Covered recipient · General Payments record

ELIZABETH A RAMIREZ DE ARELLANO

Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology

NPI: 1235155904
CMS profile: 1081536
Location: MIDDLETOWN, NY

General Payments · PY2018–2021

$314,720.00

Reported across 331 records
CMS publication 2026-01-23

Latest program year · PY2021

$91,855.00

123 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
Consulting Fee	$91,855.00	123

By paying entity

PY2021 · sorted by reported total

Paying entity	Amount	Records
Merck Sharp & Dohme Corporation	$91,605.00	122
PFIZER INC.	$250.00	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$18,000.00	18
PY2019	$80,325.00	68
PY2020	$124,540.00	122
PY2021	$91,855.00	123

Payment records · PY2021 (123)

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
Merck Sharp & Dohme Corporation	$270.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848439225	CMS
Merck Sharp & Dohme Corporation	$90.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848439345	CMS
Merck Sharp & Dohme Corporation	$1,620.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848490023	CMS
Merck Sharp & Dohme Corporation	$720.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848504969	CMS
Merck Sharp & Dohme Corporation	$1,920.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848569371	CMS
Merck Sharp & Dohme Corporation	$420.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848596675	CMS
Merck Sharp & Dohme Corporation	$840.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848694877	CMS
Merck Sharp & Dohme Corporation	$150.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848694975	CMS
Merck Sharp & Dohme Corporation	$710.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848703911	CMS
Merck Sharp & Dohme Corporation	$360.00	02/10/2021	Consulting Fee	Undisputed	01/23/2026	848438187	CMS
Merck Sharp & Dohme Corporation	$720.00	02/10/2021	Consulting Fee	Undisputed	01/23/2026	848438313	CMS
Merck Sharp & Dohme Corporation	$120.00	02/10/2021	Consulting Fee	Undisputed	01/23/2026	848468243	CMS
Merck Sharp & Dohme Corporation	$4,220.00	02/10/2021	Consulting Fee	Undisputed	01/23/2026	848504839	CMS
Merck Sharp & Dohme Corporation	$360.00	02/10/2021	Consulting Fee	Undisputed	01/23/2026	848533601	CMS
Merck Sharp & Dohme Corporation	$1,080.00	02/10/2021	Consulting Fee	Undisputed	01/23/2026	848616181	CMS
Merck Sharp & Dohme Corporation	$1,080.00	02/10/2021	Consulting Fee	Undisputed	01/23/2026	848680795	CMS
Merck Sharp & Dohme Corporation	$360.00	03/10/2021	Consulting Fee	Undisputed	01/23/2026	848438177	CMS
Merck Sharp & Dohme Corporation	$420.00	03/10/2021	Consulting Fee	Undisputed	01/23/2026	848438179	CMS
Merck Sharp & Dohme Corporation	$600.00	03/10/2021	Consulting Fee	Undisputed	01/23/2026	848438185	CMS
Merck Sharp & Dohme Corporation	$1,380.00	03/10/2021	Consulting Fee	Undisputed	01/23/2026	848438975	CMS
Merck Sharp & Dohme Corporation	$1,620.00	03/10/2021	Consulting Fee	Undisputed	01/23/2026	848448701	CMS
Merck Sharp & Dohme Corporation	$480.00	03/10/2021	Consulting Fee	Undisputed	01/23/2026	848527733	CMS
Merck Sharp & Dohme Corporation	$1,440.00	03/10/2021	Consulting Fee	Undisputed	01/23/2026	848597021	CMS
Merck Sharp & Dohme Corporation	$75.00	03/10/2021	Consulting Fee	Undisputed	01/23/2026	848653905	CMS
Merck Sharp & Dohme Corporation	$345.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848438175	CMS
Merck Sharp & Dohme Corporation	$1,900.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848439223	CMS
Merck Sharp & Dohme Corporation	$840.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848468151	CMS
Merck Sharp & Dohme Corporation	$75.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848468317	CMS
Merck Sharp & Dohme Corporation	$540.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848487075	CMS
Merck Sharp & Dohme Corporation	$400.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848527731	CMS
Merck Sharp & Dohme Corporation	$1,800.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848531891	CMS
Merck Sharp & Dohme Corporation	$75.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848574825	CMS
Merck Sharp & Dohme Corporation	$2,160.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848638719	CMS
Merck Sharp & Dohme Corporation	$420.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848676939	CMS
Merck Sharp & Dohme Corporation	$120.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848734673	CMS
Merck Sharp & Dohme Corporation	$240.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848438171	CMS
Merck Sharp & Dohme Corporation	$270.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848438173	CMS
Merck Sharp & Dohme Corporation	$60.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848438183	CMS
Merck Sharp & Dohme Corporation	$780.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848438315	CMS
Merck Sharp & Dohme Corporation	$1,080.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848438971	CMS
Merck Sharp & Dohme Corporation	$1,980.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848438979	CMS
Merck Sharp & Dohme Corporation	$660.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848527505	CMS
Merck Sharp & Dohme Corporation	$3,220.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848586537	CMS
Merck Sharp & Dohme Corporation	$420.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848596779	CMS
Merck Sharp & Dohme Corporation	$255.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848638721	CMS
Merck Sharp & Dohme Corporation	$270.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848638809	CMS
Merck Sharp & Dohme Corporation	$480.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848438181	CMS
Merck Sharp & Dohme Corporation	$900.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848438189	CMS
Merck Sharp & Dohme Corporation	$120.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848438973	CMS
Merck Sharp & Dohme Corporation	$1,420.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848438977	CMS
Merck Sharp & Dohme Corporation	$60.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848439227	CMS
Merck Sharp & Dohme Corporation	$1,095.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848527833	CMS
Merck Sharp & Dohme Corporation	$450.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848569141	CMS
Merck Sharp & Dohme Corporation	$300.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848615963	CMS
Merck Sharp & Dohme Corporation	$270.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848638723	CMS
Merck Sharp & Dohme Corporation	$900.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848734557	CMS
Merck Sharp & Dohme Corporation	$840.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848437765	CMS
Merck Sharp & Dohme Corporation	$90.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848437767	CMS
Merck Sharp & Dohme Corporation	$60.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848437925	CMS
Merck Sharp & Dohme Corporation	$60.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848437927	CMS
Merck Sharp & Dohme Corporation	$180.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848468313	CMS
Merck Sharp & Dohme Corporation	$360.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848545375	CMS
Merck Sharp & Dohme Corporation	$300.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848574943	CMS
Merck Sharp & Dohme Corporation	$1,680.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848677125	CMS
Merck Sharp & Dohme Corporation	$3,340.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848695061	CMS
Merck Sharp & Dohme Corporation	$60.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848734611	CMS
Merck Sharp & Dohme Corporation	$600.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848437763	CMS
Merck Sharp & Dohme Corporation	$540.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848438317	CMS
Merck Sharp & Dohme Corporation	$300.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848448557	CMS
Merck Sharp & Dohme Corporation	$75.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848448559	CMS
Merck Sharp & Dohme Corporation	$300.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848574945	CMS
Merck Sharp & Dohme Corporation	$3,020.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848596895	CMS
Merck Sharp & Dohme Corporation	$80.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848704169	CMS
Merck Sharp & Dohme Corporation	$1,620.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848704171	CMS
Merck Sharp & Dohme Corporation	$180.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848704173	CMS
Merck Sharp & Dohme Corporation	$270.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848722075	CMS
Merck Sharp & Dohme Corporation	$1,680.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848437757	CMS
Merck Sharp & Dohme Corporation	$420.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848437759	CMS
Merck Sharp & Dohme Corporation	$960.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848437923	CMS
Merck Sharp & Dohme Corporation	$120.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848448555	CMS
Merck Sharp & Dohme Corporation	$90.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848533859	CMS
Merck Sharp & Dohme Corporation	$900.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848634055	CMS
Merck Sharp & Dohme Corporation	$3,400.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848654027	CMS
Merck Sharp & Dohme Corporation	$240.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848680677	CMS
Merck Sharp & Dohme Corporation	$420.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848438853	CMS
Merck Sharp & Dohme Corporation	$2,900.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848438861	CMS
Merck Sharp & Dohme Corporation	$1,320.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848438985	CMS
Merck Sharp & Dohme Corporation	$270.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848438995	CMS
Merck Sharp & Dohme Corporation	$360.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848466951	CMS
Merck Sharp & Dohme Corporation	$160.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848527941	CMS
Merck Sharp & Dohme Corporation	$1,140.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848532151	CMS
Merck Sharp & Dohme Corporation	$315.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848568101	CMS
Merck Sharp & Dohme Corporation	$540.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848638955	CMS
Merck Sharp & Dohme Corporation	$75.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848675943	CMS
Merck Sharp & Dohme Corporation	$120.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848681165	CMS
Merck Sharp & Dohme Corporation	$60.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848438855	CMS
Merck Sharp & Dohme Corporation	$2,400.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848438993	CMS
Merck Sharp & Dohme Corporation	$630.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848490329	CMS
Merck Sharp & Dohme Corporation	$80.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848505247	CMS
Merck Sharp & Dohme Corporation	$180.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848532021	CMS
Merck Sharp & Dohme Corporation	$240.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848573293	CMS
Merck Sharp & Dohme Corporation	$1,800.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848586827	CMS
Merck Sharp & Dohme Corporation	$600.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848654411	CMS
Merck Sharp & Dohme Corporation	$540.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848681163	CMS
Merck Sharp & Dohme Corporation	$135.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848438987	CMS
Merck Sharp & Dohme Corporation	$1,620.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848438989	CMS
Merck Sharp & Dohme Corporation	$2,720.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848438997	CMS
Merck Sharp & Dohme Corporation	$600.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848490327	CMS
Merck Sharp & Dohme Corporation	$180.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848505249	CMS
Merck Sharp & Dohme Corporation	$420.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848568099	CMS
Merck Sharp & Dohme Corporation	$3,000.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848586829	CMS
Merck Sharp & Dohme Corporation	$450.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848638953	CMS
Merck Sharp & Dohme Corporation	$360.00	12/07/2021	Consulting Fee	Undisputed	01/23/2026	848675833	CMS
Merck Sharp & Dohme LLC	$90.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	848634057	CMS
Merck Sharp & Dohme LLC	$75.00	04/08/2021	Consulting Fee	Undisputed	01/23/2026	848487333	CMS
Merck Sharp & Dohme LLC	$360.00	05/07/2021	Consulting Fee	Undisputed	01/23/2026	848545283	CMS
Merck Sharp & Dohme LLC	$90.00	06/08/2021	Consulting Fee	Undisputed	01/23/2026	848569143	CMS
Merck Sharp & Dohme LLC	$90.00	07/06/2021	Consulting Fee	Undisputed	01/23/2026	848468315	CMS
Merck Sharp & Dohme LLC	$90.00	08/02/2021	Consulting Fee	Undisputed	01/23/2026	848437921	CMS
Merck Sharp & Dohme LLC	$180.00	09/03/2021	Consulting Fee	Undisputed	01/23/2026	848438191	CMS
Merck Sharp & Dohme LLC	$90.00	10/06/2021	Consulting Fee	Undisputed	01/23/2026	848438983	CMS
Merck Sharp & Dohme LLC	$180.00	11/05/2021	Consulting Fee	Undisputed	01/23/2026	848438991	CMS
PFIZER INC.	$250.00	01/04/2021	Consulting Fee	Undisputed	01/23/2026	833420725	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

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.