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

GNANAMBAL MANIVEL

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1053799536
CMS profile
4217034
Location
SARASOTA, FL

General Payments · PY2021–2024

$1,276.67

  • Reported across 59 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$299.87

14 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 $299.87 14

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $307.81 18
PY2022 $367.23 13
PY2023 $301.76 14
PY2024 $299.87 14

Payment records · PY2024 (14)

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

Program year 2024 202120222023 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
Astellas Pharma US Inc $18.65 06/10/2024 Food and Beverage Undisputed 01/23/2026 1139368025 CMS
AstraZeneca Pharmaceuticals LP $17.03 05/16/2024 Food and Beverage Undisputed 01/23/2026 1104767840 CMS
AstraZeneca Pharmaceuticals LP $16.23 11/20/2024 Food and Beverage Undisputed 01/23/2026 1104241311 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.00 01/25/2024 Food and Beverage Undisputed 01/23/2026 1086111658 CMS
Exact Sciences Corporation $34.32 11/13/2024 Food and Beverage Undisputed 01/23/2026 1114771019 CMS
GlaxoSmithKline, LLC. $20.08 03/11/2024 Food and Beverage Undisputed 01/23/2026 1116362173 CMS
GlaxoSmithKline, LLC. $26.54 04/11/2024 Food and Beverage Undisputed 01/23/2026 1116262781 CMS
GlaxoSmithKline, LLC. $16.30 10/28/2024 Food and Beverage Undisputed 01/23/2026 1116527200 CMS
Lilly USA, LLC $19.40 02/12/2024 Food and Beverage Undisputed 01/23/2026 1135012291 CMS
Lilly USA, LLC $21.95 08/23/2024 Food and Beverage Undisputed 01/23/2026 1134989796 CMS
Novo Nordisk Inc $18.45 05/21/2024 Food and Beverage Undisputed 01/23/2026 1097697676 CMS
Novo Nordisk Inc $22.59 07/10/2024 Food and Beverage Undisputed 01/23/2026 1097517776 CMS
Novo Nordisk Inc $24.82 07/25/2024 Food and Beverage Undisputed 01/23/2026 1096854252 CMS
Novo Nordisk Inc $19.51 09/11/2024 Food and Beverage Undisputed 01/23/2026 1097215963 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · 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.

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