Covered recipient · General Payments record

DICKRAN H GULESSERIAN

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1336287440
CMS profile: 287289
Location: FRESNO, CA

General Payments · PY2018–2024

$18,203.54

Reported across 891 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,690.67

68 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	$1,543.27	67
Travel and Lodging	$147.40	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$306.52	15
ABIOMED	$203.84	4
Lexicon Pharmaceuticals, Inc.	$184.00	4
Novo Nordisk AS	$168.73	9
Boehringer Ingelheim Pharmaceuticals, Inc.	$162.84	3
NOVARTIS PHARMACEUTICALS CORPORATION	$82.53	4
Abbott Laboratories	$63.11	3
BOSTON SCIENTIFIC CORPORATION	$54.03	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$50.46	3
Amgen Inc.	$48.65	2
PFIZER INC.	$46.35	3
Phathom Pharmaceuticals, Inc.	$29.15	1
MDD US Operations, LLC	$27.41	1
Medtronic, Inc.	$24.24	1
SCILEX PHARMACEUTICALS INC.	$23.16	1
Exact Sciences Corporation	$22.84	1
BAXTER HEALTHCARE	$21.94	1
Xeris Pharmaceuticals, Inc.	$20.22	1
E.R. Squibb & Sons, L.L.C.	$19.77	1
Daiichi Sankyo Inc.	$19.57	1
Astellas Pharma US Inc	$18.64	1
Electromed, Inc.	$17.72	1
GlaxoSmithKline, LLC.	$17.63	1
Inspire Medical Systems, Inc.	$15.57	1
ABBVIE INC.	$14.62	1
Azurity Pharmaceuticals, Inc.	$13.96	1
Esperion Therapeutics, Inc.	$13.17	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,846.31	163
PY2019	$3,260.09	146
PY2020	$2,259.18	127
PY2021	$3,343.44	168
PY2022	$2,651.27	123
PY2023	$2,152.58	96
PY2024	$1,690.67	68

Payment records · PY2024 (68)

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
Abbott Laboratories	$28.69	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1124994547	CMS
Abbott Laboratories	$19.26	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1124994551	CMS
Abbott Laboratories	$15.16	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1124994549	CMS
ABBVIE INC.	$14.62	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1103849750	CMS
ABIOMED	$14.78	06/23/2024	Food and Beverage	Undisputed	01/23/2026	1142195569	CMS
ABIOMED	$20.00	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1142195580	CMS
ABIOMED	$147.40	09/13/2024	Travel and Lodging	Undisputed	01/23/2026	1142195897	CMS
ABIOMED	$21.66	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1142195602	CMS
Amgen Inc.	$23.19	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1117267923	CMS
Amgen Inc.	$25.46	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1117267925	CMS
Astellas Pharma US Inc	$18.64	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1139280428	CMS
AstraZeneca Pharmaceuticals LP	$13.48	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1104720021	CMS
AstraZeneca Pharmaceuticals LP	$7.03	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1105443017	CMS
AstraZeneca Pharmaceuticals LP	$24.23	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1105478101	CMS
AstraZeneca Pharmaceuticals LP	$26.63	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1104464330	CMS
AstraZeneca Pharmaceuticals LP	$25.15	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1105665482	CMS
AstraZeneca Pharmaceuticals LP	$21.82	04/20/2024	Food and Beverage	Undisputed	01/23/2026	1104244535	CMS
AstraZeneca Pharmaceuticals LP	$16.04	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1104773796	CMS
AstraZeneca Pharmaceuticals LP	$31.31	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1105537501	CMS
AstraZeneca Pharmaceuticals LP	$15.12	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1105757135	CMS
AstraZeneca Pharmaceuticals LP	$18.72	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1104526392	CMS
AstraZeneca Pharmaceuticals LP	$20.45	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1104372479	CMS
AstraZeneca Pharmaceuticals LP	$28.82	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1105689846	CMS
AstraZeneca Pharmaceuticals LP	$23.54	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1104233209	CMS
AstraZeneca Pharmaceuticals LP	$17.54	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1105289476	CMS
AstraZeneca Pharmaceuticals LP	$16.64	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1105879153	CMS
Azurity Pharmaceuticals, Inc.	$13.96	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1134006535	CMS
Baxter Healthcare	$21.94	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1118294606	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.17	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1117968943	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$121.79	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1117968947	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.88	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1117968945	CMS
Boston Scientific Corporation	$27.01	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1092726236	CMS
Boston Scientific Corporation	$27.02	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1092726238	CMS
Daiichi Sankyo Inc.	$19.57	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1089429007	CMS
E.R. Squibb & Sons, L.L.C.	$19.77	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1101314788	CMS
Electromed, Inc.	$17.72	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1137892988	CMS
Esperion Therapeutics, Inc.	$13.17	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1129437124	CMS
Exact Sciences Corporation	$22.84	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1114686058	CMS
GlaxoSmithKline, LLC.	$17.63	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1116548393	CMS
Inspire Medical Systems, Inc.	$15.57	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1148058061	CMS
Lexicon Pharmaceuticals, Inc.	$18.82	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1081713116	CMS
Lexicon Pharmaceuticals, Inc.	$17.92	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1081713114	CMS
Lexicon Pharmaceuticals, Inc.	$124.90	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1081713120	CMS
Lexicon Pharmaceuticals, Inc.	$22.36	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1081713118	CMS
MDD US Operations, LLC	$27.41	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1147752156	CMS
Medtronic, Inc.	$24.24	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1119271388	CMS
Novartis Pharmaceuticals Corporation	$14.46	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1086822885	CMS
Novartis Pharmaceuticals Corporation	$14.21	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1086822887	CMS
Novartis Pharmaceuticals Corporation	$26.94	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1086822889	CMS
Novartis Pharmaceuticals Corporation	$26.92	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1086822891	CMS
Novo Nordisk Inc	$22.23	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1097773101	CMS
Novo Nordisk Inc	$14.46	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1097581207	CMS
Novo Nordisk Inc	$22.00	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1096889896	CMS
Novo Nordisk Inc	$22.96	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1097063830	CMS
Novo Nordisk Inc	$21.05	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1096740063	CMS
Novo Nordisk Inc	$3.26	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1096963501	CMS
Novo Nordisk Inc	$17.72	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1097828035	CMS
Novo Nordisk Inc	$22.00	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1097020478	CMS
Novo Nordisk Inc	$23.05	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1097106238	CMS
PFIZER INC.	$17.30	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1130988421	CMS
PFIZER INC.	$15.58	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1131518653	CMS
PFIZER INC.	$13.47	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1131075775	CMS
Phathom Pharmaceuticals, Inc.	$29.15	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1151068447	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.50	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1153456051	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$23.43	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1153520034	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.53	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1153403079	CMS
SCILEX PHARMACEUTICALS INC.	$23.16	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1136228166	CMS
Xeris Pharmaceuticals, Inc.	$20.22	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1144592792	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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