LANCE DAVID REAL
Allopathic & Osteopathic Physicians|Family Medicine LITHIA, FL NPI 1497733091
Browse related groups: Allopathic & Osteopathic Physicians|Family Medicine FL Lilly USA, LLC All categories
General Payments — all program years on this page
$538.63
- Category: General Payments
- Program years: PY2019–2024
- Record count: 28
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $446.71 across 22 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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $446.71 | 22 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Lilly USA, LLC | $81.12 | 4 |
| Exact Sciences Corporation | $69.26 | 3 |
| Novo Nordisk AS | $63.16 | 3 |
| PFIZER INC. | $61.77 | 3 |
| ABBVIE INC. | $46.22 | 2 |
| SI-BONE, INC. | $31.34 | 2 |
| SHIELD THERAPEUTICS INC | $22.02 | 1 |
| Abbott Laboratories | $20.04 | 1 |
| Dynavax Technologies Corporation | $19.98 | 1 |
| Merck Sharp & Dohme Corporation | $16.04 | 1 |
| Acerta Pharma LLC | $15.76 | 1 |
By program year
Records — PY2024 (22)
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.