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

JOSEPH LACH

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1518996792
CMS profile
1118515
Location
SEDONA, AZ

General Payments · PY2018–2024

$1,202.62

  • Reported across 56 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$525.29

28 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $525.29 28

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $213.20 9
PY2019 $28.82 2
PY2023 $435.31 17
PY2024 $525.29 28

Payment records · PY2024 (28)

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

Program year 2024 201820192023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $15.99 04/02/2024 Food and Beverage Undisputed 01/23/2026 1125107864 CMS
Amgen Inc. $18.88 02/14/2024 Food and Beverage Undisputed 01/23/2026 1111626567 CMS
Amgen Inc. $17.93 04/23/2024 Food and Beverage Undisputed 01/23/2026 1111626569 CMS
Amgen Inc. $20.24 06/05/2024 Food and Beverage Undisputed 01/23/2026 1111626571 CMS
Amgen Inc. $15.69 08/15/2024 Food and Beverage Undisputed 01/23/2026 1111626573 CMS
Amgen Inc. $14.87 12/02/2024 Food and Beverage Undisputed 01/23/2026 1111626575 CMS
Astellas Pharma US Inc $18.01 02/29/2024 Food and Beverage Undisputed 01/23/2026 1139301198 CMS
AstraZeneca Pharmaceuticals LP $19.25 03/14/2024 Food and Beverage Undisputed 01/23/2026 1105493245 CMS
AstraZeneca Pharmaceuticals LP $14.12 06/03/2024 Food and Beverage Undisputed 01/23/2026 1104727409 CMS
AstraZeneca Pharmaceuticals LP $14.65 06/24/2024 Food and Beverage Undisputed 01/23/2026 1105739766 CMS
AstraZeneca Pharmaceuticals LP $16.68 08/08/2024 Food and Beverage Undisputed 01/23/2026 1105244676 CMS
AstraZeneca Pharmaceuticals LP $15.54 11/18/2024 Food and Beverage Undisputed 01/23/2026 1105519259 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $22.72 07/22/2024 Food and Beverage Undisputed 01/23/2026 1118043786 CMS
Exact Sciences Corporation $15.20 02/28/2024 Food and Beverage Undisputed 01/23/2026 1114746030 CMS
Exact Sciences Corporation $22.43 06/25/2024 Food and Beverage Undisputed 01/23/2026 1114746035 CMS
Exact Sciences Corporation $15.92 11/14/2024 Food and Beverage Undisputed 01/23/2026 1114746041 CMS
Exact Sciences Corporation $14.15 12/12/2024 Food and Beverage Undisputed 01/23/2026 1114746047 CMS
Janssen Pharmaceuticals, Inc $21.16 05/01/2024 Food and Beverage Undisputed 01/23/2026 1077916561 CMS
Janssen Pharmaceuticals, Inc $21.39 07/31/2024 Food and Beverage Undisputed 01/23/2026 1077916565 CMS
Lilly USA, LLC $20.37 08/27/2024 Food and Beverage Undisputed 01/23/2026 1135086661 CMS
Novo Nordisk Inc $24.07 04/19/2024 Food and Beverage Undisputed 01/23/2026 1097322042 CMS
Novo Nordisk Inc $22.60 07/18/2024 Food and Beverage Undisputed 01/23/2026 1097122876 CMS
Novo Nordisk Inc $17.10 10/31/2024 Food and Beverage Undisputed 01/23/2026 1097213985 CMS
PFIZER INC. $19.67 03/21/2024 Food and Beverage Undisputed 01/23/2026 1131736076 CMS
PFIZER INC. $22.78 07/16/2024 Food and Beverage Undisputed 01/23/2026 1131748978 CMS
PFIZER INC. $27.40 10/16/2024 Food and Beverage Undisputed 01/23/2026 1132087850 CMS
PFIZER INC. $13.35 10/29/2024 Food and Beverage Undisputed 01/23/2026 1131125952 CMS
PFIZER INC. $23.13 11/19/2024 Food and Beverage Undisputed 01/23/2026 1131257626 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, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2023 , PY2024
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.