Covered recipient · General Payments record

OTTO SHILL

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1225480411
CMS profile: 2346875
Location: SPOKANE, WA

General Payments · PY2018–2021

$1,906.29

Reported across 114 records
CMS publication 2026-01-23

Latest program year · PY2021

$1,118.36

66 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

PY2021 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,104.47	65
Education	$13.89	1

By paying entity

PY2021 · sorted by reported total

Paying entity	Amount	Records
Novo Nordisk AS	$374.12	21
Boehringer Ingelheim Pharmaceuticals, Inc.	$176.74	11
ABBVIE INC.	$150.05	12
Acerta Pharma LLC	$119.56	5
Amgen Inc.	$71.81	5
Lilly USA, LLC	$56.52	3
Biohaven Pharmaceuticals, Inc.	$31.70	2
DEXCOM, INC.	$24.25	1
Janssen Pharmaceuticals, Inc	$22.74	1
Abbott Laboratories	$21.81	1
EISAI INC.	$18.51	1
Medtronic, Inc.	$18.15	1
PFIZER INC.	$17.47	1
Merck Sharp & Dohme Corporation	$14.93	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$114.08	7
PY2019	$250.17	17
PY2020	$423.68	24
PY2021	$1,118.36	66

Payment records · PY2021 (66)

Sorted by paying entity, then date · as published by CMS

Program year 2021 2018 2019 2020 Record-level detail is published for PY2021; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Abbott Laboratories	$21.81	01/20/2021	Food and Beverage	Undisputed	01/23/2026	818398615	CMS
AbbVie Inc.	$6.67	01/21/2021	Food and Beverage	Undisputed	01/23/2026	796030267	CMS
AbbVie Inc.	$11.67	01/23/2021	Food and Beverage	Undisputed	01/23/2026	796030269	CMS
AbbVie Inc.	$15.11	06/24/2021	Food and Beverage	Undisputed	01/23/2026	796030271	CMS
AbbVie Inc.	$5.27	07/07/2021	Food and Beverage	Undisputed	01/23/2026	796030273	CMS
AbbVie Inc.	$4.16	07/12/2021	Food and Beverage	Undisputed	01/23/2026	796030275	CMS
AbbVie Inc.	$16.35	09/07/2021	Food and Beverage	Undisputed	01/23/2026	796030277	CMS
AbbVie Inc.	$10.00	09/14/2021	Food and Beverage	Undisputed	01/23/2026	796030279	CMS
AbbVie Inc.	$12.61	09/30/2021	Food and Beverage	Undisputed	01/23/2026	796030281	CMS
AbbVie Inc.	$5.76	10/07/2021	Food and Beverage	Undisputed	01/23/2026	796030283	CMS
AbbVie Inc.	$21.16	10/12/2021	Food and Beverage	Undisputed	01/23/2026	796030285	CMS
AbbVie Inc.	$17.30	11/17/2021	Food and Beverage	Undisputed	01/23/2026	796030287	CMS
AbbVie Inc.	$23.99	12/02/2021	Food and Beverage	Undisputed	01/23/2026	796030289	CMS
Amgen Inc.	$13.89	03/24/2021	Education	Undisputed	01/23/2026	826537485	CMS
Amgen Inc.	$16.72	07/21/2021	Food and Beverage	Undisputed	01/23/2026	825670655	CMS
Amgen Inc.	$11.34	10/18/2021	Food and Beverage	Undisputed	01/23/2026	825670647	CMS
Amgen Inc.	$17.02	11/02/2021	Food and Beverage	Undisputed	01/23/2026	826406205	CMS
Amgen Inc.	$12.84	11/10/2021	Food and Beverage	Undisputed	01/23/2026	825670651	CMS
AstraZeneca Pharmaceuticals LP	$11.55	08/24/2021	Food and Beverage	Undisputed	01/23/2026	829765221	CMS
AstraZeneca Pharmaceuticals LP	$14.79	09/01/2021	Food and Beverage	Undisputed	01/23/2026	829778097	CMS
AstraZeneca Pharmaceuticals LP	$32.19	09/17/2021	Food and Beverage	Undisputed	01/23/2026	830218563	CMS
AstraZeneca Pharmaceuticals LP	$45.94	10/25/2021	Food and Beverage	Undisputed	01/23/2026	829367719	CMS
AstraZeneca Pharmaceuticals LP	$15.09	10/27/2021	Food and Beverage	Undisputed	01/23/2026	829717935	CMS
Biohaven Pharmaceuticals, Inc.	$17.88	01/27/2021	Food and Beverage	Undisputed	01/23/2026	852623729	CMS
Biohaven Pharmaceuticals, Inc.	$13.82	08/11/2021	Food and Beverage	Undisputed	01/23/2026	852623733	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.11	02/03/2021	Food and Beverage	Undisputed	01/23/2026	763323580	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.71	02/10/2021	Food and Beverage	Undisputed	01/23/2026	763323578	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.50	05/14/2021	Food and Beverage	Undisputed	01/23/2026	763323576	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.32	06/17/2021	Food and Beverage	Undisputed	01/23/2026	763323574	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$7.67	07/13/2021	Food and Beverage	Undisputed	01/23/2026	763323572	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.89	08/26/2021	Food and Beverage	Undisputed	01/23/2026	763323570	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.90	09/14/2021	Food and Beverage	Undisputed	01/23/2026	763323568	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$4.59	10/05/2021	Food and Beverage	Undisputed	01/23/2026	763323566	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.39	10/19/2021	Food and Beverage	Undisputed	01/23/2026	763323564	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.63	10/26/2021	Food and Beverage	Undisputed	01/23/2026	763323562	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$24.03	12/06/2021	Food and Beverage	Undisputed	01/23/2026	763323560	CMS
DEXCOM, INC.	$24.25	11/11/2021	Food and Beverage	Undisputed	01/23/2026	845298381	CMS
Eisai Inc.	$18.51	12/07/2021	Food and Beverage	Undisputed	01/23/2026	818045645	CMS
Janssen Pharmaceuticals, Inc	$22.74	06/17/2021	Food and Beverage	Undisputed	01/23/2026	788012687	CMS
Lilly USA, LLC	$20.77	01/21/2021	Food and Beverage	Undisputed	01/23/2026	818673631	CMS
Lilly USA, LLC	$17.59	08/13/2021	Food and Beverage	Undisputed	01/23/2026	818718125	CMS
Lilly USA, LLC	$18.16	10/01/2021	Food and Beverage	Undisputed	01/23/2026	818722461	CMS
Medtronic, Inc.	$18.15	08/24/2021	Food and Beverage	Undisputed	01/23/2026	827189839	CMS
Merck Sharp & Dohme Corporation	$14.93	11/04/2021	Food and Beverage	Undisputed	01/23/2026	848727365	CMS
Novo Nordisk Inc	$14.17	01/13/2021	Food and Beverage	Undisputed	01/23/2026	811051089	CMS
Novo Nordisk Inc	$16.12	01/28/2021	Food and Beverage	Undisputed	01/23/2026	811051097	CMS
Novo Nordisk Inc	$16.90	05/21/2021	Food and Beverage	Undisputed	01/23/2026	811091181	CMS
Novo Nordisk Inc	$42.87	06/10/2021	Food and Beverage	Undisputed	01/23/2026	811051103	CMS
Novo Nordisk Inc	$18.13	08/17/2021	Food and Beverage	Undisputed	01/23/2026	811169399	CMS
Novo Nordisk Inc	$9.06	08/26/2021	Food and Beverage	Undisputed	01/23/2026	811130025	CMS
Novo Nordisk Inc	$12.96	09/02/2021	Food and Beverage	Undisputed	01/23/2026	810894017	CMS
Novo Nordisk Inc	$25.00	09/02/2021	Food and Beverage	Undisputed	01/23/2026	811051353	CMS
Novo Nordisk Inc	$18.77	09/07/2021	Food and Beverage	Undisputed	01/23/2026	811130217	CMS
Novo Nordisk Inc	$10.77	09/17/2021	Food and Beverage	Undisputed	01/23/2026	811169661	CMS
Novo Nordisk Inc	$24.22	09/23/2021	Food and Beverage	Undisputed	01/23/2026	811169667	CMS
Novo Nordisk Inc	$23.13	09/27/2021	Food and Beverage	Undisputed	01/23/2026	811051361	CMS
Novo Nordisk Inc	$21.58	10/01/2021	Food and Beverage	Undisputed	01/23/2026	811051367	CMS
Novo Nordisk Inc	$12.24	10/04/2021	Food and Beverage	Undisputed	01/23/2026	811012139	CMS
Novo Nordisk Inc	$24.53	10/19/2021	Food and Beverage	Undisputed	01/23/2026	811051375	CMS
Novo Nordisk Inc	$20.09	10/30/2021	Food and Beverage	Undisputed	01/23/2026	811012147	CMS
Novo Nordisk Inc	$3.03	11/05/2021	Food and Beverage	Undisputed	01/23/2026	811169675	CMS
Novo Nordisk Inc	$17.29	11/08/2021	Food and Beverage	Undisputed	01/23/2026	811051381	CMS
Novo Nordisk Inc	$17.87	11/17/2021	Food and Beverage	Undisputed	01/23/2026	810973679	CMS
Novo Nordisk Inc	$4.76	11/17/2021	Food and Beverage	Undisputed	01/23/2026	811051389	CMS
Novo Nordisk Inc	$20.63	12/04/2021	Food and Beverage	Undisputed	01/23/2026	810894025	CMS
PFIZER INC.	$17.47	10/14/2021	Food and Beverage	Undisputed	01/23/2026	833567337	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
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021
Generated from: OP_DTL_GNRL_PGYR2021_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.