Covered recipient · General Payments record

JOSE A LIRA

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1356319446
CMS profile: 197087
Location: CHULA VISTA, CA

General Payments · PY2018–2024

$20,297.48

Reported across 1,062 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,044.08

142 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	$3,009.90	141
Education	$34.18	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$545.84	26
GlaxoSmithKline, LLC.	$524.43	29
Boehringer Ingelheim Pharmaceuticals, Inc.	$220.15	9
HARMONY BIOSCIENCES LLC	$200.34	11
Grifols USA, LLC	$178.52	8
Medtronic, Inc.	$169.85	2
Insmed, Inc.	$154.24	14
Regeneron Healthcare Solutions, Inc.	$119.40	4
GENZYME CORPORATION	$115.49	5
Inspire Medical Systems, Inc.	$99.30	3
Mylan Specialty L.P.	$75.60	3
Noctrix Health, Inc.	$73.45	1
Avadel CNS Pharmaceuticals, LLC	$65.99	3
JAZZ PHARMACEUTICALS INC.	$57.57	3
United Therapeutics Corporation	$55.07	2
NOVARTIS PHARMACEUTICALS CORPORATION	$47.85	3
Novo Nordisk AS	$45.65	3
Actelion Pharmaceuticals US, Inc.	$40.62	2
Fisher & Paykel Healthcare Inc	$36.29	2
Merck Sharp & Dohme Corporation	$29.64	1
Amgen Inc.	$27.69	1
ABBVIE INC.	$27.42	1
Genentech USA, Inc.	$24.75	1
Edwards Lifesciences Corporation	$24.58	1
Philips Electronics North America Corporation	$22.35	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.84	1
Takeda Pharmaceuticals U.S.A., Inc.	$21.31	1
Axsome Therapeutics, Inc.	$18.85	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,951.84	160
PY2019	$2,252.01	146
PY2020	$2,053.77	116
PY2021	$3,105.62	169
PY2022	$3,285.36	163
PY2023	$3,604.80	166
PY2024	$3,044.08	142

Payment records · PY2024 (142)

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.	$27.42	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1104888711	CMS
Actelion Pharmaceuticals US, Inc.	$20.84	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1078867491	CMS
Actelion Pharmaceuticals US, Inc.	$19.78	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1078867561	CMS
Amgen Inc.	$27.69	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1111635954	CMS
AstraZeneca Pharmaceuticals LP	$16.79	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1104265631	CMS
AstraZeneca Pharmaceuticals LP	$13.70	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1104409095	CMS
AstraZeneca Pharmaceuticals LP	$78.61	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1104763792	CMS
AstraZeneca Pharmaceuticals LP	$17.64	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105332618	CMS
AstraZeneca Pharmaceuticals LP	$15.85	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1104693776	CMS
AstraZeneca Pharmaceuticals LP	$17.44	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1104479596	CMS
AstraZeneca Pharmaceuticals LP	$21.67	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1105734847	CMS
AstraZeneca Pharmaceuticals LP	$29.58	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1105876301	CMS
AstraZeneca Pharmaceuticals LP	$16.48	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1105544891	CMS
AstraZeneca Pharmaceuticals LP	$16.03	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1104515532	CMS
AstraZeneca Pharmaceuticals LP	$16.22	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1104510684	CMS
AstraZeneca Pharmaceuticals LP	$23.49	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1104230085	CMS
AstraZeneca Pharmaceuticals LP	$17.67	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1104642111	CMS
AstraZeneca Pharmaceuticals LP	$18.34	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1104219805	CMS
AstraZeneca Pharmaceuticals LP	$15.00	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1105457842	CMS
AstraZeneca Pharmaceuticals LP	$17.01	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1104495098	CMS
AstraZeneca Pharmaceuticals LP	$15.47	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1105370172	CMS
AstraZeneca Pharmaceuticals LP	$25.25	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1104683461	CMS
AstraZeneca Pharmaceuticals LP	$15.57	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1104457910	CMS
AstraZeneca Pharmaceuticals LP	$15.47	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1105569743	CMS
AstraZeneca Pharmaceuticals LP	$27.65	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1104640783	CMS
AstraZeneca Pharmaceuticals LP	$34.18	10/23/2024	Education	Undisputed	01/23/2026	1105425853	CMS
AstraZeneca Pharmaceuticals LP	$14.63	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1105581444	CMS
AstraZeneca Pharmaceuticals LP	$15.47	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1104482006	CMS
AstraZeneca Pharmaceuticals LP	$14.70	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1104397459	CMS
AstraZeneca Pharmaceuticals LP	$15.93	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1104735325	CMS
Avadel CNS Pharmaceuticals, LLC	$23.24	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1123384150	CMS
Avadel CNS Pharmaceuticals, LLC	$19.78	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1123384152	CMS
Avadel CNS Pharmaceuticals, LLC	$22.97	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1123384154	CMS
Axsome Therapeutics, Inc.	$18.85	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1148293286	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$29.16	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1117976054	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$34.59	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1117976060	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$28.83	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1117976052	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.80	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1117976050	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$32.48	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1117976058	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$10.48	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1117976046	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.17	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1117976048	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$29.48	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1117976056	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$9.16	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1117976044	CMS
Edwards Lifesciences Corporation	$24.58	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1138856210	CMS
Fisher & Paykel Healthcare Inc	$20.61	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1143827726	CMS
Fisher & Paykel Healthcare Inc	$15.68	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1143842728	CMS
Genentech USA, Inc.	$24.75	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1133039004	CMS
GENZYME CORPORATION	$27.67	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1139575113	CMS
GENZYME CORPORATION	$23.64	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1139575131	CMS
GENZYME CORPORATION	$23.43	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1139575157	CMS
GENZYME CORPORATION	$20.77	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1139575167	CMS
GENZYME CORPORATION	$19.98	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1139575187	CMS
GlaxoSmithKline, LLC.	$7.95	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1116403561	CMS
GlaxoSmithKline, LLC.	$18.51	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1116353008	CMS
GlaxoSmithKline, LLC.	$13.39	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1115744516	CMS
GlaxoSmithKline, LLC.	$16.96	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1115774999	CMS
GlaxoSmithKline, LLC.	$16.34	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1115809293	CMS
GlaxoSmithKline, LLC.	$19.93	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1116468328	CMS
GlaxoSmithKline, LLC.	$14.63	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1116468970	CMS
GlaxoSmithKline, LLC.	$24.34	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1116121581	CMS
GlaxoSmithKline, LLC.	$22.18	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1116273108	CMS
GlaxoSmithKline, LLC.	$17.49	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1115741620	CMS
GlaxoSmithKline, LLC.	$21.68	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1115919772	CMS
GlaxoSmithKline, LLC.	$14.62	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1116276466	CMS
GlaxoSmithKline, LLC.	$17.49	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1116537860	CMS
GlaxoSmithKline, LLC.	$21.68	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1116564932	CMS
GlaxoSmithKline, LLC.	$21.68	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1116661309	CMS
GlaxoSmithKline, LLC.	$21.83	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1116048090	CMS
GlaxoSmithKline, LLC.	$13.77	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1116305405	CMS
GlaxoSmithKline, LLC.	$20.09	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1116402855	CMS
GlaxoSmithKline, LLC.	$13.74	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1116435355	CMS
GlaxoSmithKline, LLC.	$21.65	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1116527504	CMS
GlaxoSmithKline, LLC.	$8.57	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1116517122	CMS
GlaxoSmithKline, LLC.	$18.10	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1116263496	CMS
GlaxoSmithKline, LLC.	$19.36	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1116656759	CMS
GlaxoSmithKline, LLC.	$15.42	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1115884977	CMS
GlaxoSmithKline, LLC.	$20.16	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1116532450	CMS
GlaxoSmithKline, LLC.	$18.44	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1116239405	CMS
GlaxoSmithKline, LLC.	$20.16	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1116345216	CMS
GlaxoSmithKline, LLC.	$24.11	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1116436113	CMS
GlaxoSmithKline, LLC.	$20.16	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1116305375	CMS
Grifols USA, LLC	$24.55	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1124748371	CMS
Grifols USA, LLC	$9.77	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1124748369	CMS
Grifols USA, LLC	$28.42	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1124748367	CMS
Grifols USA, LLC	$23.46	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1124748373	CMS
Grifols USA, LLC	$27.13	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1124748377	CMS
Grifols USA, LLC	$13.73	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1124748375	CMS
Grifols USA, LLC	$23.67	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1124748379	CMS
Grifols USA, LLC	$27.79	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1124748381	CMS
Harmony Biosciences Llc	$4.74	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1141469374	CMS
Harmony Biosciences Llc	$29.66	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1141477478	CMS
Harmony Biosciences Llc	$10.87	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1141473192	CMS
HARMONY BIOSCIENCES LLC	$35.74	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1126058123	CMS
HARMONY BIOSCIENCES LLC	$9.40	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1126058131	CMS
HARMONY BIOSCIENCES LLC	$14.79	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1126058127	CMS
HARMONY BIOSCIENCES LLC	$8.92	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1126058133	CMS
HARMONY BIOSCIENCES LLC	$39.51	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1126058121	CMS
HARMONY BIOSCIENCES LLC	$10.05	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1126058129	CMS
HARMONY BIOSCIENCES LLC	$8.36	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1126058135	CMS
HARMONY BIOSCIENCES LLC	$28.30	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1126058125	CMS
Insmed, Inc.	$8.60	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1089577658	CMS
Insmed, Inc.	$6.73	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1089577644	CMS
Insmed, Inc.	$6.85	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1089581542	CMS
Insmed, Inc.	$4.41	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1089581170	CMS
Insmed, Inc.	$6.34	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1089578114	CMS
Insmed, Inc.	$4.36	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1089578076	CMS
Insmed, Inc.	$6.80	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1089578084	CMS
Insmed, Inc.	$6.82	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1089580608	CMS
Insmed, Inc.	$22.76	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1089574020	CMS
Insmed, Inc.	$2.36	10/05/2024	Food and Beverage	Undisputed	01/23/2026	1089567351	CMS
Insmed, Inc.	$19.28	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1089560428	CMS
Insmed, Inc.	$18.22	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1089569820	CMS
Insmed, Inc.	$17.77	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1089563132	CMS
Insmed, Inc.	$22.94	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1089568939	CMS
Inspire Medical Systems, Inc.	$53.69	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1148074630	CMS
Inspire Medical Systems, Inc.	$20.33	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1148074634	CMS
Inspire Medical Systems, Inc.	$25.28	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1148074638	CMS
JAZZ PHARMACEUTICALS INC.	$27.20	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1150211107	CMS
JAZZ PHARMACEUTICALS INC.	$15.33	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1150211103	CMS
JAZZ PHARMACEUTICALS INC.	$15.04	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1150211105	CMS
Medtronic, Inc.	$22.64	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1119280320	CMS
Medtronic, Inc.	$147.21	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1119280322	CMS
Merck Sharp & Dohme LLC	$29.64	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1141852799	CMS
Mylan Specialty L.P.	$14.30	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1147372861	CMS
Mylan Specialty L.P.	$32.81	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1147315082	CMS
Mylan Specialty L.P.	$28.49	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1147359533	CMS
Noctrix Health, Inc.	$73.45	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1112835506	CMS
Novartis Pharmaceuticals Corporation	$16.35	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1087117194	CMS
Novartis Pharmaceuticals Corporation	$15.75	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1087117196	CMS
Novartis Pharmaceuticals Corporation	$15.75	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1087117198	CMS
Novo Nordisk Inc	$15.89	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1096881903	CMS
Novo Nordisk Inc	$16.38	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1097345596	CMS
Novo Nordisk Inc	$13.38	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1097201364	CMS
Philips North America LLC	$22.35	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1146914594	CMS
Regeneron Healthcare Solutions, Inc.	$30.71	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1114101917	CMS
Regeneron Healthcare Solutions, Inc.	$29.95	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1114101919	CMS
Regeneron Healthcare Solutions, Inc.	$28.36	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1114101921	CMS
Regeneron Healthcare Solutions, Inc.	$30.38	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1114101923	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.84	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1153519440	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.31	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1137621754	CMS
United Therapeutics Corporation	$28.36	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1149451089	CMS
United Therapeutics Corporation	$26.71	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1149468416	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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