Covered recipient · General Payments record
GERMAN R ESQUIVEL-VANEGAS
Allopathic & Osteopathic Physicians Emergency Medicine
General Payments · PY2019–2025
$424.20
- Reported across 8 records
- CMS publication 2026-06-30
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
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.
- 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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $405.73 | 7 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Canon Medical Systems USA, Inc. | $200.64 | 1 |
| Lilly USA, LLC | $130.71 | 2 |
| Merck Sharp & Dohme Corporation | $31.09 | 1 |
| Otsuka America Pharmaceutical, Inc. | $17.67 | 1 |
| PFIZER INC. | $16.00 | 1 |
| Evofem Biosciences, Inc. | $9.62 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (7)
Ordering applied by this site (paying entity, then date) · record values are shown as CMS published them
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Canon Medical Systems USA, Inc. | $200.64 | 05/21/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1253467730 | CMS |
| Evofem Biosciences, Inc. | $9.62 | 07/18/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1253955951 | CMS |
| Lilly USA, LLC | $13.80 | 09/16/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1186606832 | CMS |
| Lilly USA, LLC | $116.91 | 10/27/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1186618892 | CMS |
| Merck Sharp & Dohme LLC | $31.09 | 07/11/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1238342674 | CMS |
| Otsuka America Pharmaceutical, Inc. | $17.67 | 12/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1227324578 | CMS |
| PFIZER INC. | $16.00 | 09/18/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1229232779 | CMS |
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
- 2019, 2025
- Source files
- Dataset page · Bulk file · PY2019 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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