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 B GEIGER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1245294073
CMS profile
328137
Location
SEBASTIAN, FL

General Payments · PY2018–2024

$1,345.62

  • Reported across 64 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$487.72

25 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $487.72 25

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $120.73 7
GlaxoSmithKline, LLC. $89.10 4
Amgen Inc. $69.42 3
ABBVIE INC. $46.37 2
Exact Sciences Corporation $40.81 2
Astellas Pharma US Inc $32.56 2
Novo Nordisk AS $31.07 2
DEXCOM, INC. $19.67 1
PFIZER INC. $19.00 1
Abbott Laboratories $18.99 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $16.36 1
PY2019 $122.70 4
PY2022 $158.70 8
PY2023 $560.14 26
PY2024 $487.72 25

Payment records · PY2024 (25)

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

Program year 2024 2018201920222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $18.99 09/18/2024 Food and Beverage Undisputed 01/23/2026 1124918501 CMS
ABBVIE INC. $23.18 01/24/2024 Food and Beverage Undisputed 01/23/2026 1103784777 CMS
ABBVIE INC. $23.19 03/06/2024 Food and Beverage Undisputed 01/23/2026 1103784779 CMS
Amgen Inc. $13.47 04/18/2024 Food and Beverage Undisputed 01/23/2026 1117560864 CMS
Amgen Inc. $22.19 06/13/2024 Food and Beverage Undisputed 01/23/2026 1117560866 CMS
Amgen Inc. $33.76 08/21/2024 Food and Beverage Undisputed 01/23/2026 1117560868 CMS
Astellas Pharma US Inc $15.71 02/08/2024 Food and Beverage Undisputed 01/23/2026 1139310364 CMS
Astellas Pharma US Inc $16.85 06/06/2024 Food and Beverage Undisputed 01/23/2026 1139357819 CMS
Dexcom, Inc. $19.67 05/07/2024 Food and Beverage Undisputed 01/23/2026 1153329307 CMS
Exact Sciences Corporation $16.28 07/16/2024 Food and Beverage Undisputed 01/23/2026 1114671086 CMS
Exact Sciences Corporation $24.53 09/19/2024 Food and Beverage Undisputed 01/23/2026 1114671093 CMS
GlaxoSmithKline, LLC. $22.19 01/15/2024 Food and Beverage Undisputed 01/23/2026 1116404185 CMS
GlaxoSmithKline, LLC. $27.83 03/12/2024 Food and Beverage Undisputed 01/23/2026 1115977815 CMS
GlaxoSmithKline, LLC. $18.76 05/27/2024 Food and Beverage Undisputed 01/23/2026 1116662951 CMS
GlaxoSmithKline, LLC. $20.32 10/08/2024 Food and Beverage Undisputed 01/23/2026 1116336549 CMS
Lilly USA, LLC $17.32 02/28/2024 Food and Beverage Undisputed 01/23/2026 1135327059 CMS
Lilly USA, LLC $14.98 05/15/2024 Food and Beverage Undisputed 01/23/2026 1135310202 CMS
Lilly USA, LLC $18.19 05/29/2024 Food and Beverage Undisputed 01/23/2026 1135327063 CMS
Lilly USA, LLC $17.81 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135376236 CMS
Lilly USA, LLC $15.88 07/17/2024 Food and Beverage Undisputed 01/23/2026 1135354144 CMS
Lilly USA, LLC $16.37 08/20/2024 Food and Beverage Undisputed 01/23/2026 1135354142 CMS
Lilly USA, LLC $20.18 10/16/2024 Food and Beverage Undisputed 01/23/2026 1135300400 CMS
Novo Nordisk Inc $17.85 06/27/2024 Food and Beverage Undisputed 01/23/2026 1097464507 CMS
Novo Nordisk Inc $13.22 10/01/2024 Food and Beverage Undisputed 01/23/2026 1097469276 CMS
PFIZER INC. $19.00 04/16/2024 Food and Beverage Undisputed 01/23/2026 1131394539 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, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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