Covered recipient · General Payments record

JAVIER ALEJANDRO GONZALEZ COSME

Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism

NPI: 1114449022
CMS profile: 4036732
Location: MIAMI, FL

General Payments · PY2018–2024

$5,300.50

Reported across 223 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,306.96

117 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	$2,306.96	117

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Lilly USA, LLC	$325.92	18
Insulet Corporation	$324.26	11
Corcept Therapeutics	$249.37	15
Novo Nordisk AS	$224.15	10
NOVARTIS PHARMACEUTICALS CORPORATION	$194.14	11
Boehringer Ingelheim Pharmaceuticals, Inc.	$147.78	8
Xeris Pharmaceuticals, Inc.	$142.01	8
DEXCOM, INC.	$77.03	4
Acerta Pharma LLC	$76.81	3
Alexion Pharmaceuticals, Inc.	$76.13	3
Amneal Pharmaceuticals LLC	$70.51	4
SANOFI-AVENTIS U.S. LLC	$70.47	4
Bayer HealthCare Pharmaceuticals Inc.	$66.49	4
Radius Health, Inc.	$52.19	3
MannKind Corporation	$45.53	3
PFIZER INC.	$41.34	2
Esperion Therapeutics, Inc.	$32.98	2
Amphastar Pharmaceuticals, Inc.	$24.78	1
RECORDATI_RARE_DISEASES_INC.	$24.54	1
Amgen Inc.	$21.10	1
Antares Pharma, Inc.	$19.43	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$11.13	1
PY2020	$32.68	2
PY2021	$404.85	5
PY2022	$679.41	16
PY2023	$1,865.47	82
PY2024	$2,306.96	117

Payment records · PY2024 (117)

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

Program year 2024 2018 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
Alexion Pharmaceuticals, Inc.	$23.50	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1094016212	CMS
Alexion Pharmaceuticals, Inc.	$20.26	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1093944234	CMS
Alexion Pharmaceuticals, Inc.	$32.37	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1094045143	CMS
Amgen Inc.	$21.10	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1111586662	CMS
Amneal Pharmaceuticals LLC	$15.48	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1139187198	CMS
Amneal Pharmaceuticals LLC	$19.88	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1139187200	CMS
Amneal Pharmaceuticals LLC	$18.40	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1139187202	CMS
Amneal Pharmaceuticals LLC	$16.75	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1139187204	CMS
Amphastar Pharmaceuticals, Inc.	$24.78	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1149960785	CMS
Antares Pharma, Inc.	$19.43	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1146460632	CMS
AstraZeneca Pharmaceuticals LP	$28.12	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1105599879	CMS
AstraZeneca Pharmaceuticals LP	$25.12	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1105634912	CMS
AstraZeneca Pharmaceuticals LP	$23.57	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1104290106	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.29	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1086192332	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.55	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1086201208	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.25	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1086177610	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.40	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1086175202	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.13	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1117877927	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.42	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1117877929	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.03	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1117877923	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.97	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1117877933	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.94	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1117877925	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.58	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1117877935	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.54	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1117877931	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.17	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1117877921	CMS
Corcept Therapeutics	$6.86	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1117729854	CMS
Corcept Therapeutics	$24.87	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1117729864	CMS
Corcept Therapeutics	$24.87	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1117729884	CMS
Corcept Therapeutics	$16.67	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1117729890	CMS
Corcept Therapeutics	$10.46	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1117729908	CMS
Corcept Therapeutics	$16.25	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1117729916	CMS
Corcept Therapeutics	$18.42	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1117729926	CMS
Corcept Therapeutics	$5.15	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1117729930	CMS
Corcept Therapeutics	$9.32	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1117729946	CMS
Corcept Therapeutics	$20.31	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1117729948	CMS
Corcept Therapeutics	$18.72	08/25/2024	Food and Beverage	Undisputed	01/23/2026	1117729962	CMS
Corcept Therapeutics	$19.88	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1117729976	CMS
Corcept Therapeutics	$19.87	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1117729992	CMS
Corcept Therapeutics	$17.84	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1117729998	CMS
Corcept Therapeutics	$19.88	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1117730012	CMS
Dexcom, Inc.	$18.69	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1153307037	CMS
Dexcom, Inc.	$22.26	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1153307039	CMS
Dexcom, Inc.	$22.67	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1153307041	CMS
Dexcom, Inc.	$13.41	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1153307043	CMS
Esperion Therapeutics, Inc.	$14.29	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1129436442	CMS
Esperion Therapeutics, Inc.	$18.69	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1129436446	CMS
Insulet Corporation	$25.58	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1116801822	CMS
Insulet Corporation	$25.58	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1116801820	CMS
Insulet Corporation	$25.68	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1116801816	CMS
Insulet Corporation	$24.88	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1116801814	CMS
Insulet Corporation	$25.18	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1116801812	CMS
Insulet Corporation	$39.81	08/25/2024	Food and Beverage	Undisputed	01/23/2026	1116807893	CMS
Insulet Corporation	$18.39	08/31/2024	Food and Beverage	Undisputed	01/23/2026	1116807891	CMS
Insulet Corporation	$114.62	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1116807889	CMS
Insulet Corporation	$6.75	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1116820834	CMS
Insulet Corporation	$0.88	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1116820836	CMS
Insulet Corporation	$16.91	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1116820832	CMS
Lilly USA, LLC	$21.50	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1135033292	CMS
Lilly USA, LLC	$19.69	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1135054806	CMS
Lilly USA, LLC	$19.34	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1135033900	CMS
Lilly USA, LLC	$19.93	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1135054804	CMS
Lilly USA, LLC	$19.19	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135048816	CMS
Lilly USA, LLC	$15.27	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1135033294	CMS
Lilly USA, LLC	$20.36	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1135048820	CMS
Lilly USA, LLC	$16.62	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1135033298	CMS
Lilly USA, LLC	$16.70	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1135031466	CMS
Lilly USA, LLC	$20.73	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1135053818	CMS
Lilly USA, LLC	$15.64	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1135033296	CMS
Lilly USA, LLC	$18.21	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1135033300	CMS
Lilly USA, LLC	$21.52	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1135048958	CMS
Lilly USA, LLC	$19.04	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1135048818	CMS
Lilly USA, LLC	$5.88	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1135005843	CMS
Lilly USA, LLC	$19.03	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1135033902	CMS
Lilly USA, LLC	$17.42	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1135005845	CMS
Lilly USA, LLC	$19.85	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1135033904	CMS
Mannkind Corporation	$18.93	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1145842524	CMS
Mannkind Corporation	$13.30	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1145842526	CMS
Mannkind Corporation	$13.30	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1145842528	CMS
Novartis Pharmaceuticals Corporation	$19.35	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1086873317	CMS
Novartis Pharmaceuticals Corporation	$19.18	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1086873319	CMS
Novartis Pharmaceuticals Corporation	$18.27	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1086873321	CMS
Novartis Pharmaceuticals Corporation	$8.28	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1086873323	CMS
Novartis Pharmaceuticals Corporation	$18.28	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1086873325	CMS
Novartis Pharmaceuticals Corporation	$16.86	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1086873327	CMS
Novartis Pharmaceuticals Corporation	$15.90	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1086873331	CMS
Novartis Pharmaceuticals Corporation	$14.88	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1086873329	CMS
Novartis Pharmaceuticals Corporation	$23.84	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1086873333	CMS
Novartis Pharmaceuticals Corporation	$16.12	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1086873335	CMS
Novartis Pharmaceuticals Corporation	$23.18	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1086873337	CMS
Novo Nordisk Inc	$23.44	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1096894825	CMS
Novo Nordisk Inc	$23.58	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1096831386	CMS
Novo Nordisk Inc	$21.47	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1097331240	CMS
Novo Nordisk Inc	$24.18	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1097240463	CMS
Novo Nordisk Inc	$24.88	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1096909601	CMS
Novo Nordisk Inc	$18.16	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1097548986	CMS
Novo Nordisk Inc	$19.94	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1097234629	CMS
Novo Nordisk Inc	$20.94	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1096660780	CMS
Novo Nordisk Inc	$23.38	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1096565968	CMS
Novo Nordisk Inc	$24.18	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1097435369	CMS
PFIZER INC.	$20.67	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1131503732	CMS
PFIZER INC.	$20.67	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1131579373	CMS
Radius Health, Inc.	$17.41	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1089959525	CMS
Radius Health, Inc.	$18.29	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1089959519	CMS
Radius Health, Inc.	$16.49	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1089959531	CMS
RECORDATI_RARE_DISEASES_INC.	$24.54	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1139162880	CMS
SANOFI-AVENTIS U.S. LLC	$17.91	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1139796580	CMS
SANOFI-AVENTIS U.S. LLC	$17.23	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1139796586	CMS
SANOFI-AVENTIS U.S. LLC	$17.59	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1139796628	CMS
SANOFI-AVENTIS U.S. LLC	$17.74	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1139796664	CMS
Xeris Pharmaceuticals, Inc.	$16.63	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1144598120	CMS
Xeris Pharmaceuticals, Inc.	$6.78	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1144598118	CMS
Xeris Pharmaceuticals, Inc.	$17.26	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1144598128	CMS
Xeris Pharmaceuticals, Inc.	$17.46	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1144598122	CMS
Xeris Pharmaceuticals, Inc.	$18.55	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1144598130	CMS
Xeris Pharmaceuticals, Inc.	$20.41	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1144598132	CMS
Xeris Pharmaceuticals, Inc.	$22.42	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1144598126	CMS
Xeris Pharmaceuticals, Inc.	$22.50	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1144598124	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, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.