RALPH VANCE

Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology FLOWOOD, MS NPI 1487974192

General Payments — all program years on this page

$3,160.56

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 58
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $694.86 across 13 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $694.8613

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2018 $303.746
2019 $1,216.0410
2020 $191.772
2021 $392.6813
2022 $117.876
2023 $243.608
2024 $694.8613

Records — PY2024 (13)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1092479499 Boston Scientific Corporation $107.28 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101124608 Celgene Corporation $39.57 01/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106268968 ABBVIE INC. $88.13 02/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106268970 ABBVIE INC. $23.16 07/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1113641163 Intercept Pharmaceuticals, Inc. $17.95 09/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117482549 ERBE USA INC $134.91 03/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119343818 Medtronic, Inc. $133.13 02/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1137691519 Takeda Pharmaceuticals U.S.A., Inc. $17.40 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1137691521 Takeda Pharmaceuticals U.S.A., Inc. $36.82 04/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1137691523 Takeda Pharmaceuticals U.S.A., Inc. $33.66 10/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139921562 GENZYME CORPORATION $22.74 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146712365 Ardelyx, Inc. $20.23 06/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153746181 IRONWOOD PHARMACEUTICALS, INC $19.88 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • 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.