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

RUDRICK V LEDESMA

Allopathic & Osteopathic Physicians Internal Medicine Nephrology

NPI
1306125836
CMS profile
2734393
Location
TYLER, TX

General Payments · PY2018–2024

$2,732.82

  • Reported across 97 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$994.04

29 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 $971.87 28
Education $22.17 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $428.64 26
PY2019 $294.94 17
PY2020 $113.85 6
PY2021 $38.48 2
PY2022 $412.50 8
PY2023 $450.37 9
PY2024 $994.04 29

Payment records · PY2024 (29)

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

Program year 2024 201820192020202120222023 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
Alexion Pharmaceuticals, Inc. $27.85 01/25/2024 Food and Beverage Undisputed 01/23/2026 1093965001 CMS
Amgen Inc. $4.44 01/10/2024 Food and Beverage Undisputed 01/23/2026 1115857225 CMS
Amgen Inc. $118.28 01/11/2024 Food and Beverage Undisputed 01/23/2026 1115857244 CMS
Amgen Inc. $39.71 01/23/2024 Food and Beverage Undisputed 01/23/2026 1115857252 CMS
Amgen Inc. $3.20 02/26/2024 Food and Beverage Undisputed 01/23/2026 1115857236 CMS
Amgen Inc. $29.13 04/24/2024 Food and Beverage Undisputed 01/23/2026 1115857261 CMS
Amgen Inc. $21.40 04/29/2024 Food and Beverage Undisputed 01/23/2026 1117608288 CMS
Ardelyx, Inc. $99.83 06/26/2024 Food and Beverage Undisputed 01/23/2026 1146691574 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.58 12/09/2024 Food and Beverage Undisputed 01/23/2026 1086212077 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $80.58 02/12/2024 Food and Beverage Undisputed 01/23/2026 1117955102 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.33 02/12/2024 Food and Beverage Undisputed 01/23/2026 1117955106 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.16 05/16/2024 Food and Beverage Undisputed 01/23/2026 1117955108 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.49 08/01/2024 Food and Beverage Undisputed 01/23/2026 1117955104 CMS
CALLIDITAS THERAPEUTICS US INC. $20.80 05/28/2024 Food and Beverage Undisputed 01/23/2026 1141515921 CMS
CALLIDITAS THERAPEUTICS US INC. $18.72 10/01/2024 Food and Beverage Undisputed 01/23/2026 1141523787 CMS
Fresenius USA Marketing, Inc. $0.84 01/30/2024 Food and Beverage Undisputed 01/23/2026 1154200940 CMS
Fresenius USA Marketing, Inc. $15.86 01/30/2024 Food and Beverage Undisputed 01/23/2026 1154200944 CMS
Fresenius USA Marketing, Inc. $9.17 02/27/2024 Food and Beverage Undisputed 01/23/2026 1154200942 CMS
Fresenius USA Marketing, Inc. $23.69 04/15/2024 Food and Beverage Undisputed 01/23/2026 1154200948 CMS
Fresenius USA Marketing, Inc. $20.00 07/24/2024 Food and Beverage Undisputed 01/23/2026 1154200946 CMS
Fresenius USA Marketing, Inc. $118.33 07/25/2024 Food and Beverage Undisputed 01/23/2026 1154200952 CMS
Fresenius USA Marketing, Inc. $23.69 10/31/2024 Food and Beverage Undisputed 01/23/2026 1154200950 CMS
GlaxoSmithKline, LLC. $15.15 02/08/2024 Food and Beverage Undisputed 01/23/2026 1116405837 CMS
GlaxoSmithKline, LLC. $19.89 07/01/2024 Food and Beverage Undisputed 01/23/2026 1116189759 CMS
Novo Nordisk Inc $24.43 07/30/2024 Food and Beverage Undisputed 01/23/2026 1096810858 CMS
Novo Nordisk Inc $21.61 07/31/2024 Food and Beverage Undisputed 01/23/2026 1097728449 CMS
Novo Nordisk Inc $109.16 09/19/2024 Food and Beverage Undisputed 01/23/2026 1096894685 CMS
OPKO Pharmaceuticals, LLC $22.17 02/01/2024 Education Undisputed 01/23/2026 1112846546 CMS
Travere Therapeutics, Inc. $22.55 10/03/2024 Food and Beverage Undisputed 01/23/2026 1149950570 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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