Covered recipient · General Payments record

RAFAEL A AMARAL

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI: 1295719060
CMS profile: 284994
Location: DARBY, PA

General Payments · PY2018–2024

$27,782.27

Reported across 594 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,222.38

103 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 payment	Amount	Records
Food and Beverage	$2,319.79	100
Consulting Fee	$840.00	1
Education	$62.59	2

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Olympus Medical Systems Corporation	$840.00	1
ABBVIE INC.	$756.20	31
Janssen Biotech, Inc.	$278.26	14
Phathom Pharmaceuticals, Inc.	$181.41	5
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$165.95	12
Takeda Pharmaceuticals U.S.A., Inc.	$152.25	7
E.R. Squibb & Sons, L.L.C.	$113.40	1
Celltrion USA Inc.	$107.95	4
Madrigal Pharmaceuticals	$98.61	2
Celgene Corporation	$83.99	4
Exact Sciences Corporation	$81.84	5
AIMMUNE THERAPEUTICS, INC.	$66.97	4
Ardelyx, Inc.	$65.81	3
QOL Medical, LLC	$53.77	2
Digestive Care, Inc.	$45.74	1
Cumberland Pharmaceuticals, Inc.	$39.01	2
Fresenius Kabi USA, LLC	$36.24	2
Siemens Medical Solutions USA, Inc.	$22.83	1
Novo Nordisk AS	$18.16	1
Gilead Sciences, Inc.	$13.99	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$6,710.74	94
PY2019	$8,162.38	104
PY2020	$1,063.70	47
PY2021	$2,206.55	80
PY2022	$2,753.32	73
PY2023	$3,663.20	93
PY2024	$3,222.38	103

Payment records · PY2024 (103)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
ABBVIE INC.	$10.41	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1103216769	CMS
ABBVIE INC.	$17.79	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1103216771	CMS
ABBVIE INC.	$17.01	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1103216773	CMS
ABBVIE INC.	$17.70	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1103216775	CMS
ABBVIE INC.	$18.17	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1103216777	CMS
ABBVIE INC.	$29.45	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1103216779	CMS
ABBVIE INC.	$18.04	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1103216781	CMS
ABBVIE INC.	$125.00	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1103216783	CMS
ABBVIE INC.	$18.37	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1103216785	CMS
ABBVIE INC.	$12.71	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1103216787	CMS
ABBVIE INC.	$13.00	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1103216789	CMS
ABBVIE INC.	$20.05	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1103216791	CMS
ABBVIE INC.	$116.51	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1103216793	CMS
ABBVIE INC.	$18.73	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1103216795	CMS
ABBVIE INC.	$17.62	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1103216797	CMS
ABBVIE INC.	$21.03	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1103216799	CMS
ABBVIE INC.	$11.10	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1103216801	CMS
ABBVIE INC.	$20.01	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1103216803	CMS
ABBVIE INC.	$19.34	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1103216805	CMS
ABBVIE INC.	$20.58	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1103216807	CMS
ABBVIE INC.	$14.31	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1103216809	CMS
ABBVIE INC.	$20.13	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1103216811	CMS
ABBVIE INC.	$15.83	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1103216813	CMS
ABBVIE INC.	$15.20	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1103216815	CMS
ABBVIE INC.	$19.34	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1103216817	CMS
ABBVIE INC.	$21.26	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1103216819	CMS
ABBVIE INC.	$21.63	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1103216821	CMS
ABBVIE INC.	$11.65	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1103216823	CMS
ABBVIE INC.	$19.99	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1103216825	CMS
ABBVIE INC.	$21.63	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1103216827	CMS
ABBVIE INC.	$12.61	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1103216829	CMS
AIMMUNE THERAPEUTICS, INC.	$13.46	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1146979098	CMS
AIMMUNE THERAPEUTICS, INC.	$18.28	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1146994601	CMS
AIMMUNE THERAPEUTICS, INC.	$16.31	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1147005647	CMS
AIMMUNE THERAPEUTICS, INC.	$18.92	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1146999622	CMS
Ardelyx, Inc.	$21.90	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1146668720	CMS
Ardelyx, Inc.	$20.46	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1146668722	CMS
Ardelyx, Inc.	$23.45	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1146668724	CMS
Celgene Corporation	$16.90	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1101079729	CMS
Celgene Corporation	$18.67	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1101079731	CMS
Celgene Corporation	$24.21	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1101079733	CMS
Celgene Corporation	$24.21	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1101079735	CMS
Celltrion USA Inc.	$28.06	05/23/2024	Education	Undisputed	01/23/2026	1075848223	CMS
Celltrion USA Inc.	$34.53	06/24/2024	Education	Undisputed	01/23/2026	1075848225	CMS
Celltrion USA Inc.	$19.36	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1075848227	CMS
Celltrion USA Inc.	$26.00	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1075848229	CMS
Cumberland Pharmaceuticals, Inc.	$16.50	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1146399276	CMS
Cumberland Pharmaceuticals, Inc.	$22.51	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1146399278	CMS
Digestive Care, Inc.	$45.74	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1087652823	CMS
E.R. Squibb & Sons, L.L.C.	$113.40	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1101211246	CMS
Exact Sciences Corporation	$15.94	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1114575582	CMS
Exact Sciences Corporation	$17.27	06/01/2024	Food and Beverage	Undisputed	01/23/2026	1114575586	CMS
Exact Sciences Corporation	$16.49	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1114575590	CMS
Exact Sciences Corporation	$16.69	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1114575594	CMS
Exact Sciences Corporation	$15.45	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1114575598	CMS
Fresenius Kabi USA, LLC	$17.18	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1146945267	CMS
Fresenius Kabi USA, LLC	$19.06	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1146945269	CMS
Gilead Sciences, Inc.	$13.99	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1133775595	CMS
Janssen Biotech, Inc.	$34.62	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1078558767	CMS
Janssen Biotech, Inc.	$29.49	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1078558788	CMS
Janssen Biotech, Inc.	$26.09	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1078558617	CMS
Janssen Biotech, Inc.	$11.66	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1078558776	CMS
Janssen Biotech, Inc.	$10.95	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1078558719	CMS
Janssen Biotech, Inc.	$30.99	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1078558723	CMS
Janssen Biotech, Inc.	$13.21	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1078558580	CMS
Janssen Biotech, Inc.	$10.47	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1078558667	CMS
Janssen Biotech, Inc.	$12.75	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1078558697	CMS
Janssen Biotech, Inc.	$28.48	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1078558632	CMS
Janssen Biotech, Inc.	$11.75	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1078558807	CMS
Janssen Biotech, Inc.	$9.48	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1078558639	CMS
Janssen Biotech, Inc.	$17.19	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1078558661	CMS
Janssen Biotech, Inc.	$31.13	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1078558764	CMS
Madrigal Pharmaceuticals	$49.80	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1144160225	CMS
Madrigal Pharmaceuticals	$48.81	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1144160227	CMS
Novo Nordisk Inc	$18.16	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1096692649	CMS
Olympus Medical Systems Corporation	$840.00	04/08/2024	Consulting Fee	Undisputed	01/23/2026	1099611866	CMS
Phathom Pharmaceuticals, Inc.	$124.29	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1151034660	CMS
Phathom Pharmaceuticals, Inc.	$14.44	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1151034662	CMS
Phathom Pharmaceuticals, Inc.	$14.09	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1151034664	CMS
Phathom Pharmaceuticals, Inc.	$14.09	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1151034666	CMS
Phathom Pharmaceuticals, Inc.	$14.50	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1151034668	CMS
QOL Medical, LLC	$24.80	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1147717073	CMS
QOL Medical, LLC	$28.97	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1147717075	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$8.27	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1153488617	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$6.50	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1153561633	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$7.60	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1153549471	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.87	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1153683407	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.63	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1153513412	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$3.82	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1153557135	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.33	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153578545	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$23.90	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153613264	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$10.33	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1153604097	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.06	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1153700773	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.44	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1153477310	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.20	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1153641896	CMS
Siemens Medical Solutions USA, Inc.	$22.83	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1093685330	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.00	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1137469949	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.34	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1137469953	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$30.90	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1137469957	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.17	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1137469961	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.21	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1137469965	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.54	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1137469969	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.09	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1137469973	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, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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