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

ALEJANDRA PALMEROS IRVINE

Allopathic & Osteopathic Physicians Family Medicine

NPI
1154341915
CMS profile
794546
Location
SPRING, TX

General Payments · PY2019–2025

$574.61

  • Reported across 14 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$191.94

5 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $191.94 5

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $142.79 2
PY2023 $159.28 3
PY2024 $80.60 4
PY2025 $191.94 5

Payment records · PY2025 (5)

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

Program year 2025 201920232024 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
Astellas Pharma US Inc $26.71 08/07/2025 Food and Beverage Undisputed 06/30/2026 1238645105 CMS
Dexcom, Inc. $22.74 06/09/2025 Food and Beverage Undisputed 06/30/2026 1250466989 CMS
Lilly USA, LLC $15.83 06/25/2025 Food and Beverage Undisputed 06/30/2026 1186497961 CMS
Lilly USA, LLC $16.24 09/15/2025 Food and Beverage Undisputed 06/30/2026 1186497963 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $110.42 04/21/2025 Food and Beverage Undisputed 06/30/2026 1231786833 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, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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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