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

RAFLE FERNANDEZ

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1033451877
CMS profile
2781821
Location
MIAMI BEACH, FL

General Payments · PY2018–2024

$5,429.26

  • Reported across 197 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$485.38

13 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 paymentAmountRecords
Food and Beverage $485.38 13

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,245.68 70
PY2019 $2,331.53 78
PY2020 $187.97 10
PY2021 $302.19 9
PY2022 $375.34 7
PY2023 $501.17 10
PY2024 $485.38 13

Payment records · PY2024 (13)

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

Program year 2024 201820192020202120222023 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
Actelion Pharmaceuticals US, Inc. $146.57 05/16/2024 Food and Beverage Undisputed 01/23/2026 1078877882 CMS
AstraZeneca Pharmaceuticals LP $22.49 04/03/2024 Food and Beverage Undisputed 01/23/2026 1104783522 CMS
Boston Scientific Corporation $26.86 09/24/2024 Food and Beverage Undisputed 01/23/2026 1092424699 CMS
E.R. Squibb & Sons, L.L.C. $109.03 01/23/2024 Food and Beverage Undisputed 01/23/2026 1101728698 CMS
E.R. Squibb & Sons, L.L.C. $3.87 04/17/2024 Food and Beverage Undisputed 01/23/2026 1101728731 CMS
E.R. Squibb & Sons, L.L.C. $8.75 04/17/2024 Food and Beverage Undisputed 01/23/2026 1101728735 CMS
E.R. Squibb & Sons, L.L.C. $16.44 12/04/2024 Food and Beverage Undisputed 01/23/2026 1101728851 CMS
Exact Sciences Corporation $23.58 09/20/2024 Food and Beverage Undisputed 01/23/2026 1114656215 CMS
iRhythm Technologies, Inc. $39.14 09/11/2024 Food and Beverage Undisputed 01/23/2026 1154038617 CMS
Novartis Pharmaceuticals Corporation $24.61 01/03/2024 Food and Beverage Undisputed 01/23/2026 1086941121 CMS
PFIZER INC. $22.72 01/10/2024 Food and Beverage Undisputed 01/23/2026 1130956547 CMS
PFIZER INC. $21.90 05/07/2024 Food and Beverage Undisputed 01/23/2026 1131503303 CMS
PFIZER INC. $19.42 08/05/2024 Food and Beverage Undisputed 01/23/2026 1131864773 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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