IndustryPayments
Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

RALPH V GUARINO

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1134140767
CMS profile
96231
Location
TOMS RIVER, NJ

General Payments · PY2019–2025

$25,887.23

  • Reported across 956 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$3,479.50

80 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.

Related groups: Internal Medicine NJ All categories

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,479.50 80

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $1,959.21 27
Novo Nordisk AS $373.94 11
Boehringer Ingelheim Pharmaceuticals, Inc. $265.29 3
GlaxoSmithKline, LLC. $258.08 10
ABBVIE INC. $186.70 5
Bayer HealthCare Pharmaceuticals Inc. $176.39 8
PFIZER INC. $155.02 9
Sumitomo Pharma America, Inc. $51.57 3
Lilly USA, LLC $34.95 2
Phathom Pharmaceuticals, Inc. $18.35 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $4,184.96 184
PY2020 $2,623.76 153
PY2021 $5,099.90 225
PY2022 $2,846.58 109
PY2023 $3,039.08 102
PY2024 $4,613.45 103
PY2025 $3,479.50 80

Payment records · PY2025 (80)

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

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $16.66 02/18/2025 Food and Beverage Undisputed 06/30/2026 1201973123 CMS
ABBVIE INC. $15.40 04/09/2025 Food and Beverage Undisputed 06/30/2026 1201973125 CMS
ABBVIE INC. $15.38 04/16/2025 Food and Beverage Undisputed 06/30/2026 1201973127 CMS
ABBVIE INC. $14.26 08/04/2025 Food and Beverage Undisputed 06/30/2026 1201973129 CMS
ABBVIE INC. $125.00 09/09/2025 Food and Beverage Undisputed 06/30/2026 1201973131 CMS
AstraZeneca Pharmaceuticals LP $213.92 01/07/2025 Food and Beverage Undisputed 06/30/2026 1206956629 CMS
AstraZeneca Pharmaceuticals LP $118.03 01/16/2025 Food and Beverage Undisputed 06/30/2026 1206474407 CMS
AstraZeneca Pharmaceuticals LP $19.43 01/21/2025 Food and Beverage Undisputed 06/30/2026 1206226582 CMS
AstraZeneca Pharmaceuticals LP $107.63 01/22/2025 Food and Beverage Undisputed 06/30/2026 1206494503 CMS
AstraZeneca Pharmaceuticals LP $125.00 01/30/2025 Food and Beverage Undisputed 06/30/2026 1206235211 CMS
AstraZeneca Pharmaceuticals LP $113.97 02/19/2025 Food and Beverage Undisputed 06/30/2026 1206846088 CMS
AstraZeneca Pharmaceuticals LP $16.30 02/20/2025 Food and Beverage Undisputed 06/30/2026 1206689626 CMS
AstraZeneca Pharmaceuticals LP $125.00 02/26/2025 Food and Beverage Undisputed 06/30/2026 1207026652 CMS
AstraZeneca Pharmaceuticals LP $15.94 02/26/2025 Food and Beverage Undisputed 06/30/2026 1207052502 CMS
AstraZeneca Pharmaceuticals LP $125.00 03/19/2025 Food and Beverage Undisputed 06/30/2026 1206251704 CMS
AstraZeneca Pharmaceuticals LP $14.83 03/25/2025 Food and Beverage Undisputed 06/30/2026 1206568626 CMS
AstraZeneca Pharmaceuticals LP $14.03 04/15/2025 Food and Beverage Undisputed 06/30/2026 1207046719 CMS
AstraZeneca Pharmaceuticals LP $107.63 04/23/2025 Food and Beverage Undisputed 06/30/2026 1206588329 CMS
AstraZeneca Pharmaceuticals LP $17.15 04/23/2025 Food and Beverage Undisputed 06/30/2026 1206662847 CMS
AstraZeneca Pharmaceuticals LP $119.64 04/30/2025 Food and Beverage Undisputed 06/30/2026 1206249606 CMS
AstraZeneca Pharmaceuticals LP $15.82 05/13/2025 Food and Beverage Undisputed 06/30/2026 1206243934 CMS
AstraZeneca Pharmaceuticals LP $125.00 06/04/2025 Food and Beverage Undisputed 06/30/2026 1207275176 CMS
AstraZeneca Pharmaceuticals LP $14.81 07/16/2025 Food and Beverage Undisputed 06/30/2026 1206574854 CMS
AstraZeneca Pharmaceuticals LP $15.73 07/29/2025 Food and Beverage Undisputed 06/30/2026 1206174970 CMS
AstraZeneca Pharmaceuticals LP $14.71 08/14/2025 Food and Beverage Undisputed 06/30/2026 1206952302 CMS
AstraZeneca Pharmaceuticals LP $119.70 09/17/2025 Food and Beverage Undisputed 06/30/2026 1206426005 CMS
AstraZeneca Pharmaceuticals LP $103.46 09/25/2025 Food and Beverage Undisputed 06/30/2026 1206283416 CMS
AstraZeneca Pharmaceuticals LP $125.00 10/29/2025 Food and Beverage Undisputed 06/30/2026 1207213410 CMS
AstraZeneca Pharmaceuticals LP $16.64 11/05/2025 Food and Beverage Undisputed 06/30/2026 1206916743 CMS
AstraZeneca Pharmaceuticals LP $125.00 11/12/2025 Food and Beverage Undisputed 06/30/2026 1206408397 CMS
AstraZeneca Pharmaceuticals LP $15.19 11/20/2025 Food and Beverage Undisputed 06/30/2026 1206277663 CMS
AstraZeneca Pharmaceuticals LP $14.65 12/09/2025 Food and Beverage Undisputed 06/30/2026 1207029835 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.55 01/24/2025 Food and Beverage Undisputed 06/30/2026 1225560365 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.58 02/13/2025 Food and Beverage Undisputed 06/30/2026 1225560359 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.86 03/20/2025 Food and Beverage Undisputed 06/30/2026 1225560367 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.25 04/10/2025 Food and Beverage Undisputed 06/30/2026 1225560357 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.45 05/22/2025 Food and Beverage Undisputed 06/30/2026 1225560361 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.61 07/10/2025 Food and Beverage Undisputed 06/30/2026 1225560363 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.58 09/04/2025 Food and Beverage Undisputed 06/30/2026 1225560369 CMS
Bayer Healthcare Pharmaceuticals Inc. $25.51 11/11/2025 Food and Beverage Undisputed 06/30/2026 1225560371 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.29 01/09/2025 Food and Beverage Undisputed 06/30/2026 1223077238 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $125.00 06/09/2025 Food and Beverage Undisputed 06/30/2026 1223077240 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $125.00 09/11/2025 Food and Beverage Undisputed 06/30/2026 1223077242 CMS
GlaxoSmithKline, LLC. $15.00 01/22/2025 Food and Beverage Undisputed 06/30/2026 1190732164 CMS
GlaxoSmithKline, LLC. $15.00 02/05/2025 Food and Beverage Undisputed 06/30/2026 1190744723 CMS
GlaxoSmithKline, LLC. $125.00 02/27/2025 Food and Beverage Undisputed 06/30/2026 1191449733 CMS
GlaxoSmithKline, LLC. $16.24 03/12/2025 Food and Beverage Undisputed 06/30/2026 1190636941 CMS
GlaxoSmithKline, LLC. $15.79 04/08/2025 Food and Beverage Undisputed 06/30/2026 1190815246 CMS
GlaxoSmithKline, LLC. $16.99 05/19/2025 Food and Beverage Undisputed 06/30/2026 1190692228 CMS
GlaxoSmithKline, LLC. $15.00 06/23/2025 Food and Beverage Undisputed 06/30/2026 1190679645 CMS
GlaxoSmithKline, LLC. $4.53 07/17/2025 Food and Beverage Undisputed 06/30/2026 1191818048 CMS
GlaxoSmithKline, LLC. $17.50 08/07/2025 Food and Beverage Undisputed 06/30/2026 1191733630 CMS
GlaxoSmithKline, LLC. $17.03 09/30/2025 Food and Beverage Undisputed 06/30/2026 1190408667 CMS
Lilly USA, LLC $18.46 04/01/2025 Food and Beverage Undisputed 06/30/2026 1186920570 CMS
Lilly USA, LLC $16.49 08/12/2025 Food and Beverage Undisputed 06/30/2026 1186871211 CMS
Novo Nordisk Inc $16.03 01/15/2025 Food and Beverage Undisputed 06/30/2026 1188808322 CMS
Novo Nordisk Inc $9.97 02/11/2025 Food and Beverage Undisputed 06/30/2026 1188771962 CMS
Novo Nordisk Inc $16.52 03/17/2025 Food and Beverage Undisputed 06/30/2026 1189114716 CMS
Novo Nordisk Inc $15.89 04/03/2025 Food and Beverage Undisputed 06/30/2026 1188995664 CMS
Novo Nordisk Inc $118.19 04/03/2025 Food and Beverage Undisputed 06/30/2026 1189112326 CMS
Novo Nordisk Inc $13.75 05/14/2025 Food and Beverage Undisputed 06/30/2026 1189009440 CMS
Novo Nordisk Inc $16.22 06/09/2025 Food and Beverage Undisputed 06/30/2026 1188763415 CMS
Novo Nordisk Inc $13.37 07/22/2025 Food and Beverage Undisputed 06/30/2026 1189069552 CMS
Novo Nordisk Inc $12.75 08/27/2025 Food and Beverage Undisputed 06/30/2026 1189057590 CMS
Novo Nordisk Inc $16.24 09/16/2025 Food and Beverage Undisputed 06/30/2026 1189086289 CMS
Novo Nordisk Inc $125.01 10/30/2025 Food and Beverage Undisputed 06/30/2026 1188289381 CMS
PFIZER INC. $17.33 02/24/2025 Food and Beverage Undisputed 06/30/2026 1231644003 CMS
PFIZER INC. $17.33 04/24/2025 Food and Beverage Undisputed 06/30/2026 1228991735 CMS
PFIZER INC. $17.06 06/03/2025 Food and Beverage Undisputed 06/30/2026 1228932731 CMS
PFIZER INC. $17.69 06/26/2025 Food and Beverage Undisputed 06/30/2026 1228813857 CMS
PFIZER INC. $16.88 08/13/2025 Food and Beverage Undisputed 06/30/2026 1229119278 CMS
PFIZER INC. $17.43 08/27/2025 Food and Beverage Undisputed 06/30/2026 1229124204 CMS
PFIZER INC. $17.18 10/07/2025 Food and Beverage Undisputed 06/30/2026 1229417289 CMS
PFIZER INC. $17.06 11/18/2025 Food and Beverage Undisputed 06/30/2026 1229902798 CMS
PFIZER INC. $17.06 12/16/2025 Food and Beverage Undisputed 06/30/2026 1229376596 CMS
Phathom Pharmaceuticals, Inc. $8.66 03/25/2025 Food and Beverage Undisputed 06/30/2026 1219307487 CMS
Phathom Pharmaceuticals, Inc. $9.69 04/17/2025 Food and Beverage Undisputed 06/30/2026 1219307529 CMS
Sumitomo Pharma America, Inc. $15.09 01/13/2025 Food and Beverage Undisputed 06/30/2026 1176661865 CMS
Sumitomo Pharma America, Inc. $18.13 05/21/2025 Food and Beverage Undisputed 06/30/2026 1176661867 CMS
Sumitomo Pharma America, Inc. $18.35 12/04/2025 Food and Beverage Undisputed 06/30/2026 1176661869 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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