Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

IRMA FRANCISCA RYMERS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1184859142
CMS profile
11098290
Location
STOCKTON, CA

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2021 · Entire year

$6,462.95

171 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2021 · entire year · sorted by reported total

By paying entity

PY2021 · entire year · sorted by reported total

Page 1 of 4; records 1–50 of 171 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

IRMA FRANCISCA RYMERS

NPI 1184859142 · CMS profile ID 11098290

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Family

STOCKTON, CA

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 4; records 1–50 of 171 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1184859142?year=2021&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
IRMA FRANCISCA RYMERS, NPI 1184859142, CMS profile ID 11098290. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 4; records 1–50 of 171 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1184859142?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
APA 7
IndustryPayments. (2026). IRMA FRANCISCA RYMERS, NPI 1184859142, CMS profile ID 11098290. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 4; records 1–50 of 171 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1184859142?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
Bluebook
IRMA FRANCISCA RYMERS, NPI 1184859142, CMS profile ID 11098290, IndustryPayments, General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 4; records 1–50 of 171 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202. https://industrypayments.org/provider/npi-1184859142?year=2021&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2021

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

171 matching records · $6,462.95 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 171 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 171.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Novo Nordisk Inc $3.4712/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811439473 CMS
Medtronic, Inc. $1,008.0012/21/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 815816983 CMS
Merck Sharp & Dohme Corporation $13.7712/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 848731509 CMS
DEXCOM, INC. $13.2312/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 845325775 CMS
Novo Nordisk Inc $5.0112/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810905791 CMS
Novo Nordisk Inc $22.2112/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810668633 CMS
Novo Nordisk Inc $23.6712/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811211643 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $9.9012/03/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410498 CMS
Corcept Therapeutics $15.9312/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 837528659 CMS
Novo Nordisk Inc $4.3711/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811439467 CMS
Lilly USA, LLC $5.1711/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818877041 CMS
Novo Nordisk Inc $18.9111/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810905787 CMS
Novo Nordisk Inc $3.0011/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811325837 CMS
Novo Nordisk Inc $7.5411/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810775745 CMS
Radius Health, Inc. $31.8711/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830737785 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.3311/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410500 CMS
Novo Nordisk Inc $24.4911/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811325831 CMS
Novo Nordisk Inc $15.4511/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810905777 CMS
Novo Nordisk Inc $0.3611/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810775741 CMS
Novo Nordisk Inc $10.4211/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810905769 CMS
Radius Health, Inc. $25.1911/03/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830737779 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.0111/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410502 CMS
Novo Nordisk Inc $9.7010/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811211639 CMS
DEXCOM, INC. $12.9710/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 845325773 CMS
Novo Nordisk Inc $17.6010/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811554069 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $8.3310/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410504 CMS
Novo Nordisk Inc $18.5710/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811062843 CMS
Lilly USA, LLC $5.9310/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 819252959 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.8910/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410506 CMS
Novo Nordisk Inc $18.1410/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811062837 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.0610/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410508 CMS
AbbVie Inc. $11.4310/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795390442 CMS
Abbott Laboratories $15.6010/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 815738175 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $10.8110/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410510 CMS
Novo Nordisk Inc $22.9710/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811439461 CMS
Novo Nordisk Inc $19.5310/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810668629 CMS
Xeris Pharmaceuticals, Inc. $25.4010/06/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 837467075 CMS
Novo Nordisk Inc $6.6110/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811325827 CMS
Becton, Dickinson and Company $25.4410/03/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 836115571 CMS
ASCEND Therapeutics US, LLC $22.4809/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 828481455 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.0609/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410512 CMS
Novo Nordisk Inc $6.3109/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810668625 CMS
Novo Nordisk Inc $8.6709/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811439455 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $5.7709/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410514 CMS
Medtronic, Inc. $200.0009/21/2021 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 815816755 CMS
Lilly USA, LLC $18.3809/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 819252953 CMS
Novo Nordisk Inc $5.5009/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811325821 CMS
Corcept Therapeutics $29.2309/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 837528627 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.9909/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763410516 CMS
ASCEND Therapeutics US, LLC $22.2309/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 828481239 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $6,462.95 171
PY2022 $736.60 18
PY2023 $225.09 13
PY2024 $629.19 26
PY2025 $761.63 26

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
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , PY2022 , 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.

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.