Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

GRACIANY MIRANDA TRISTANY

Allopathic & Osteopathic Physicians Internal Medicine Hematology & Oncology

NPI
1386639995
CMS profile
943553
Location
HUMACAO, PR

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2022 · Entire year

$3,017.13

139 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,808.02 136
Education $209.11 3

By paying entity

PY2022 · entire year · sorted by reported total

Page 1 of 3; records 1–50 of 139 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

GRACIANY MIRANDA TRISTANY

NPI 1386639995 · CMS profile ID 943553

Allopathic & Osteopathic Physicians / Internal Medicine / Hematology & Oncology

HUMACAO, PR

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 3; records 1–50 of 139 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1386639995?year=2022&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
GRACIANY MIRANDA TRISTANY, NPI 1386639995, CMS profile ID 943553. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 3; records 1–50 of 139 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1386639995?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
APA 7
IndustryPayments. (2026). GRACIANY MIRANDA TRISTANY, NPI 1386639995, CMS profile ID 943553. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 3; records 1–50 of 139 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1386639995?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
Bluebook
GRACIANY MIRANDA TRISTANY, NPI 1386639995, CMS profile ID 943553, IndustryPayments, General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 3; records 1–50 of 139 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c. https://industrypayments.org/provider/npi-1386639995?year=2022&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2022

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

139 matching records · $3,017.13 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 139 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 139.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
PBG PUERTO RICO LLC $24.9512/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949432327 CMS
Genentech USA, Inc. $18.9512/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 950716145 CMS
EISAI INC. $22.1812/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 910872939 CMS
E.R. Squibb & Sons, L.L.C. $15.9512/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742989 CMS
Merck Sharp & Dohme LLC $15.9612/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944266973 CMS
Janssen Pharmaceuticals, Inc $18.9512/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 886862947 CMS
Janssen Pharmaceuticals, Inc $21.4012/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 886862965 CMS
Amgen Inc. $25.0011/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939932307 CMS
Amgen Inc. $22.1811/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939932321 CMS
Janssen Pharmaceuticals, Inc $21.4011/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 886862957 CMS
AstraZeneca Pharmaceuticals LP $20.0011/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914893257 CMS
E.R. Squibb & Sons, L.L.C. $17.9611/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742987 CMS
Genentech USA, Inc. $25.0011/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 950726035 CMS
Janssen Pharmaceuticals, Inc $24.5111/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 886862981 CMS
AstraZeneca Pharmaceuticals LP $20.0011/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 915800355 CMS
Merck Sharp & Dohme LLC $22.2211/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944393095 CMS
E.R. Squibb & Sons, L.L.C. $22.3711/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742979 CMS
E.R. Squibb & Sons, L.L.C. $24.9511/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742983 CMS
PBG PUERTO RICO LLC $24.9511/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949434517 CMS
Amgen Inc. $18.9510/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939932319 CMS
E.R. Squibb & Sons, L.L.C. $13.4610/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742999 CMS
AstraZeneca Pharmaceuticals LP $20.0010/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914714869 CMS
ABBVIE INC. $25.0010/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 891178843 CMS
Janssen Pharmaceuticals, Inc $21.4010/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 886862955 CMS
Eli Lilly Export S.A. Puerto Rico Branch $20.0010/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918031283 CMS
Genentech USA, Inc. $25.0010/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 950736963 CMS
EISAI INC. $22.1810/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 910872943 CMS
PBG PUERTO RICO LLC $24.9510/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949397913 CMS
Incyte Corporation $14.2210/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 943002591 CMS
E.R. Squibb & Sons, L.L.C. $21.7010/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742963 CMS
Merck Sharp & Dohme LLC $15.0710/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944227049 CMS
E.R. Squibb & Sons, L.L.C. $22.2209/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742965 CMS
Amgen Inc. $22.2209/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939932317 CMS
AstraZeneca Pharmaceuticals LP $19.9309/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914919371 CMS
Genentech USA, Inc. $25.0009/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 950754337 CMS
Amgen Inc. $19.9509/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939932305 CMS
Eli Lilly Export S.A. Puerto Rico Branch $25.0009/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918023303 CMS
PBG PUERTO RICO LLC $24.9509/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 949325103 CMS
AstraZeneca Pharmaceuticals LP $20.0009/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 915024671 CMS
Novartis Pharmaceuticals Corporation $24.9609/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 893980339 CMS
Merck Sharp & Dohme LLC $22.2209/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 944246645 CMS
Amgen Inc. $20.0008/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939932315 CMS
Eli Lilly Export S.A. Puerto Rico Branch $14.9508/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918031281 CMS
Janssen Pharmaceuticals, Inc $21.4008/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 886862969 CMS
E.R. Squibb & Sons, L.L.C. $22.5008/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742957 CMS
E.R. Squibb & Sons, L.L.C. $14.1808/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 932742959 CMS
EISAI INC. $22.1808/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 910872941 CMS
Eli Lilly Export S.A. Puerto Rico Branch $44.1608/25/2022 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 918077521 CMS
AstraZeneca Pharmaceuticals LP $20.0008/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 914656805 CMS
Amgen Inc. $17.9508/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 939932303 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,952.21 109
PY2020 $2,913.04 83
PY2021 $2,582.98 120
PY2022 $3,017.13 139
PY2023 $3,198.97 143
PY2024 $3,974.31 192
PY2025 $4,166.08 187

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.