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

HECTOR PUIG-RAMIREZ

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1467414276
CMS profile
376422
Location
PONCE, PR

General Payments · PY2018–2024

$8,054.76

  • Reported across 170 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$789.40

27 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 $789.40 27

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $428.08 17
GENZYME CORPORATION $129.58 2
Janssen Pharmaceuticals, Inc $104.95 4
Merck Sharp & Dohme Corporation $72.48 2
JAZZ PHARMACEUTICALS INC. $32.53 1
Amgen Inc. $21.78 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $883.00 23
PY2019 $3,512.37 29
PY2020 $355.97 17
PY2021 $619.22 24
PY2022 $978.27 24
PY2023 $916.53 26
PY2024 $789.40 27

Payment records · PY2024 (27)

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

Program year 2024 201820192020202120222023 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
Amgen Inc. $21.78 09/25/2024 Food and Beverage Undisputed 01/23/2026 1111680438 CMS
AstraZeneca Pharmaceuticals LP $17.16 01/12/2024 Food and Beverage Undisputed 01/23/2026 1104670953 CMS
AstraZeneca Pharmaceuticals LP $22.42 02/01/2024 Food and Beverage Undisputed 01/23/2026 1104458716 CMS
AstraZeneca Pharmaceuticals LP $25.00 02/09/2024 Food and Beverage Undisputed 01/23/2026 1104742723 CMS
AstraZeneca Pharmaceuticals LP $58.53 02/19/2024 Food and Beverage Undisputed 01/23/2026 1105781558 CMS
AstraZeneca Pharmaceuticals LP $25.00 03/22/2024 Food and Beverage Undisputed 01/23/2026 1104433681 CMS
AstraZeneca Pharmaceuticals LP $22.37 04/16/2024 Food and Beverage Undisputed 01/23/2026 1105594897 CMS
AstraZeneca Pharmaceuticals LP $25.00 04/19/2024 Food and Beverage Undisputed 01/23/2026 1104306010 CMS
AstraZeneca Pharmaceuticals LP $18.33 05/17/2024 Food and Beverage Undisputed 01/23/2026 1104354152 CMS
AstraZeneca Pharmaceuticals LP $22.48 05/24/2024 Food and Beverage Undisputed 01/23/2026 1105399938 CMS
AstraZeneca Pharmaceuticals LP $25.00 06/21/2024 Food and Beverage Undisputed 01/23/2026 1104686928 CMS
AstraZeneca Pharmaceuticals LP $23.93 07/15/2024 Food and Beverage Undisputed 01/23/2026 1105229810 CMS
AstraZeneca Pharmaceuticals LP $26.01 08/01/2024 Food and Beverage Undisputed 01/23/2026 1104338514 CMS
AstraZeneca Pharmaceuticals LP $22.22 08/20/2024 Food and Beverage Undisputed 01/23/2026 1104423143 CMS
AstraZeneca Pharmaceuticals LP $30.44 08/22/2024 Food and Beverage Undisputed 01/23/2026 1104702147 CMS
AstraZeneca Pharmaceuticals LP $25.00 09/13/2024 Food and Beverage Undisputed 01/23/2026 1105897612 CMS
AstraZeneca Pharmaceuticals LP $25.00 10/25/2024 Food and Beverage Undisputed 01/23/2026 1104599266 CMS
AstraZeneca Pharmaceuticals LP $14.19 11/27/2024 Food and Beverage Undisputed 01/23/2026 1105786200 CMS
GENZYME CORPORATION $105.01 04/18/2024 Food and Beverage Undisputed 01/23/2026 1140011614 CMS
GENZYME CORPORATION $24.57 07/23/2024 Food and Beverage Undisputed 01/23/2026 1140011630 CMS
Janssen Pharmaceuticals, Inc $22.61 02/23/2024 Food and Beverage Undisputed 01/23/2026 1078169149 CMS
Janssen Pharmaceuticals, Inc $32.10 06/05/2024 Food and Beverage Undisputed 01/23/2026 1078169217 CMS
Janssen Pharmaceuticals, Inc $29.91 08/07/2024 Food and Beverage Undisputed 01/23/2026 1078169051 CMS
Janssen Pharmaceuticals, Inc $20.33 09/17/2024 Food and Beverage Undisputed 01/23/2026 1078169063 CMS
JAZZ PHARMACEUTICALS INC. $32.53 12/17/2024 Food and Beverage Undisputed 01/23/2026 1150216236 CMS
Merck Sharp & Dohme LLC $21.40 07/09/2024 Food and Beverage Undisputed 01/23/2026 1141681111 CMS
Merck Sharp & Dohme LLC $51.08 08/09/2024 Food and Beverage Undisputed 01/23/2026 1141681113 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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