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

IVAN ALEJANDRO MUNOZ-ALMARAZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1457834137
CMS profile
10878792
Location
FRESNO, CA

General Payments · PY2021–2024

$1,289.22

  • Reported across 60 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$613.41

26 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 $613.41 26

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $32.37 2
PY2022 $115.20 7
PY2023 $528.24 25
PY2024 $613.41 26

Payment records · PY2024 (26)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 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. $14.62 01/17/2024 Food and Beverage Undisputed 01/23/2026 1107707891 CMS
Amgen Inc. $20.47 01/17/2024 Food and Beverage Undisputed 01/23/2026 1117636281 CMS
Amgen Inc. $13.19 09/25/2024 Food and Beverage Undisputed 01/23/2026 1117636283 CMS
AstraZeneca Pharmaceuticals LP $21.40 09/17/2024 Food and Beverage Undisputed 01/23/2026 1104520192 CMS
Cranial Technologies, Inc $19.56 11/13/2024 Food and Beverage Undisputed 01/23/2026 1082243788 CMS
Exact Sciences Corporation $21.73 09/12/2024 Food and Beverage Undisputed 01/23/2026 1114421067 CMS
GlaxoSmithKline, LLC. $24.07 02/27/2024 Food and Beverage Undisputed 01/23/2026 1116730706 CMS
Hologic Sales and Service, LLC $34.88 07/31/2024 Food and Beverage Undisputed 01/23/2026 1084876520 CMS
Lilly USA, LLC $17.25 01/16/2024 Food and Beverage Undisputed 01/23/2026 1135686460 CMS
Lilly USA, LLC $7.65 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135641656 CMS
Lilly USA, LLC $14.51 05/09/2024 Food and Beverage Undisputed 01/23/2026 1135653575 CMS
Lilly USA, LLC $12.03 07/16/2024 Food and Beverage Undisputed 01/23/2026 1135669228 CMS
Lilly USA, LLC $12.45 10/08/2024 Food and Beverage Undisputed 01/23/2026 1135682711 CMS
Lilly USA, LLC $125.00 12/04/2024 Food and Beverage Undisputed 01/23/2026 1135696544 CMS
PFIZER INC. $14.23 04/18/2024 Food and Beverage Undisputed 01/23/2026 1131325362 CMS
Phathom Pharmaceuticals, Inc. $13.49 09/24/2024 Food and Beverage Undisputed 01/23/2026 1151191599 CMS
Regeneron Healthcare Solutions, Inc. $35.09 01/31/2024 Food and Beverage Undisputed 01/23/2026 1114347082 CMS
Regeneron Healthcare Solutions, Inc. $31.88 02/28/2024 Food and Beverage Undisputed 01/23/2026 1114347084 CMS
Regeneron Healthcare Solutions, Inc. $33.75 04/19/2024 Food and Beverage Undisputed 01/23/2026 1114347086 CMS
Sage Therapeutics, Inc. $18.49 10/15/2024 Food and Beverage Undisputed 01/23/2026 1120410011 CMS
SHIELD THERAPEUTICS INC $19.19 02/07/2024 Food and Beverage Undisputed 01/23/2026 1150119976 CMS
SHIELD THERAPEUTICS INC $20.39 03/05/2024 Food and Beverage Undisputed 01/23/2026 1150122575 CMS
Sumitomo Pharma America, Inc. $14.02 10/25/2024 Food and Beverage Undisputed 01/23/2026 1148983435 CMS
Sumitomo Pharma America, Inc. $22.16 12/12/2024 Food and Beverage Undisputed 01/23/2026 1148983437 CMS
Verrica Pharmaceuticals Inc. $16.24 02/15/2024 Food and Beverage Undisputed 01/23/2026 1118395074 CMS
Verrica Pharmaceuticals Inc. $15.67 09/18/2024 Food and Beverage Undisputed 01/23/2026 1118395076 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
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
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.