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

JAMES RYAN MILLER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1487282810
CMS profile
11425658
Location
ORCHARD PARK, NY

General Payments · PY2022–2025

$554.69

  • Reported across 20 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$508.58

18 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 $508.58 18

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $289.62 13
Madrigal Pharmaceuticals $149.99 1
Novo Nordisk AS $37.53 2
Esperion Therapeutics, Inc. $31.44 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $22.74 1
PY2024 $23.37 1
PY2025 $508.58 18

Payment records · PY2025 (18)

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

Program year 2025 20222024 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
Esperion Therapeutics, Inc. $15.53 07/25/2025 Food and Beverage Undisputed 06/30/2026 1243968434 CMS
Esperion Therapeutics, Inc. $15.91 10/22/2025 Food and Beverage Undisputed 06/30/2026 1243968436 CMS
Lilly USA, LLC $20.54 03/06/2025 Food and Beverage Undisputed 06/30/2026 1186744057 CMS
Lilly USA, LLC $13.20 03/27/2025 Food and Beverage Undisputed 06/30/2026 1186672017 CMS
Lilly USA, LLC $11.95 04/11/2025 Food and Beverage Undisputed 06/30/2026 1186693279 CMS
Lilly USA, LLC $21.56 04/25/2025 Food and Beverage Undisputed 06/30/2026 1186733415 CMS
Lilly USA, LLC $15.00 05/19/2025 Food and Beverage Undisputed 06/30/2026 1186693285 CMS
Lilly USA, LLC $114.51 05/20/2025 Food and Beverage Undisputed 06/30/2026 1186693281 CMS
Lilly USA, LLC $8.81 05/30/2025 Food and Beverage Undisputed 06/30/2026 1186662995 CMS
Lilly USA, LLC $19.00 06/04/2025 Food and Beverage Undisputed 06/30/2026 1186693283 CMS
Lilly USA, LLC $9.82 07/18/2025 Food and Beverage Undisputed 06/30/2026 1186733411 CMS
Lilly USA, LLC $11.01 07/23/2025 Food and Beverage Undisputed 06/30/2026 1186672019 CMS
Lilly USA, LLC $14.40 08/29/2025 Food and Beverage Undisputed 06/30/2026 1186733413 CMS
Lilly USA, LLC $18.92 09/16/2025 Food and Beverage Undisputed 06/30/2026 1186744059 CMS
Lilly USA, LLC $10.90 10/24/2025 Food and Beverage Undisputed 06/30/2026 1186733417 CMS
Madrigal Pharmaceuticals $149.99 01/27/2025 Food and Beverage Undisputed 06/30/2026 1248289325 CMS
Novo Nordisk Inc $19.98 02/13/2025 Food and Beverage Undisputed 06/30/2026 1188972847 CMS
Novo Nordisk Inc $17.55 07/31/2025 Food and Beverage Undisputed 06/30/2026 1188580166 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
2022, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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