Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RALPH L KRAMER

Allopathic & Osteopathic Physicians Family Medicine

NPI
1235136920
CMS profile
146238
Location
STUART, VA

General Payments · PY2018–2022

$3,726.57

  • Reported across 266 records
  • CMS publication 2026-01-23

Latest program year · PY2022

$522.53

38 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

PY2022 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $522.53 38

By paying entity

PY2022 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $845.08 69
PY2019 $524.13 36
PY2020 $790.30 53
PY2021 $1,044.53 70
PY2022 $522.53 38

Payment records · PY2022 (38)

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

Program year 2022 2018201920202021 Record-level detail is published for PY2022; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $22.26 04/27/2022 Food and Beverage Undisputed 01/23/2026 914164611 CMS
ABBVIE INC. $9.79 01/04/2022 Food and Beverage Undisputed 01/23/2026 893104423 CMS
ABBVIE INC. $1.34 01/11/2022 Food and Beverage Undisputed 01/23/2026 893104425 CMS
ABBVIE INC. $20.66 01/13/2022 Food and Beverage Undisputed 01/23/2026 893104427 CMS
ABBVIE INC. $11.56 01/13/2022 Food and Beverage Undisputed 01/23/2026 893104429 CMS
ABBVIE INC. $10.33 02/07/2022 Food and Beverage Undisputed 01/23/2026 893104431 CMS
ABBVIE INC. $9.60 02/09/2022 Food and Beverage Undisputed 01/23/2026 893104433 CMS
ABBVIE INC. $15.07 02/28/2022 Food and Beverage Undisputed 01/23/2026 893104435 CMS
ABBVIE INC. $14.45 03/01/2022 Food and Beverage Undisputed 01/23/2026 893104437 CMS
ABBVIE INC. $9.14 03/09/2022 Food and Beverage Undisputed 01/23/2026 893104439 CMS
ABBVIE INC. $20.26 03/17/2022 Food and Beverage Undisputed 01/23/2026 893104441 CMS
ABBVIE INC. $1.32 03/22/2022 Food and Beverage Undisputed 01/23/2026 893104443 CMS
ABBVIE INC. $2.48 03/23/2022 Food and Beverage Undisputed 01/23/2026 893104445 CMS
ABBVIE INC. $11.31 03/30/2022 Food and Beverage Undisputed 01/23/2026 893104447 CMS
ABBVIE INC. $9.99 04/26/2022 Food and Beverage Undisputed 01/23/2026 893104449 CMS
ABBVIE INC. $3.44 05/25/2022 Food and Beverage Undisputed 01/23/2026 893104451 CMS
ABBVIE INC. $2.25 06/13/2022 Food and Beverage Undisputed 01/23/2026 893104453 CMS
Amgen Inc. $20.48 01/25/2022 Food and Beverage Undisputed 01/23/2026 939254277 CMS
AstraZeneca Pharmaceuticals LP $13.76 02/18/2022 Food and Beverage Undisputed 01/23/2026 915776477 CMS
AstraZeneca Pharmaceuticals LP $13.23 03/09/2022 Food and Beverage Undisputed 01/23/2026 915358555 CMS
AstraZeneca Pharmaceuticals LP $17.87 04/20/2022 Food and Beverage Undisputed 01/23/2026 915230013 CMS
EISAI INC. $11.91 02/02/2022 Food and Beverage Undisputed 01/23/2026 908077439 CMS
GlaxoSmithKline, LLC. $18.64 04/12/2022 Food and Beverage Undisputed 01/23/2026 945011943 CMS
Janssen Pharmaceuticals, Inc $16.94 02/15/2022 Food and Beverage Undisputed 01/23/2026 886970433 CMS
Janssen Pharmaceuticals, Inc $18.89 03/31/2022 Food and Beverage Undisputed 01/23/2026 886970435 CMS
Merck Sharp & Dohme LLC $15.16 02/22/2022 Food and Beverage Undisputed 01/23/2026 944102605 CMS
Nestle HealthCare Nutrition Inc. $12.18 04/08/2022 Food and Beverage Undisputed 01/23/2026 902784113 CMS
Novartis Pharmaceuticals Corporation $19.67 02/25/2022 Food and Beverage Undisputed 01/23/2026 893856449 CMS
Novo Nordisk Inc $15.60 01/27/2022 Food and Beverage Undisputed 01/23/2026 902747837 CMS
Novo Nordisk Inc $16.87 02/10/2022 Food and Beverage Undisputed 01/23/2026 902745373 CMS
Novo Nordisk Inc $20.06 02/24/2022 Food and Beverage Undisputed 01/23/2026 902754775 CMS
Novo Nordisk Inc $19.80 03/10/2022 Food and Beverage Undisputed 01/23/2026 902743077 CMS
Novo Nordisk Inc $20.06 03/24/2022 Food and Beverage Undisputed 01/23/2026 902749131 CMS
Novo Nordisk Inc $18.98 04/21/2022 Food and Beverage Undisputed 01/23/2026 902755391 CMS
PFIZER INC. $14.07 03/29/2022 Food and Beverage Undisputed 01/23/2026 949126553 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.61 01/26/2022 Food and Beverage Undisputed 01/23/2026 960028055 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.55 04/06/2022 Food and Beverage Undisputed 01/23/2026 960031389 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.95 05/18/2022 Food and Beverage Undisputed 01/23/2026 959771703 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, 2022
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022
Generated from
OP_DTL_GNRL_PGYR2022_P01232026_01102026.csv

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