Covered recipient · General Payments record

RALPH GOUSSE

Allopathic & Osteopathic Physicians Internal Medicine Medical Oncology

NPI: 1457316341
CMS profile: 202473
Location: ALTAMONTE SPRINGS, FL

General Payments · PY2018–2024

$7,813.50

Reported across 411 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,970.00

91 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	$1,859.00	89
Education	$111.00	2

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Gilead Sciences, Inc.	$235.79	10
Celgene Corporation	$197.33	8
PFIZER INC.	$193.74	9
NOVARTIS PHARMACEUTICALS CORPORATION	$189.70	11
Astellas Pharma US Inc	$143.63	4
Acerta Pharma LLC	$136.86	5
E.R. Squibb & Sons, L.L.C.	$92.69	5
Merck Sharp & Dohme Corporation	$68.23	3
Daiichi Sankyo Inc.	$55.00	3
SOBI, INC	$53.17	2
Genentech USA, Inc.	$52.80	2
Karyopharm Therapeutics Inc.	$47.66	3
Rigel Pharmaceuticals, Inc.	$45.01	2
Blueprint Medicines Corporation	$40.36	2
ADC Therapeutics America, Inc.	$37.35	2
BeiGene USA, Inc.	$36.71	2
Exelixis Inc.	$36.39	2
ARRAY BIOPHARMA INC	$35.78	2
EMD Serono, Inc.	$28.58	1
PharmaEssentia USA Corporation	$25.91	1
Dendreon Pharmaceuticals LLC	$23.36	1
Incyte Corporation	$21.83	1
Kite Pharma, Inc.	$21.44	1
GlaxoSmithKline, LLC.	$21.23	1
GENZYME CORPORATION	$19.67	1
Pharmacosmos Therapeutics Inc.	$18.42	1
Janssen Biotech, Inc.	$16.98	1
TerSera Therapeutics LLC	$16.05	1
JAZZ PHARMACEUTICALS INC.	$14.90	1
CSL Behring	$14.60	1
EISAI INC.	$14.47	1
SERVIER PHARMACEUTICALS LLC	$14.36	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$747.59	46
PY2019	$931.85	59
PY2020	$362.13	23
PY2021	$474.43	28
PY2022	$1,364.76	74
PY2023	$1,962.74	90
PY2024	$1,970.00	91

Payment records · PY2024 (91)

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
ADC Therapeutics America, Inc.	$17.48	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1121190823	CMS
ADC Therapeutics America, Inc.	$19.87	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1121190863	CMS
ARRAY BIOPHARMA INC	$16.40	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1131193537	CMS
ARRAY BIOPHARMA INC	$19.38	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1131237102	CMS
Astellas Pharma US Inc	$17.86	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1139266194	CMS
Astellas Pharma US Inc	$85.05	04/22/2024	Education	Undisputed	01/23/2026	1139348834	CMS
Astellas Pharma US Inc	$16.34	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1139349328	CMS
Astellas Pharma US Inc	$24.38	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1139264630	CMS
AstraZeneca Pharmaceuticals LP	$26.40	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1105491217	CMS
AstraZeneca Pharmaceuticals LP	$24.74	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1104734055	CMS
AstraZeneca Pharmaceuticals LP	$27.26	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1104648495	CMS
AstraZeneca Pharmaceuticals LP	$32.51	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1104219365	CMS
AstraZeneca Pharmaceuticals LP	$25.95	11/20/2024	Education	Undisputed	01/23/2026	1105485627	CMS
BeiGene USA, Inc.	$23.13	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1120849898	CMS
BeiGene USA, Inc.	$13.58	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1120849900	CMS
Blueprint Medicines Corporation	$24.75	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1147446866	CMS
Blueprint Medicines Corporation	$15.61	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1147446946	CMS
Celgene Corporation	$29.55	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1101135260	CMS
Celgene Corporation	$19.19	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1101135264	CMS
Celgene Corporation	$29.80	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1101135268	CMS
Celgene Corporation	$19.42	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1101135266	CMS
Celgene Corporation	$13.08	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1101135270	CMS
Celgene Corporation	$35.94	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1101135274	CMS
Celgene Corporation	$20.43	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1101135276	CMS
Celgene Corporation	$29.92	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1101135280	CMS
CSL Behring	$14.60	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1134617491	CMS
Daiichi Sankyo Inc.	$22.56	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1089427657	CMS
Daiichi Sankyo Inc.	$14.99	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1089427659	CMS
Daiichi Sankyo Inc.	$17.45	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1089427655	CMS
Dendreon Pharmaceuticals LLC	$23.36	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1149316420	CMS
E.R. Squibb & Sons, L.L.C.	$19.91	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1101425784	CMS
E.R. Squibb & Sons, L.L.C.	$16.75	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1101425786	CMS
E.R. Squibb & Sons, L.L.C.	$24.04	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1101425808	CMS
E.R. Squibb & Sons, L.L.C.	$18.18	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1101425828	CMS
E.R. Squibb & Sons, L.L.C.	$13.81	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1101425904	CMS
Eisai Inc.	$14.47	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1110774677	CMS
EMD Serono, Inc.	$28.58	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1120272424	CMS
Exelixis Inc.	$17.05	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1138564236	CMS
Exelixis Inc.	$19.34	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1138564238	CMS
Genentech USA, Inc.	$22.50	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1133092477	CMS
Genentech USA, Inc.	$30.30	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1133092481	CMS
GENZYME CORPORATION	$19.67	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1139625152	CMS
Gilead Sciences, Inc.	$23.23	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1133829897	CMS
Gilead Sciences, Inc.	$19.03	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1133829899	CMS
Gilead Sciences, Inc.	$28.14	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1133829901	CMS
Gilead Sciences, Inc.	$24.71	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1133829903	CMS
Gilead Sciences, Inc.	$17.34	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1133829905	CMS
Gilead Sciences, Inc.	$25.37	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1133829907	CMS
Gilead Sciences, Inc.	$24.19	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1133829909	CMS
Gilead Sciences, Inc.	$22.84	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1133829911	CMS
Gilead Sciences, Inc.	$23.25	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1133829913	CMS
Gilead Sciences, Inc.	$27.69	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1133829915	CMS
GlaxoSmithKline, LLC.	$21.23	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1116246784	CMS
Incyte Corporation	$21.83	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1141232339	CMS
Janssen Biotech, Inc.	$16.98	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1078396563	CMS
JAZZ PHARMACEUTICALS INC.	$14.90	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1150215831	CMS
Karyopharm Therapeutics Inc.	$16.85	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1145535642	CMS
Karyopharm Therapeutics Inc.	$16.54	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1145535647	CMS
Karyopharm Therapeutics Inc.	$14.27	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1145535651	CMS
Kite Pharma, Inc.	$21.44	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1128610991	CMS
Merck Sharp & Dohme LLC	$33.77	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1141839555	CMS
Merck Sharp & Dohme LLC	$16.54	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1141603202	CMS
Merck Sharp & Dohme LLC	$17.92	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1141603204	CMS
Novartis Pharmaceuticals Corporation	$11.74	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1086867463	CMS
Novartis Pharmaceuticals Corporation	$16.89	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1086867461	CMS
Novartis Pharmaceuticals Corporation	$14.95	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1086867471	CMS
Novartis Pharmaceuticals Corporation	$18.78	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1086867467	CMS
Novartis Pharmaceuticals Corporation	$24.95	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1086867465	CMS
Novartis Pharmaceuticals Corporation	$12.55	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1086867469	CMS
Novartis Pharmaceuticals Corporation	$28.62	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1086867473	CMS
Novartis Pharmaceuticals Corporation	$12.55	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1086867477	CMS
Novartis Pharmaceuticals Corporation	$17.33	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1086867479	CMS
Novartis Pharmaceuticals Corporation	$16.59	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1086867481	CMS
Novartis Pharmaceuticals Corporation	$14.75	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1086867483	CMS
PFIZER INC.	$21.80	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1131292481	CMS
PFIZER INC.	$25.01	01/13/2024	Food and Beverage	Undisputed	01/23/2026	1131169876	CMS
PFIZER INC.	$23.30	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1131285592	CMS
PFIZER INC.	$9.08	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1131660704	CMS
PFIZER INC.	$29.06	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131332813	CMS
PFIZER INC.	$26.02	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1131704137	CMS
PFIZER INC.	$17.83	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1131349370	CMS
PFIZER INC.	$18.04	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1131865163	CMS
PFIZER INC.	$23.60	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1131391802	CMS
Pharmacosmos Therapeutics Inc.	$18.42	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1154822081	CMS
PharmaEssentia USA Corporation	$25.91	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1137302596	CMS
Rigel Pharmaceuticals, Inc.	$22.59	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1145198928	CMS
Rigel Pharmaceuticals, Inc.	$22.42	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1145205316	CMS
SERVIER PHARMACEUTICALS LLC	$14.36	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1147262771	CMS
SOBI, INC	$30.00	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1141417466	CMS
SOBI, INC	$23.17	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1141412648	CMS
TerSera Therapeutics LLC	$16.05	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1144717725	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.