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

CARLA INES ACRA DESPRADEL

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1114181666
CMS profile
480591
Location
SAN ANTONIO, TX

General Payments · PY2019–2024

$915.90

  • Reported across 54 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$273.97

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 $273.97 14

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $26.16 2
PY2020 $23.72 2
PY2021 $140.48 10
PY2022 $181.39 10
PY2023 $270.18 16
PY2024 $273.97 14

Payment records · PY2024 (14)

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

Program year 2024 20192020202120222023 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
AstraZeneca Pharmaceuticals LP $21.56 04/11/2024 Food and Beverage Undisputed 01/23/2026 1104585594 CMS
AstraZeneca Pharmaceuticals LP $13.60 10/03/2024 Food and Beverage Undisputed 01/23/2026 1105500604 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.88 04/11/2024 Food and Beverage Undisputed 01/23/2026 1086185076 CMS
Dexcom, Inc. $17.55 04/25/2024 Food and Beverage Undisputed 01/23/2026 1153290031 CMS
Dexcom, Inc. $17.02 06/13/2024 Food and Beverage Undisputed 01/23/2026 1153290033 CMS
Dexcom, Inc. $38.34 09/26/2024 Food and Beverage Undisputed 01/23/2026 1153290035 CMS
Dynavax Technologies Corporation $7.51 01/25/2024 Food and Beverage Undisputed 01/23/2026 1082144975 CMS
Lilly USA, LLC $29.45 02/01/2024 Food and Beverage Undisputed 01/23/2026 1136085696 CMS
Lilly USA, LLC $15.40 10/10/2024 Food and Beverage Undisputed 01/23/2026 1136081916 CMS
Mannkind Corporation $14.82 08/22/2024 Food and Beverage Undisputed 01/23/2026 1145838443 CMS
Mannkind Corporation $16.22 11/14/2024 Food and Beverage Undisputed 01/23/2026 1145838445 CMS
Merck Sharp & Dohme LLC $20.39 10/17/2024 Food and Beverage Undisputed 01/23/2026 1141601857 CMS
PFIZER INC. $24.74 10/24/2024 Food and Beverage Undisputed 01/23/2026 1131256423 CMS
Philips North America LLC $23.49 06/27/2024 Food and Beverage Undisputed 01/23/2026 1146912044 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
2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · 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.