BRAM P RAPHAEL
Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Gastroenterology BOSTON, MA NPI 1194935692
Browse related groups: Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Gastroenterology MA Shire North American Group Inc All categories
General Payments — all program years on this page
$4,014.98
- Category: General Payments
- Program years: PY2019
- Record count: 8
- As of (CMS publication): 2026-01-23
Latest program year (PY2019): $4,014.98 across 8 records · disputed records: 0
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How this figure is 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
Latest program year (PY2019) · sorted by reported total.
| Nature of payment | Amount | Records |
|---|---|---|
| Consulting Fee | $3,500.00 | 1 |
| Food and Beverage | $276.13 | 5 |
| Travel and Lodging | $238.85 | 2 |
By paying entity
Latest program year (PY2019) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Shire North American Group Inc | $3,929.54 | 6 |
| Smith & Nephew, Inc. | $63.57 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $21.87 | 1 |
By program year
| Program year | Amount | Records |
|---|---|---|
| 2019 | $4,014.98 | 8 |
Records — PY2019 (8)
| Record ID | Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Source |
|---|---|---|---|---|---|---|---|
| 637901649 | Shire North American Group Inc | $188.85 | 02/17/2019 | Travel and Lodging | Undisputed | 01/23/2026 | View at CMS |
| 637901651 | Shire North American Group Inc | $62.02 | 02/17/2019 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 637901653 | Shire North American Group Inc | $112.00 | 02/17/2019 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 637901655 | Shire North American Group Inc | $16.67 | 02/17/2019 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 637901657 | Shire North American Group Inc | $3,500.00 | 04/09/2019 | Consulting Fee | Undisputed | 01/23/2026 | View at CMS |
| 637901659 | Shire North American Group Inc | $50.00 | 04/09/2019 | Travel and Lodging | Undisputed | 01/23/2026 | View at CMS |
| 681893475 | Takeda Pharmaceuticals U.S.A., Inc. | $21.87 | 10/18/2019 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 699368347 | Smith+Nephew, Inc. | $63.57 | 07/13/2019 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
Provenance & corrections
- Dataset: CMS Open Payments — General Payments
- Source: CMS Open Payments dataset (bulk file)
- Publisher of source data: Centers for Medicare & Medicaid Services
- Generated from: OP_DTL_GNRL_PGYR2019_P01232026_01102026.csv
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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.