Covered recipient · General Payments record
FABIOLA ALEJANDRA MIESES PUN
Allopathic & Osteopathic Physicians Internal Medicine
General Payments · PY2021–2024
$2,082.28
- Reported across 67 records
- CMS publication 2026-01-23
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 | $1,099.35 | 40 |
| Education | $12.61 | 2 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Amgen Inc. | $341.88 | 8 |
| Acerta Pharma LLC | $309.14 | 7 |
| PFIZER INC. | $186.14 | 13 |
| Exact Sciences Corporation | $138.64 | 7 |
| Alkermes, Inc. | $45.58 | 2 |
| Lilly USA, LLC | $28.38 | 2 |
| ABBVIE INC. | $23.78 | 1 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $23.39 | 1 |
| Novo Nordisk AS | $15.03 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (42)
Sorted by paying entity, then date · as published by 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
- 2021, 2022, 2023, 2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.