Covered recipient · General Payments record

STEPHEN P LAGUARDIA

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI: 1396866729
CMS profile: 244759
Location: MARRERO, LA

General Payments · PY2018–2024

$6,958.99

Reported across 420 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,284.66

114 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	$2,252.39	113
Education	$32.27	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
NOVARTIS PHARMACEUTICALS CORPORATION	$471.24	29
Boehringer Ingelheim Pharmaceuticals, Inc.	$256.29	11
Amgen Inc.	$186.41	12
iRhythm Technologies, Inc.	$161.32	8
Lexicon Pharmaceuticals, Inc.	$159.28	10
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$158.33	6
PFIZER INC.	$118.54	6
ShockWave Medical, Inc	$105.60	1
Novo Nordisk AS	$103.08	4
Acerta Pharma LLC	$101.93	6
E.R. Squibb & Sons, L.L.C.	$83.51	4
Kestra Medical Technology Services, Inc.	$78.71	4
Janssen Pharmaceuticals, Inc	$71.69	3
Merck Sharp & Dohme Corporation	$54.69	3
Alnylam Pharmaceuticals Inc.	$48.90	2
SCPHARMACEUTICALS INC.	$46.35	2
ATRICURE, INC.	$44.33	2
BAXTER HEALTHCARE	$34.46	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$797.51	62
PY2019	$481.95	31
PY2020	$76.89	3
PY2021	$379.47	25
PY2022	$1,161.54	78
PY2023	$1,776.97	107
PY2024	$2,284.66	114

Payment records · PY2024 (114)

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
Alnylam Pharmaceuticals Inc.	$28.92	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1125853257	CMS
Alnylam Pharmaceuticals Inc.	$19.98	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1125853281	CMS
Amgen Inc.	$22.74	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1115844151	CMS
Amgen Inc.	$21.14	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1115844159	CMS
Amgen Inc.	$8.24	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1115844169	CMS
Amgen Inc.	$20.20	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1115844178	CMS
Amgen Inc.	$17.67	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1115844186	CMS
Amgen Inc.	$21.15	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1115844196	CMS
Amgen Inc.	$12.61	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1115844204	CMS
Amgen Inc.	$12.75	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1115844212	CMS
Amgen Inc.	$20.34	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1115844220	CMS
Amgen Inc.	$7.18	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1115844230	CMS
Amgen Inc.	$2.34	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1115844238	CMS
Amgen Inc.	$20.05	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1115844247	CMS
AstraZeneca Pharmaceuticals LP	$15.53	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1104766328	CMS
AstraZeneca Pharmaceuticals LP	$17.54	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1105789596	CMS
AstraZeneca Pharmaceuticals LP	$15.92	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1104561630	CMS
AstraZeneca Pharmaceuticals LP	$22.08	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1105550704	CMS
AstraZeneca Pharmaceuticals LP	$14.96	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1104679969	CMS
AstraZeneca Pharmaceuticals LP	$15.90	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1105748231	CMS
ATRICURE, INC.	$21.20	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1132867294	CMS
ATRICURE, INC.	$23.13	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1132877275	CMS
Baxter Healthcare	$34.46	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1120630548	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.53	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1117994524	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.93	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1117994538	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$28.92	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1117994530	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.43	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1117994536	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.52	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1117994518	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.51	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1117994520	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.52	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1117994522	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$8.49	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1117994532	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.24	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1117994526	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.20	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1117994534	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.00	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1117994528	CMS
E.R. Squibb & Sons, L.L.C.	$17.89	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1101426826	CMS
E.R. Squibb & Sons, L.L.C.	$21.74	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1101426866	CMS
E.R. Squibb & Sons, L.L.C.	$24.02	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1101426862	CMS
E.R. Squibb & Sons, L.L.C.	$19.86	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1101426878	CMS
iRhythm Technologies, Inc.	$19.99	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1154051465	CMS
iRhythm Technologies, Inc.	$19.75	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1154051441	CMS
iRhythm Technologies, Inc.	$23.80	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1154051445	CMS
iRhythm Technologies, Inc.	$22.83	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1154051451	CMS
iRhythm Technologies, Inc.	$21.11	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1154051543	CMS
iRhythm Technologies, Inc.	$22.12	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1154051559	CMS
iRhythm Technologies, Inc.	$21.29	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1154051563	CMS
iRhythm Technologies, Inc.	$10.43	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1154051561	CMS
Janssen Pharmaceuticals, Inc	$24.19	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1078033964	CMS
Janssen Pharmaceuticals, Inc	$24.19	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1078033984	CMS
Janssen Pharmaceuticals, Inc	$23.31	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1078033992	CMS
Kestra Medical Technology Services, Inc.	$28.04	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1152377193	CMS
Kestra Medical Technology Services, Inc.	$15.14	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1152377195	CMS
Kestra Medical Technology Services, Inc.	$18.31	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1152377191	CMS
Kestra Medical Technology Services, Inc.	$17.22	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1152377197	CMS
Lexicon Pharmaceuticals, Inc.	$9.31	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1081705537	CMS
Lexicon Pharmaceuticals, Inc.	$7.45	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1081705535	CMS
Lexicon Pharmaceuticals, Inc.	$25.38	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1081705549	CMS
Lexicon Pharmaceuticals, Inc.	$26.02	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1081705551	CMS
Lexicon Pharmaceuticals, Inc.	$5.36	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1081705533	CMS
Lexicon Pharmaceuticals, Inc.	$21.25	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1081705545	CMS
Lexicon Pharmaceuticals, Inc.	$21.37	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1081705547	CMS
Lexicon Pharmaceuticals, Inc.	$18.06	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1081705543	CMS
Lexicon Pharmaceuticals, Inc.	$10.30	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1081705539	CMS
Lexicon Pharmaceuticals, Inc.	$14.78	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1081705541	CMS
Merck Sharp & Dohme LLC	$15.11	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1141648648	CMS
Merck Sharp & Dohme LLC	$20.38	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1141923979	CMS
Merck Sharp & Dohme LLC	$19.20	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1141648638	CMS
Novartis Pharmaceuticals Corporation	$18.17	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1087101980	CMS
Novartis Pharmaceuticals Corporation	$18.14	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1087101982	CMS
Novartis Pharmaceuticals Corporation	$6.66	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1087101984	CMS
Novartis Pharmaceuticals Corporation	$10.11	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1087101994	CMS
Novartis Pharmaceuticals Corporation	$6.68	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1087101996	CMS
Novartis Pharmaceuticals Corporation	$19.66	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1087101998	CMS
Novartis Pharmaceuticals Corporation	$24.32	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1087102094	CMS
Novartis Pharmaceuticals Corporation	$20.03	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1087102000	CMS
Novartis Pharmaceuticals Corporation	$14.94	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1087102002	CMS
Novartis Pharmaceuticals Corporation	$16.91	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1087102004	CMS
Novartis Pharmaceuticals Corporation	$17.46	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1087102006	CMS
Novartis Pharmaceuticals Corporation	$21.66	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1087102012	CMS
Novartis Pharmaceuticals Corporation	$12.61	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1087102018	CMS
Novartis Pharmaceuticals Corporation	$15.56	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1087102014	CMS
Novartis Pharmaceuticals Corporation	$20.28	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1087102020	CMS
Novartis Pharmaceuticals Corporation	$14.25	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1087102022	CMS
Novartis Pharmaceuticals Corporation	$19.09	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1087102030	CMS
Novartis Pharmaceuticals Corporation	$20.53	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1087102040	CMS
Novartis Pharmaceuticals Corporation	$12.99	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1087102042	CMS
Novartis Pharmaceuticals Corporation	$22.60	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1087102044	CMS
Novartis Pharmaceuticals Corporation	$12.66	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1087102046	CMS
Novartis Pharmaceuticals Corporation	$12.84	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1087102048	CMS
Novartis Pharmaceuticals Corporation	$26.53	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1087102092	CMS
Novartis Pharmaceuticals Corporation	$14.95	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1087102056	CMS
Novartis Pharmaceuticals Corporation	$13.23	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1087102064	CMS
Novartis Pharmaceuticals Corporation	$13.57	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1087102068	CMS
Novartis Pharmaceuticals Corporation	$23.39	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1087102070	CMS
Novartis Pharmaceuticals Corporation	$17.22	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1087102076	CMS
Novartis Pharmaceuticals Corporation	$4.20	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1087102078	CMS
Novo Nordisk Inc	$21.95	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1096576469	CMS
Novo Nordisk Inc	$32.27	02/23/2024	Education	Undisputed	01/23/2026	1096802332	CMS
Novo Nordisk Inc	$22.35	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1096588248	CMS
Novo Nordisk Inc	$26.51	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1097351545	CMS
PFIZER INC.	$18.57	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1130981377	CMS
PFIZER INC.	$19.22	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1130977392	CMS
PFIZER INC.	$16.22	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1131237564	CMS
PFIZER INC.	$19.27	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1131473010	CMS
PFIZER INC.	$15.12	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1131837366	CMS
PFIZER INC.	$30.14	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1130876348	CMS
SCPHARMACEUTICALS INC.	$20.18	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1132262146	CMS
SCPHARMACEUTICALS INC.	$26.17	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1132300131	CMS
ShockWave Medical, Inc	$105.60	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1153007322	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$29.72	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1080702816	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$20.55	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1080703046	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$31.74	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1080703084	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$30.35	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1080703140	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$15.76	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1080703192	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$30.21	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1080703196	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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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.