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

RALPH LEO AQUADRO

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1396797288
CMS profile
154299
Location
FLORENCE, AL

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 · PY2021 · Entire year

$1,562.08

96 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

PY2021 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,562.08 96

By paying entity

PY2021 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 96 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

RALPH LEO AQUADRO

NPI 1396797288 · CMS profile ID 154299

Allopathic & Osteopathic Physicians / Internal Medicine

FLORENCE, AL

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, PY2021; 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 2; records 1–50 of 96 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1396797288?year=2021&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202

Cite these filtered records

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

Plain
RALPH LEO AQUADRO, NPI 1396797288, CMS profile ID 154299. General Payments, PY2021; 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 2; records 1–50 of 96 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1396797288?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
APA 7
IndustryPayments. (2026). RALPH LEO AQUADRO, NPI 1396797288, CMS profile ID 154299. General Payments, PY2021; 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 2; records 1–50 of 96 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1396797288?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
Bluebook
RALPH LEO AQUADRO, NPI 1396797288, CMS profile ID 154299, IndustryPayments, General Payments, PY2021; 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 2; records 1–50 of 96 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202. https://industrypayments.org/provider/npi-1396797288?year=2021&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 · PY2021

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

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

96 matching records · $1,562.08 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 96 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 96.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Lilly USA, LLC $12.2212/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818690129 CMS
Bayer HealthCare Pharmaceuticals Inc. $18.1412/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 789168529 CMS
Novo Nordisk Inc $12.6512/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811037651 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.6312/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763475366 CMS
AbbVie Inc. $4.2712/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 793907999 CMS
AstraZeneca Pharmaceuticals LP $14.0512/06/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830014395 CMS
Novo Nordisk Inc $11.4911/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811371143 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.1011/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763475368 CMS
Novo Nordisk Inc $109.2311/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811649195 CMS
AstraZeneca Pharmaceuticals LP $14.0511/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 829751003 CMS
PFIZER INC. $12.2311/03/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 833446945 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.5111/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 819852609 CMS
AbbVie Inc. $14.3610/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 793907995 CMS
GlaxoSmithKline, LLC. $11.3610/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 801898264 CMS
Supernus Pharmaceuticals, Inc. $15.1710/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 844998909 CMS
Supernus Pharmaceuticals, Inc. $15.1710/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 844998915 CMS
AbbVie Inc. $13.0710/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 793907991 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $12.7510/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763475370 CMS
AstraZeneca Pharmaceuticals LP $14.2310/11/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 829568323 CMS
Esperion Therapeutics, Inc. $23.2110/06/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838236845 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.0809/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763475372 CMS
PFIZER INC. $12.5109/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 832886325 CMS
AbbVie Inc. $2.0109/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 793907987 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.2809/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 819852607 CMS
Novo Nordisk Inc $14.0509/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810842133 CMS
AstraZeneca Pharmaceuticals LP $14.0509/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 829638133 CMS
Amarin Pharma Inc. $21.8109/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 815279577 CMS
PFIZER INC. $14.0509/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 833380959 CMS
Novo Nordisk Inc $12.5008/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811226185 CMS
Novo Nordisk Inc $16.4108/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810842127 CMS
AstraZeneca Pharmaceuticals LP $14.0508/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 829290595 CMS
Lilly USA, LLC $17.2008/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818728137 CMS
AbbVie Inc. $5.3808/11/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 793907983 CMS
AbbVie Inc. $12.7108/06/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 793907979 CMS
GlaxoSmithKline, LLC. $11.9307/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 802812369 CMS
Novo Nordisk Inc $12.5907/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810842123 CMS
E.R. Squibb & Sons, L.L.C. $11.1607/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 783505257 CMS
Amarin Pharma Inc. $18.7806/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 815219221 CMS
Novo Nordisk Inc $14.0506/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811037645 CMS
Novo Nordisk Inc $17.4106/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811226179 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.6206/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763475374 CMS
Novo Nordisk Inc $98.8406/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811037638 CMS
Amgen Inc. $12.4706/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 825703897 CMS
AstraZeneca Pharmaceuticals LP $99.8406/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830101783 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.7106/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 819852605 CMS
AbbVie Inc. $14.2706/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 793907975 CMS
Novo Nordisk Inc $8.9606/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811371139 CMS
Amgen Inc. $13.6606/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 826413473 CMS
AstraZeneca Pharmaceuticals LP $11.9406/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 829621079 CMS
PFIZER INC. $11.9706/03/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 833390909 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
PY2025 $997.85 43

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.