Covered recipient · General Payments record

CARL E DUKES

Allopathic & Osteopathic Physicians Internal Medicine Nephrology

NPI: 1154334464
CMS profile: 323948
Location: SAN ANTONIO, TX

General Payments · PY2018–2024

$273,074.43

Reported across 1,003 records
CMS publication 2026-01-23

Latest program year · PY2024

$11,182.29

131 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
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$6,100.00	4
Food and Beverage	$4,395.14	119
Travel and Lodging	$619.59	4
Education	$67.56	4

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$7,580.74	25
Retrophin, Inc.	$474.67	13
Amgen Inc.	$421.21	11
Bayer HealthCare Pharmaceuticals Inc.	$405.48	16
OPKO Pharmaceuticals, LLC	$342.47	18
Novo Nordisk AS	$290.44	5
Lilly USA, LLC	$237.37	6
CorMedix Inc.	$215.70	3
Ardelyx, Inc.	$211.39	4
Relypsa, Inc.	$173.55	3
NOVARTIS PHARMACEUTICALS CORPORATION	$152.17	7
CALLIDITAS THERAPEUTICS US INC.	$145.35	2
Abbott Laboratories	$124.05	1
Otsuka America Pharmaceutical, Inc.	$101.46	4
MannKind Corporation	$99.95	5
AKEBIA THERAPEUTICS INC	$87.31	3
Fresenius USA Marketing, Inc.	$40.87	2
ANI Pharmaceuticals, Inc.	$29.74	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.22	1
DEXCOM, INC.	$22.15	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$52,540.76	131
PY2019	$60,070.96	173
PY2020	$18,404.54	86
PY2021	$37,736.64	137
PY2022	$48,277.13	166
PY2023	$44,862.11	179
PY2024	$11,182.29	131

Payment records · PY2024 (131)

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

Program year 2024 2018 2019 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
Abbott Laboratories	$124.05	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1124870760	CMS
AKEBIA THERAPEUTICS INC	$18.40	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1145828426	CMS
AKEBIA THERAPEUTICS INC	$17.26	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1145829582	CMS
AKEBIA THERAPEUTICS INC	$51.65	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1145830863	CMS
Amgen Inc.	$26.48	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1111566493	CMS
Amgen Inc.	$12.60	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1111566485	CMS
Amgen Inc.	$125.00	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1111566487	CMS
Amgen Inc.	$86.10	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1117242720	CMS
Amgen Inc.	$27.37	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1111566495	CMS
Amgen Inc.	$36.13	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1117242722	CMS
Amgen Inc.	$28.25	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1111566497	CMS
Amgen Inc.	$18.75	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1117242716	CMS
Amgen Inc.	$9.80	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1117242718	CMS
Amgen Inc.	$23.90	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1111566489	CMS
Amgen Inc.	$26.83	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1111566491	CMS
ANI Pharmaceuticals, Inc.	$29.74	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1091134135	CMS
Ardelyx, Inc.	$57.27	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1146678813	CMS
Ardelyx, Inc.	$21.55	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1146678815	CMS
Ardelyx, Inc.	$121.47	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1146678817	CMS
Ardelyx, Inc.	$11.10	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1146678819	CMS
AstraZeneca Pharmaceuticals LP	$15.07	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1110535040	CMS
AstraZeneca Pharmaceuticals LP	$11.39	02/07/2024	Travel and Lodging	Undisputed	01/23/2026	1110532477	CMS
AstraZeneca Pharmaceuticals LP	$109.01	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1110554250	CMS
AstraZeneca Pharmaceuticals LP	$1,600.00	02/12/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1110539563	CMS
AstraZeneca Pharmaceuticals LP	$124.00	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1110534346	CMS
AstraZeneca Pharmaceuticals LP	$18.97	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1110537601	CMS
AstraZeneca Pharmaceuticals LP	$100.00	03/26/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1110536800	CMS
AstraZeneca Pharmaceuticals LP	$16.53	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1110554972	CMS
AstraZeneca Pharmaceuticals LP	$48.49	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1110547186	CMS
AstraZeneca Pharmaceuticals LP	$14.97	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1110545423	CMS
AstraZeneca Pharmaceuticals LP	$24.36	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1110533358	CMS
AstraZeneca Pharmaceuticals LP	$18.48	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1110547990	CMS
AstraZeneca Pharmaceuticals LP	$34.75	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1110537206	CMS
AstraZeneca Pharmaceuticals LP	$560.57	08/22/2024	Travel and Lodging	Undisputed	01/23/2026	1110532001	CMS
AstraZeneca Pharmaceuticals LP	$35.36	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1110536776	CMS
AstraZeneca Pharmaceuticals LP	$28.70	08/22/2024	Travel and Lodging	Undisputed	01/23/2026	1110543319	CMS
AstraZeneca Pharmaceuticals LP	$23.64	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1110544241	CMS
AstraZeneca Pharmaceuticals LP	$5.40	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1110546147	CMS
AstraZeneca Pharmaceuticals LP	$18.93	08/22/2024	Travel and Lodging	Undisputed	01/23/2026	1110546709	CMS
AstraZeneca Pharmaceuticals LP	$123.35	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1110552866	CMS
AstraZeneca Pharmaceuticals LP	$1,200.00	08/23/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1110549224	CMS
AstraZeneca Pharmaceuticals LP	$3,200.00	09/04/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1110533092	CMS
AstraZeneca Pharmaceuticals LP	$120.56	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1110537222	CMS
AstraZeneca Pharmaceuticals LP	$101.51	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1110554148	CMS
AstraZeneca Pharmaceuticals LP	$26.70	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1110537114	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.19	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1086178608	CMS
Bayer Healthcare Pharmaceuticals Inc.	$28.36	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1086150845	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.49	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1086228302	CMS
Bayer Healthcare Pharmaceuticals Inc.	$25.89	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1086202941	CMS
Bayer Healthcare Pharmaceuticals Inc.	$2.91	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1086086589	CMS
Bayer Healthcare Pharmaceuticals Inc.	$27.83	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1086139311	CMS
Bayer Healthcare Pharmaceuticals Inc.	$124.99	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1086224264	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.10	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1086215789	CMS
Bayer Healthcare Pharmaceuticals Inc.	$28.80	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1086253560	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.49	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1086194318	CMS
Bayer Healthcare Pharmaceuticals Inc.	$6.13	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1086084273	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.42	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1086166116	CMS
Bayer Healthcare Pharmaceuticals Inc.	$6.55	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1086083599	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.29	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1086256522	CMS
Bayer Healthcare Pharmaceuticals Inc.	$12.45	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1086089973	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.59	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1086250792	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.22	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1117893175	CMS
CALLIDITAS THERAPEUTICS US INC.	$109.01	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1141526974	CMS
CALLIDITAS THERAPEUTICS US INC.	$36.34	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1141527390	CMS
CorMedix Inc.	$26.71	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1082023989	CMS
CorMedix Inc.	$145.18	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1082023999	CMS
CorMedix Inc.	$43.81	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1082023994	CMS
Dexcom, Inc.	$22.15	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1153289981	CMS
Fresenius USA Marketing, Inc.	$23.60	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1154204692	CMS
Fresenius USA Marketing, Inc.	$17.27	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1154204690	CMS
Lilly USA, LLC	$16.05	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1136034436	CMS
Lilly USA, LLC	$33.39	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1136084298	CMS
Lilly USA, LLC	$23.90	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1136080722	CMS
Lilly USA, LLC	$32.46	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1136087694	CMS
Lilly USA, LLC	$9.50	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1136080724	CMS
Lilly USA, LLC	$122.07	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1136034434	CMS
Mannkind Corporation	$17.67	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1145841497	CMS
Mannkind Corporation	$22.37	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1145841499	CMS
Mannkind Corporation	$20.89	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1145841501	CMS
Mannkind Corporation	$20.11	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1145841503	CMS
Mannkind Corporation	$18.91	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1145841505	CMS
Novartis Pharmaceuticals Corporation	$13.83	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1086938201	CMS
Novartis Pharmaceuticals Corporation	$24.31	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1086938203	CMS
Novartis Pharmaceuticals Corporation	$18.39	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1086938207	CMS
Novartis Pharmaceuticals Corporation	$20.48	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1086938213	CMS
Novartis Pharmaceuticals Corporation	$30.40	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1086938215	CMS
Novartis Pharmaceuticals Corporation	$32.60	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1086938219	CMS
Novartis Pharmaceuticals Corporation	$12.16	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1086938223	CMS
Novo Nordisk Inc	$117.12	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1096845137	CMS
Novo Nordisk Inc	$8.01	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1097698478	CMS
Novo Nordisk Inc	$125.00	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1096682511	CMS
Novo Nordisk Inc	$19.52	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1096809829	CMS
Novo Nordisk Inc	$20.79	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1096901729	CMS
OPKO Pharmaceuticals, LLC	$6.86	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1112844184	CMS
OPKO Pharmaceuticals, LLC	$19.30	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1112844186	CMS
OPKO Pharmaceuticals, LLC	$7.18	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1112844188	CMS
OPKO Pharmaceuticals, LLC	$20.97	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1112844190	CMS
OPKO Pharmaceuticals, LLC	$6.15	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1112844192	CMS
OPKO Pharmaceuticals, LLC	$11.98	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1112844194	CMS
OPKO Pharmaceuticals, LLC	$16.17	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1112844196	CMS
OPKO Pharmaceuticals, LLC	$124.99	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1112844198	CMS
OPKO Pharmaceuticals, LLC	$9.99	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1112844200	CMS
OPKO Pharmaceuticals, LLC	$16.29	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1112844202	CMS
OPKO Pharmaceuticals, LLC	$4.74	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1112844204	CMS
OPKO Pharmaceuticals, LLC	$9.58	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1112844206	CMS
OPKO Pharmaceuticals, LLC	$6.21	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1112844208	CMS
OPKO Pharmaceuticals, LLC	$5.52	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1112844210	CMS
OPKO Pharmaceuticals, LLC	$12.19	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1112844212	CMS
OPKO Pharmaceuticals, LLC	$53.25	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1112844214	CMS
OPKO Pharmaceuticals, LLC	$5.57	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1112844216	CMS
OPKO Pharmaceuticals, LLC	$5.53	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1112844218	CMS
Otsuka America Pharmaceutical, Inc.	$21.95	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1118887031	CMS
Otsuka America Pharmaceutical, Inc.	$24.95	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1118887033	CMS
Otsuka America Pharmaceutical, Inc.	$25.14	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1118887035	CMS
Otsuka America Pharmaceutical, Inc.	$29.42	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1118887037	CMS
Travere Therapeutics, Inc.	$16.89	02/22/2024	Education	Undisputed	01/23/2026	1149942946	CMS
Travere Therapeutics, Inc.	$16.89	02/22/2024	Education	Undisputed	01/23/2026	1149942950	CMS
Travere Therapeutics, Inc.	$19.57	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1149942962	CMS
Travere Therapeutics, Inc.	$16.89	03/27/2024	Education	Undisputed	01/23/2026	1149942954	CMS
Travere Therapeutics, Inc.	$16.89	03/27/2024	Education	Undisputed	01/23/2026	1149942958	CMS
Travere Therapeutics, Inc.	$23.39	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1149942978	CMS
Travere Therapeutics, Inc.	$21.52	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1149942966	CMS
Travere Therapeutics, Inc.	$22.18	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1149942970	CMS
Travere Therapeutics, Inc.	$22.18	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1149942975	CMS
Travere Therapeutics, Inc.	$124.99	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1149942994	CMS
Travere Therapeutics, Inc.	$23.66	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1149942982	CMS
Travere Therapeutics, Inc.	$124.77	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1149942990	CMS
Travere Therapeutics, Inc.	$24.85	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1149942987	CMS
Vifor Pharma, Inc.	$18.54	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1124046440	CMS
Vifor Pharma, Inc.	$124.98	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1124058368	CMS
Vifor Pharma, Inc.	$30.03	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1124055034	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, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , 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.