Covered recipient · General Payments record
ROSARIO ALFARO
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health
General Payments · PY2021–2025
$3,367.14
- Reported across 198 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $702.94 | 38 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Bayer HealthCare Pharmaceuticals Inc. | $127.04 | 6 |
| SANOFI-AVENTIS U.S. LLC | $65.91 | 2 |
| PFIZER INC. | $62.45 | 4 |
| Amgen Inc. | $62.42 | 4 |
| Lilly USA, LLC | $55.79 | 3 |
| ABBVIE INC. | $53.89 | 3 |
| Astellas Pharma US Inc | $46.51 | 3 |
| Acerta Pharma LLC | $46.42 | 3 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $36.67 | 2 |
| Exact Sciences Corporation | $23.70 | 1 |
| Phadia US Inc. | $21.20 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $19.83 | 1 |
| Abbott Laboratories | $19.77 | 1 |
| Alkermes, Inc. | $18.21 | 1 |
| Lundbeck LLC | $14.93 | 1 |
| Novo Nordisk AS | $14.62 | 1 |
| GlaxoSmithKline, LLC. | $13.58 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (38)
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
- 2026-06-30
- Program years on this page
- 2021, 2022, 2023, 2024, 2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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