Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

LEO TOOMAJIAN

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1477649762
CMS profile
111838
Location
SHELBY TOWNSHIP, MI

General Payments · PY2019–2025

$4,390.05

  • Reported across 278 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$543.03

30 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $543.03 30

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $728.73 55
PY2020 $177.55 12
PY2021 $450.45 27
PY2022 $761.11 50
PY2023 $762.99 49
PY2024 $966.19 55
PY2025 $543.03 30

Payment records · PY2025 (30)

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

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $14.90 02/06/2025 Food and Beverage Undisputed 06/30/2026 1204545795 CMS
ABBVIE INC. $25.42 04/02/2025 Food and Beverage Undisputed 06/30/2026 1204545798 CMS
ABBVIE INC. $19.41 08/04/2025 Food and Beverage Undisputed 06/30/2026 1204545803 CMS
Amgen Inc. $14.44 03/04/2025 Food and Beverage Undisputed 06/30/2026 1227145606 CMS
Amgen Inc. $15.91 04/23/2025 Food and Beverage Undisputed 06/30/2026 1228489277 CMS
Amgen Inc. $15.50 09/03/2025 Food and Beverage Undisputed 06/30/2026 1228489275 CMS
Amgen Inc. $15.50 11/24/2025 Food and Beverage Undisputed 06/30/2026 1228489279 CMS
AstraZeneca Pharmaceuticals LP $14.59 04/24/2025 Food and Beverage Undisputed 06/30/2026 1207209603 CMS
AstraZeneca Pharmaceuticals LP $24.97 04/30/2025 Food and Beverage Undisputed 06/30/2026 1206299696 CMS
AstraZeneca Pharmaceuticals LP $16.85 08/28/2025 Food and Beverage Undisputed 06/30/2026 1206252491 CMS
AstraZeneca Pharmaceuticals LP $15.33 09/30/2025 Food and Beverage Undisputed 06/30/2026 1206136588 CMS
Biogen, Inc. $22.51 05/12/2025 Food and Beverage Undisputed 06/30/2026 1208300353 CMS
Exact Sciences Corporation $25.21 03/13/2025 Food and Beverage Undisputed 06/30/2026 1235421855 CMS
Exact Sciences Corporation $23.76 04/11/2025 Food and Beverage Undisputed 06/30/2026 1235421859 CMS
Exact Sciences Corporation $15.85 07/23/2025 Food and Beverage Undisputed 06/30/2026 1235421863 CMS
Exact Sciences Corporation $13.97 08/14/2025 Food and Beverage Undisputed 06/30/2026 1235421867 CMS
Lilly USA, LLC $15.64 07/16/2025 Food and Beverage Undisputed 06/30/2026 1186667705 CMS
Novo Nordisk Inc $23.38 03/19/2025 Food and Beverage Undisputed 06/30/2026 1188568905 CMS
Novo Nordisk Inc $23.89 05/06/2025 Food and Beverage Undisputed 06/30/2026 1188970216 CMS
Novo Nordisk Inc $14.62 09/02/2025 Food and Beverage Undisputed 06/30/2026 1188492886 CMS
Novo Nordisk Inc $20.08 11/14/2025 Food and Beverage Undisputed 06/30/2026 1188816183 CMS
Otsuka America Pharmaceutical, Inc. $15.73 10/06/2025 Food and Beverage Undisputed 06/30/2026 1227519341 CMS
Otsuka America Pharmaceutical, Inc. $16.43 12/02/2025 Food and Beverage Undisputed 06/30/2026 1227519344 CMS
PFIZER INC. $13.68 02/10/2025 Food and Beverage Undisputed 06/30/2026 1230524830 CMS
PFIZER INC. $14.61 05/01/2025 Food and Beverage Undisputed 06/30/2026 1230552721 CMS
PFIZER INC. $14.54 09/22/2025 Food and Beverage Undisputed 06/30/2026 1230571701 CMS
Phathom Pharmaceuticals, Inc. $14.00 04/22/2025 Food and Beverage Undisputed 06/30/2026 1219342360 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.04 01/03/2025 Food and Beverage Undisputed 06/30/2026 1231948504 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.41 11/10/2025 Food and Beverage Undisputed 06/30/2026 1231948507 CMS
Tanabe Pharma America, Inc. $24.86 11/20/2025 Food and Beverage Undisputed 06/30/2026 1243921389 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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