Covered recipient · General Payments record

TARA RALPH

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1184048795
CMS profile: 368378
Location: MURFREESBORO, TN

General Payments · PY2018–2024

$6,871.36

Reported across 449 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,922.89

109 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	$1,922.89	109

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$361.41	20
Novo Nordisk AS	$309.66	21
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$215.31	12
Otsuka America Pharmaceutical, Inc.	$146.85	9
Boehringer Ingelheim Pharmaceuticals, Inc.	$131.46	9
Astellas Pharma US Inc	$80.36	4
SHIELD THERAPEUTICS INC	$74.43	2
Amgen Inc.	$71.13	4
Bayer HealthCare Pharmaceuticals Inc.	$70.35	4
Lundbeck LLC	$62.13	3
Lilly USA, LLC	$61.85	4
Inspire Medical Systems, Inc.	$58.02	2
Antares Pharma, Inc.	$53.13	3
Exact Sciences Corporation	$44.40	3
Dynavax Technologies Corporation	$36.38	2
GlaxoSmithKline, LLC.	$32.49	2
Amneal Pharmaceuticals LLC	$25.24	1
SANOFI-AVENTIS U.S. LLC	$24.08	1
Esperion Therapeutics, Inc.	$21.88	1
Takeda Pharmaceuticals U.S.A., Inc.	$21.36	1
PFIZER INC.	$20.97	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$381.31	26
PY2019	$794.57	53
PY2020	$379.68	30
PY2021	$783.11	57
PY2022	$838.66	56
PY2023	$1,771.14	118
PY2024	$1,922.89	109

Payment records · PY2024 (109)

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
ABBVIE INC.	$11.65	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1105360425	CMS
ABBVIE INC.	$9.78	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1105360430	CMS
ABBVIE INC.	$15.15	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1105360434	CMS
ABBVIE INC.	$22.25	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1105360438	CMS
ABBVIE INC.	$21.38	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1105360442	CMS
ABBVIE INC.	$26.07	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1105360446	CMS
ABBVIE INC.	$27.05	03/09/2024	Food and Beverage	Undisputed	01/23/2026	1105360450	CMS
ABBVIE INC.	$5.37	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1105360454	CMS
ABBVIE INC.	$22.77	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1105360458	CMS
ABBVIE INC.	$17.14	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1105360462	CMS
ABBVIE INC.	$26.72	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1105360466	CMS
ABBVIE INC.	$20.22	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1105360470	CMS
ABBVIE INC.	$7.91	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1105360474	CMS
ABBVIE INC.	$21.25	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1105360478	CMS
ABBVIE INC.	$21.92	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1105360482	CMS
ABBVIE INC.	$18.04	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1105360486	CMS
ABBVIE INC.	$20.20	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1105360490	CMS
ABBVIE INC.	$17.06	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1105360494	CMS
ABBVIE INC.	$22.41	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1105360498	CMS
ABBVIE INC.	$7.07	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1105360502	CMS
Amgen Inc.	$14.93	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1117661703	CMS
Amgen Inc.	$15.80	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1117661705	CMS
Amgen Inc.	$20.45	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1116039683	CMS
Amgen Inc.	$19.95	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1117661707	CMS
Amneal Pharmaceuticals LLC	$25.24	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1139198988	CMS
Antares Pharma, Inc.	$18.48	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1146480524	CMS
Antares Pharma, Inc.	$20.14	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1146480528	CMS
Antares Pharma, Inc.	$14.51	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1146480532	CMS
Astellas Pharma US Inc	$19.44	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1139394325	CMS
Astellas Pharma US Inc	$23.14	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1139389858	CMS
Astellas Pharma US Inc	$16.21	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1139426636	CMS
Astellas Pharma US Inc	$21.57	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1139439760	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.93	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1086117044	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.04	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1086268463	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.31	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1086108586	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.07	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1086243450	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$5.96	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1117904997	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.05	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1117905009	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.74	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1117905005	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.28	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1117905001	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.16	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1117905011	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.22	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1117905007	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.28	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1117905013	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$7.38	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1117904999	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.39	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1117905003	CMS
Dynavax Technologies Corporation	$21.27	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1082151389	CMS
Dynavax Technologies Corporation	$15.11	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1082152321	CMS
Esperion Therapeutics, Inc.	$21.88	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1129451754	CMS
Exact Sciences Corporation	$14.66	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1114846016	CMS
Exact Sciences Corporation	$14.26	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1114846022	CMS
Exact Sciences Corporation	$15.48	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1114846028	CMS
GlaxoSmithKline, LLC.	$15.06	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1116584849	CMS
GlaxoSmithKline, LLC.	$17.43	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1116157362	CMS
Inspire Medical Systems, Inc.	$39.36	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1148099141	CMS
Inspire Medical Systems, Inc.	$18.66	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1148099146	CMS
Lilly USA, LLC	$13.22	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1135436959	CMS
Lilly USA, LLC	$13.15	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1135460218	CMS
Lilly USA, LLC	$15.59	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1135425651	CMS
Lilly USA, LLC	$19.89	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1135435991	CMS
Lundbeck LLC	$19.77	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1145959226	CMS
Lundbeck LLC	$20.00	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1145959228	CMS
Lundbeck LLC	$22.36	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1145959230	CMS
Novo Nordisk Inc	$18.20	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1097367444	CMS
Novo Nordisk Inc	$24.52	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1097027175	CMS
Novo Nordisk Inc	$5.94	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1097409979	CMS
Novo Nordisk Inc	$17.86	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1096933649	CMS
Novo Nordisk Inc	$16.08	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1096588735	CMS
Novo Nordisk Inc	$16.91	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1097805072	CMS
Novo Nordisk Inc	$18.23	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1096879699	CMS
Novo Nordisk Inc	$22.55	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1096908817	CMS
Novo Nordisk Inc	$17.67	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1096846232	CMS
Novo Nordisk Inc	$17.25	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1097483359	CMS
Novo Nordisk Inc	$18.86	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1096610996	CMS
Novo Nordisk Inc	$3.31	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1096854852	CMS
Novo Nordisk Inc	$9.49	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1096932313	CMS
Novo Nordisk Inc	$16.37	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1097490283	CMS
Novo Nordisk Inc	$14.46	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1097232185	CMS
Novo Nordisk Inc	$1.57	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1097035147	CMS
Novo Nordisk Inc	$3.00	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1097822732	CMS
Novo Nordisk Inc	$18.37	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1097083001	CMS
Novo Nordisk Inc	$18.38	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1097452660	CMS
Novo Nordisk Inc	$14.58	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1096833369	CMS
Novo Nordisk Inc	$16.06	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1097065768	CMS
Otsuka America Pharmaceutical, Inc.	$2.78	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1118966199	CMS
Otsuka America Pharmaceutical, Inc.	$18.58	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1118966201	CMS
Otsuka America Pharmaceutical, Inc.	$24.20	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1118966203	CMS
Otsuka America Pharmaceutical, Inc.	$3.72	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1118966205	CMS
Otsuka America Pharmaceutical, Inc.	$28.77	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1118966207	CMS
Otsuka America Pharmaceutical, Inc.	$22.21	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1118966209	CMS
Otsuka America Pharmaceutical, Inc.	$2.58	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1118966211	CMS
Otsuka America Pharmaceutical, Inc.	$24.83	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1118966213	CMS
Otsuka America Pharmaceutical, Inc.	$19.18	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1118966215	CMS
PFIZER INC.	$20.97	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1130987925	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.11	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1153591396	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$23.60	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1153453425	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.18	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1153624975	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$1.14	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1153566788	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.05	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1153583935	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$24.10	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1153469427	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$1.14	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1153550840	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.49	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1153747097	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.59	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1153570566	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.37	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1153539374	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$23.43	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1153469451	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.11	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1153477988	CMS
SANOFI-AVENTIS U.S. LLC	$24.08	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1139813703	CMS
SHIELD THERAPEUTICS INC	$21.19	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1150131975	CMS
SHIELD THERAPEUTICS INC	$53.24	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1150139105	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.36	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1137658580	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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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.