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

RALPH LEO AQUADRO

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1396797288
CMS profile
154299
Location
FLORENCE, AL

General Payments · PY2018–2024

$10,810.73

  • Reported across 641 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,016.90

54 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 $1,016.90 54

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,533.17 134
PY2019 $1,623.57 111
PY2020 $1,778.04 110
PY2021 $1,562.08 96
PY2022 $1,341.87 80
PY2023 $955.10 56
PY2024 $1,016.90 54

Payment records · PY2024 (54)

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
ABBVIE INC. $15.34 01/29/2024 Food and Beverage Undisputed 01/23/2026 1103234567 CMS
ABBVIE INC. $16.17 05/14/2024 Food and Beverage Undisputed 01/23/2026 1103234569 CMS
Amgen Inc. $15.15 03/13/2024 Food and Beverage Undisputed 01/23/2026 1117495870 CMS
AstraZeneca Pharmaceuticals LP $25.77 02/01/2024 Food and Beverage Undisputed 01/23/2026 1104500480 CMS
AstraZeneca Pharmaceuticals LP $19.23 02/19/2024 Food and Beverage Undisputed 01/23/2026 1105775708 CMS
AstraZeneca Pharmaceuticals LP $15.72 05/07/2024 Food and Beverage Undisputed 01/23/2026 1104622444 CMS
AstraZeneca Pharmaceuticals LP $16.99 08/14/2024 Food and Beverage Undisputed 01/23/2026 1105897828 CMS
AstraZeneca Pharmaceuticals LP $15.85 09/16/2024 Food and Beverage Undisputed 01/23/2026 1105337783 CMS
AstraZeneca Pharmaceuticals LP $22.90 11/12/2024 Food and Beverage Undisputed 01/23/2026 1105792586 CMS
Bausch Health US, LLC $22.41 09/10/2024 Food and Beverage Undisputed 01/23/2026 1148023434 CMS
Bausch Health US, LLC $23.71 10/16/2024 Food and Beverage Undisputed 01/23/2026 1148023436 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.62 01/30/2024 Food and Beverage Undisputed 01/23/2026 1086128034 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.48 08/07/2024 Food and Beverage Undisputed 01/23/2026 1086111692 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.73 11/05/2024 Food and Beverage Undisputed 01/23/2026 1086175064 CMS
Biogen, Inc. $21.74 02/28/2024 Food and Beverage Undisputed 01/23/2026 1104843426 CMS
Esperion Therapeutics, Inc. $15.77 03/14/2024 Food and Beverage Undisputed 01/23/2026 1129426308 CMS
Exact Sciences Corporation $25.64 01/26/2024 Food and Beverage Undisputed 01/23/2026 1114578248 CMS
Exact Sciences Corporation $15.50 06/19/2024 Food and Beverage Undisputed 01/23/2026 1114578251 CMS
Exact Sciences Corporation $18.72 08/14/2024 Food and Beverage Undisputed 01/23/2026 1114578255 CMS
Exact Sciences Corporation $14.69 10/18/2024 Food and Beverage Undisputed 01/23/2026 1114578259 CMS
Exact Sciences Corporation $14.47 12/10/2024 Food and Beverage Undisputed 01/23/2026 1114578263 CMS
GlaxoSmithKline, LLC. $14.08 08/22/2024 Food and Beverage Undisputed 01/23/2026 1116696587 CMS
GlaxoSmithKline, LLC. $18.85 12/03/2024 Food and Beverage Undisputed 01/23/2026 1116574418 CMS
Kyowa Kirin, Inc. $20.09 02/13/2024 Food and Beverage Undisputed 01/23/2026 1127040883 CMS
Lilly USA, LLC $23.54 01/10/2024 Food and Beverage Undisputed 01/23/2026 1135327857 CMS
Lilly USA, LLC $22.91 02/12/2024 Food and Beverage Undisputed 01/23/2026 1135313193 CMS
Lilly USA, LLC $29.84 02/20/2024 Food and Beverage Undisputed 01/23/2026 1135311845 CMS
Lilly USA, LLC $18.61 03/21/2024 Food and Beverage Undisputed 01/23/2026 1135351869 CMS
Lilly USA, LLC $17.04 04/08/2024 Food and Beverage Undisputed 01/23/2026 1135354212 CMS
Lilly USA, LLC $15.47 04/30/2024 Food and Beverage Undisputed 01/23/2026 1135327191 CMS
Lilly USA, LLC $15.46 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135313197 CMS
Lilly USA, LLC $17.69 06/26/2024 Food and Beverage Undisputed 01/23/2026 1135331018 CMS
Lilly USA, LLC $27.11 07/30/2024 Food and Beverage Undisputed 01/23/2026 1135327861 CMS
Lilly USA, LLC $13.72 09/17/2024 Food and Beverage Undisputed 01/23/2026 1135354214 CMS
Lilly USA, LLC $13.90 10/14/2024 Food and Beverage Undisputed 01/23/2026 1135377266 CMS
Novo Nordisk Inc $17.96 03/19/2024 Food and Beverage Undisputed 01/23/2026 1096884037 CMS
Novo Nordisk Inc $20.76 04/24/2024 Food and Beverage Undisputed 01/23/2026 1096702808 CMS
Novo Nordisk Inc $22.49 05/23/2024 Food and Beverage Undisputed 01/23/2026 1097405481 CMS
Novo Nordisk Inc $16.79 08/05/2024 Food and Beverage Undisputed 01/23/2026 1097201269 CMS
Novo Nordisk Inc $23.88 09/27/2024 Food and Beverage Undisputed 01/23/2026 1096939171 CMS
PFIZER INC. $14.27 02/22/2024 Food and Beverage Undisputed 01/23/2026 1131086052 CMS
PFIZER INC. $15.93 03/27/2024 Food and Beverage Undisputed 01/23/2026 1131215917 CMS
PFIZER INC. $15.99 05/15/2024 Food and Beverage Undisputed 01/23/2026 1131462419 CMS
PFIZER INC. $16.93 07/17/2024 Food and Beverage Undisputed 01/23/2026 1131769276 CMS
PFIZER INC. $16.60 08/20/2024 Food and Beverage Undisputed 01/23/2026 1131789911 CMS
PFIZER INC. $15.31 10/09/2024 Food and Beverage Undisputed 01/23/2026 1131979822 CMS
PFIZER INC. $14.24 11/20/2024 Food and Beverage Undisputed 01/23/2026 1131072500 CMS
REVANCE THERAPEUTICS, INC. $21.50 10/22/2024 Food and Beverage Undisputed 01/23/2026 1147911836 CMS
REVANCE THERAPEUTICS, INC. $13.63 11/22/2024 Food and Beverage Undisputed 01/23/2026 1147911838 CMS
SHIELD THERAPEUTICS INC $24.77 03/05/2024 Food and Beverage Undisputed 01/23/2026 1150122471 CMS
SHIELD THERAPEUTICS INC $22.09 06/06/2024 Food and Beverage Undisputed 01/23/2026 1150133771 CMS
SHIELD THERAPEUTICS INC $24.24 07/24/2024 Food and Beverage Undisputed 01/23/2026 1150139149 CMS
SHIELD THERAPEUTICS INC $26.44 09/24/2024 Food and Beverage Undisputed 01/23/2026 1150147061 CMS
Sumitomo Pharma America, Inc. $16.17 11/19/2024 Food and Beverage Undisputed 01/23/2026 1148822034 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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