLC	$20.02	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1135404816	CMS
Lilly USA, LLC	$15.06	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1135405480	CMS
Lilly USA, LLC	$9.91	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1135380665	CMS
Lilly USA, LLC	$9.59	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1135366432	CMS
Lilly USA, LLC	$11.21	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1135380667	CMS
Lilly USA, LLC	$14.73	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1135376918	CMS
Novo Nordisk Inc	$17.00	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1096630881	CMS
Novo Nordisk Inc	$17.36	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1096713977	CMS
Novo Nordisk Inc	$19.38	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1097013183	CMS
Novo Nordisk Inc	$29.04	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1096658187	CMS
Novo Nordisk Inc	$15.74	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1097213857	CMS
Novo Nordisk Inc	$15.74	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1097365073	CMS
Otsuka America Pharmaceutical, Inc.	$16.81	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1118858603	CMS
PFIZER INC.	$16.47	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1131283734	CMS
PFIZER INC.	$17.49	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1131489285	CMS
PFIZER INC.	$17.61	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1131945798	CMS
PFIZER INC.	$16.25	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1132094204	CMS
Phathom Pharmaceuticals, Inc.	$18.02	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1151038482	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.43	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1153502634	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.36	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1153583350	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.36	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1153574742	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.43	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1153639644	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$24.71	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1153616526	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.34	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1153541760	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.01	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1153551453	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.34	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1153651710	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.89	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1153679590	CMS
SCILEX PHARMACEUTICALS INC.	$20.60	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1136253905	CMS
Tolmar, Inc.	$15.18	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1138714778	CMS
USWM, LLC	$19.85	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1152822461	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.