Covered recipient · General Payments record
RICHARD I LETVAK
Allopathic & Osteopathic Physicians Internal Medicine
General Payments · PY2018–2024
$405.82
- Reported across 25 records
- CMS publication 2026-01-23
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 | $312.18 | 19 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $92.19 | 6 |
| Lilly USA, LLC | $52.73 | 3 |
| Amgen Inc. | $32.86 | 2 |
| ABBVIE INC. | $31.01 | 2 |
| DEXCOM, INC. | $23.64 | 1 |
| Actelion Pharmaceuticals US, Inc. | $21.04 | 1 |
| Phathom Pharmaceuticals, Inc. | $16.52 | 1 |
| iRhythm Technologies, Inc. | $15.00 | 1 |
| Acerta Pharma LLC | $14.12 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $13.07 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (19)
Sorted by paying entity, then date · as published by CMS
Program year 2024 2018201920212023
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. | $14.43 | 04/02/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1104164630 | CMS |
| ABBVIE INC. | $16.58 | 07/02/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1104164632 | CMS |
| Actelion Pharmaceuticals US, Inc. | $21.04 | 11/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078898441 | CMS |
| Amgen Inc. | $14.20 | 02/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1115866907 | CMS |
| Amgen Inc. | $18.66 | 09/10/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1115866915 | CMS |
| AstraZeneca Pharmaceuticals LP | $14.12 | 06/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1105232828 | CMS |
| Dexcom, Inc. | $23.64 | 11/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1153330829 | CMS |
| iRhythm Technologies, Inc. | $15.00 | 02/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1154050088 | CMS |
| Lilly USA, LLC | $18.67 | 09/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135366662 | CMS |
| Lilly USA, LLC | $17.03 | 11/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135366664 | CMS |
| Lilly USA, LLC | $17.03 | 11/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135353970 | CMS |
| Novartis Pharmaceuticals Corporation | $13.07 | 05/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1087146582 | CMS |
| Novo Nordisk Inc | $14.20 | 03/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1096991329 | CMS |
| Novo Nordisk Inc | $18.32 | 05/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1097141592 | CMS |
| Novo Nordisk Inc | $16.21 | 08/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1097829656 | CMS |
| Novo Nordisk Inc | $14.56 | 10/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1097078432 | CMS |
| Novo Nordisk Inc | $13.24 | 10/29/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1096566724 | CMS |
| Novo Nordisk Inc | $15.66 | 11/05/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1096702459 | CMS |
| Phathom Pharmaceuticals, Inc. | $16.52 | 04/09/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1151088335 | 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, 2021, 2023, 2024
- Generated from
- OP_DTL_GNRL_PGYR2024_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.