Covered recipient · General Payments record
IRMA FRANCISCA RYMERS
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2024
$8,053.83
- Reported across 228 records
- CMS publication 2026-01-23
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 | $629.19 | 26 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $204.38 | 12 |
| DEXCOM, INC. | $175.88 | 3 |
| Lilly USA, LLC | $97.95 | 5 |
| Abbott Laboratories | $89.30 | 2 |
| Medtronic, Inc. | $61.68 | 4 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (26)
Sorted by paying entity, then date · as published by CMS
Program year 2024 202120222023
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 | $17.63 | 02/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1124889799 | CMS |
| Abbott Laboratories | $71.67 | 06/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1124889801 | CMS |
| Dexcom, Inc. | $105.62 | 02/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1153363498 | CMS |
| Dexcom, Inc. | $6.44 | 08/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1153363500 | CMS |
| Dexcom, Inc. | $63.82 | 11/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1153363502 | CMS |
| Lilly USA, LLC | $22.25 | 01/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135669148 | CMS |
| Lilly USA, LLC | $15.07 | 04/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135641558 | CMS |
| Lilly USA, LLC | $29.91 | 05/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135653501 | CMS |
| Lilly USA, LLC | $13.82 | 07/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135683333 | CMS |
| Lilly USA, LLC | $16.90 | 10/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135702531 | CMS |
| Medtronic, Inc. | $13.99 | 08/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1116915514 | CMS |
| Medtronic, Inc. | $15.85 | 09/11/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1116915516 | CMS |
| Medtronic, Inc. | $16.75 | 10/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1116915518 | CMS |
| Medtronic, Inc. | $15.09 | 11/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1116915520 | CMS |
| Novo Nordisk Inc | $13.27 | 02/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100580462 | CMS |
| Novo Nordisk Inc | $11.01 | 04/02/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100256078 | CMS |
| Novo Nordisk Inc | $19.38 | 04/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100639818 | CMS |
| Novo Nordisk Inc | $13.03 | 05/10/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100439921 | CMS |
| Novo Nordisk Inc | $12.59 | 06/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100572738 | CMS |
| Novo Nordisk Inc | $17.21 | 07/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100473355 | CMS |
| Novo Nordisk Inc | $22.62 | 08/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100328594 | CMS |
| Novo Nordisk Inc | $23.49 | 10/02/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100350896 | CMS |
| Novo Nordisk Inc | $21.15 | 10/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100509927 | CMS |
| Novo Nordisk Inc | $16.86 | 10/30/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100243671 | CMS |
| Novo Nordisk Inc | $20.07 | 11/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100288172 | CMS |
| Novo Nordisk Inc | $13.70 | 12/11/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100259407 | 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
- 2021, 2022, 2023, 2024
- 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.