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

ARNOLD RUGAMA

Allopathic & Osteopathic Physicians Family Medicine Sleep Medicine

NPI
1487656021
CMS profile
340094
Location
FRESNO, CA

General Payments · PY2018–2022

$2,589.27

  • Reported across 55 records
  • CMS publication 2026-01-23

Latest program year · PY2022

$272.84

10 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

PY2022 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $272.84 10

By paying entity

PY2022 · sorted by reported total

Paying entityAmountRecords
JAZZ PHARMACEUTICALS INC. $169.39 6
HARMONY BIOSCIENCES LLC $43.66 2
Itamar Medical Inc $35.96 1
Fisher & Paykel Healthcare Inc $23.83 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,335.94 16
PY2019 $269.43 7
PY2020 $329.64 14
PY2021 $381.42 8
PY2022 $272.84 10

Payment records · PY2022 (10)

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

Program year 2022 2018201920202021 Record-level detail is published for PY2022; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Fisher & Paykel Healthcare Inc $23.83 03/24/2022 Food and Beverage Undisputed 01/23/2026 914123665 CMS
Harmony Biosciences LLC $14.29 06/02/2022 Food and Beverage Undisputed 01/23/2026 955196609 CMS
Harmony Biosciences LLC $29.37 07/22/2022 Food and Beverage Undisputed 01/23/2026 955161819 CMS
Itamar Medical Inc $35.96 03/02/2022 Food and Beverage Undisputed 01/23/2026 954819791 CMS
JAZZ PHARMACEUTICALS INC. $4.20 02/09/2022 Food and Beverage Undisputed 01/23/2026 951348619 CMS
JAZZ PHARMACEUTICALS INC. $17.92 02/11/2022 Food and Beverage Undisputed 01/23/2026 951345099 CMS
JAZZ PHARMACEUTICALS INC. $16.25 06/23/2022 Food and Beverage Undisputed 01/23/2026 951355519 CMS
JAZZ PHARMACEUTICALS INC. $2.54 06/23/2022 Food and Beverage Undisputed 01/23/2026 951355521 CMS
JAZZ PHARMACEUTICALS INC. $6.60 06/23/2022 Food and Beverage Undisputed 01/23/2026 951355523 CMS
JAZZ PHARMACEUTICALS INC. $121.88 07/14/2022 Food and Beverage Undisputed 01/23/2026 951402261 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
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022
Generated from
OP_DTL_GNRL_PGYR2022_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.