Covered recipient · General Payments record

ROY T AVALOS

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI: 1154399632
CMS profile: 279590
Location: ENCINITAS, CA

General Payments · PY2018–2024

$16,762.28

Reported across 636 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,160.86

83 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	$3,160.86	83

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Inari Medical, Inc.	$419.42	7
Penumbra, Inc.	$307.06	2
Amgen Inc.	$289.25	5
Medtronic, Inc.	$203.03	3
Merck Sharp & Dohme Corporation	$183.71	7
Novo Nordisk AS	$162.20	3
NOVARTIS PHARMACEUTICALS CORPORATION	$157.04	8
HEARTFLOW, INC.	$153.91	4
Acerta Pharma LLC	$147.27	3
Esperion Therapeutics, Inc.	$141.35	6
iRhythm Technologies, Inc.	$119.90	1
PFIZER INC.	$113.73	3
Kestra Medical Technology Services, Inc.	$112.48	1
ABIOMED	$103.79	4
CVRx Inc.	$80.91	7
E.R. Squibb & Sons, L.L.C.	$74.49	3
Actelion Pharmaceuticals US, Inc.	$73.22	2
Lexicon Pharmaceuticals, Inc.	$72.92	3
SANOFI-AVENTIS U.S. LLC	$60.08	2
Kiniksa Pharmaceuticals International, plc	$44.76	2
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$43.64	2
Janssen Pharmaceuticals, Inc	$43.55	2
Abbott Laboratories	$31.27	2
BOSTON SCIENTIFIC CORPORATION	$21.88	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,334.89	128
PY2019	$3,600.23	141
PY2020	$737.09	36
PY2021	$936.21	43
PY2022	$3,204.45	117
PY2023	$2,788.55	88
PY2024	$3,160.86	83

Payment records · PY2024 (83)

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	$13.81	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1124871818	CMS
Abbott Laboratories	$17.46	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1124871816	CMS
ABIOMED	$15.01	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1142252725	CMS
ABIOMED	$32.86	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1142252747	CMS
ABIOMED	$28.75	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1142252793	CMS
ABIOMED	$27.17	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1142252841	CMS
Actelion Pharmaceuticals US, Inc.	$36.90	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1078867858	CMS
Actelion Pharmaceuticals US, Inc.	$36.32	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1078867894	CMS
Amgen Inc.	$118.81	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1115432423	CMS
Amgen Inc.	$19.68	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1115432419	CMS
Amgen Inc.	$26.34	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1115432427	CMS
Amgen Inc.	$22.77	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1115432433	CMS
Amgen Inc.	$101.65	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1115432437	CMS
AstraZeneca Pharmaceuticals LP	$111.78	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1105829495	CMS
AstraZeneca Pharmaceuticals LP	$14.99	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1104230897	CMS
AstraZeneca Pharmaceuticals LP	$20.50	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1104516638	CMS
Boston Scientific Corporation	$21.88	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1092708602	CMS
CVRx, Inc.	$13.50	01/01/2024	Food and Beverage	Undisputed	01/23/2026	1126034758	CMS
CVRx, Inc.	$8.88	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1126034760	CMS
CVRx, Inc.	$12.91	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1126034762	CMS
CVRx, Inc.	$13.77	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1126034764	CMS
CVRx, Inc.	$9.13	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1126034766	CMS
CVRx, Inc.	$9.14	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1126034768	CMS
CVRx, Inc.	$13.58	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1126034770	CMS
E.R. Squibb & Sons, L.L.C.	$20.57	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1101288436	CMS
E.R. Squibb & Sons, L.L.C.	$28.17	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1101288448	CMS
E.R. Squibb & Sons, L.L.C.	$25.75	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1101288462	CMS
Esperion Therapeutics, Inc.	$16.30	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1129426682	CMS
Esperion Therapeutics, Inc.	$96.98	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1129426684	CMS
Esperion Therapeutics, Inc.	$1.29	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1129426686	CMS
Esperion Therapeutics, Inc.	$4.42	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1129426688	CMS
Esperion Therapeutics, Inc.	$16.24	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1129426690	CMS
Esperion Therapeutics, Inc.	$6.12	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1129426692	CMS
HEARTFLOW, INC.	$37.87	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1154170364	CMS
HEARTFLOW, INC.	$36.77	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1154170368	CMS
HEARTFLOW, INC.	$37.39	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1154170360	CMS
HEARTFLOW, INC.	$41.88	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1154170362	CMS
Inari Medical, Inc.	$31.09	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1140059236	CMS
Inari Medical, Inc.	$24.49	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1140059238	CMS
Inari Medical, Inc.	$121.73	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1140059240	CMS
Inari Medical, Inc.	$33.06	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1140059242	CMS
Inari Medical, Inc.	$31.51	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1140059244	CMS
Inari Medical, Inc.	$132.98	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1140059246	CMS
Inari Medical, Inc.	$44.56	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1140059248	CMS
iRhythm Technologies, Inc.	$119.90	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1154040931	CMS
Janssen Pharmaceuticals, Inc	$24.18	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1077923413	CMS
Janssen Pharmaceuticals, Inc	$19.37	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1077923415	CMS
Kestra Medical Technology Services, Inc.	$112.48	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1152375737	CMS
Kiniksa Pharmaceuticals International, plc	$22.30	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1154875332	CMS
Kiniksa Pharmaceuticals International, plc	$22.46	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1154875364	CMS
Lexicon Pharmaceuticals, Inc.	$25.96	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1081732561	CMS
Lexicon Pharmaceuticals, Inc.	$24.71	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1081732559	CMS
Lexicon Pharmaceuticals, Inc.	$22.25	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1081732557	CMS
Medtronic, Inc.	$48.86	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1117087408	CMS
Medtronic, Inc.	$144.82	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1117087410	CMS
Medtronic, Inc.	$9.35	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1121139184	CMS
Merck Sharp & Dohme LLC	$21.84	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1141568278	CMS
Merck Sharp & Dohme LLC	$18.37	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1141568284	CMS
Merck Sharp & Dohme LLC	$34.62	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1141909454	CMS
Merck Sharp & Dohme LLC	$29.43	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1141909452	CMS
Merck Sharp & Dohme LLC	$22.08	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1141568282	CMS
Merck Sharp & Dohme LLC	$24.49	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1141568280	CMS
Merck Sharp & Dohme LLC	$32.88	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1141825788	CMS
Novartis Pharmaceuticals Corporation	$18.48	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1086704053	CMS
Novartis Pharmaceuticals Corporation	$29.78	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1086704055	CMS
Novartis Pharmaceuticals Corporation	$18.64	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1086704057	CMS
Novartis Pharmaceuticals Corporation	$10.36	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1086704059	CMS
Novartis Pharmaceuticals Corporation	$26.90	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1086704063	CMS
Novartis Pharmaceuticals Corporation	$13.36	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1086704061	CMS
Novartis Pharmaceuticals Corporation	$18.20	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1086704067	CMS
Novartis Pharmaceuticals Corporation	$21.32	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1086704071	CMS
Novo Nordisk Inc	$23.10	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1097819332	CMS
Novo Nordisk Inc	$112.82	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1096585187	CMS
Novo Nordisk Inc	$26.28	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1096925632	CMS
Penumbra, Inc.	$146.67	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1076205400	CMS
Penumbra, Inc.	$160.39	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1076205402	CMS
PFIZER INC.	$63.24	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1131507425	CMS
PFIZER INC.	$23.12	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1131951166	CMS
PFIZER INC.	$27.37	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1132074881	CMS
SANOFI-AVENTIS U.S. LLC	$27.97	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1139685697	CMS
SANOFI-AVENTIS U.S. LLC	$32.11	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1139685713	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$15.45	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1080690410	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$28.19	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1080690434	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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