Covered recipient · General Payments record

ERNESTO JOAQUIN CARAMES

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1528099603
CMS profile: 159626
Location: ST AUGUSTINE, FL

General Payments · PY2018–2024

$9,771.86

Reported across 870 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,504.88

72 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 payment	Amount	Records
Food and Beverage	$1,504.88	72

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Boehringer Ingelheim Pharmaceuticals, Inc.	$220.88	11
Acerta Pharma LLC	$170.08	9
Lilly USA, LLC	$162.92	8
Amgen Inc.	$130.63	8
SHIELD THERAPEUTICS INC	$103.32	1
Inspire Medical Systems, Inc.	$65.20	2
GlaxoSmithKline, LLC.	$64.93	3
EISAI INC.	$63.51	2
AngioDynamics, Inc.	$55.83	3
Exact Sciences Corporation	$53.46	3
Abbott Laboratories	$53.24	3
Merck Sharp & Dohme Corporation	$45.15	2
Astellas Pharma US Inc	$43.78	2
Corcept Therapeutics	$40.20	2
Novo Nordisk AS	$36.32	2
PFIZER INC.	$34.29	2
SANOFI-AVENTIS U.S. LLC	$24.93	1
Philips Electronics North America Corporation	$19.94	1
Daiichi Sankyo Inc.	$19.19	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.48	1
Mylan Specialty L.P.	$18.42	1
Bausch Health US, LLC	$15.94	1
Insulet Corporation	$15.46	1
Bayer HealthCare Pharmaceuticals Inc.	$15.07	1
IDORSIA PHARMACEUTICALS US INC	$13.71	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,686.92	179
PY2019	$1,264.04	144
PY2020	$1,123.37	127
PY2021	$1,415.45	126
PY2022	$1,314.42	105
PY2023	$1,462.78	117
PY2024	$1,504.88	72

Payment records · PY2024 (72)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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	$17.56	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1125109182	CMS
Abbott Laboratories	$17.84	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1125109184	CMS
Abbott Laboratories	$17.84	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1125109186	CMS
Amgen Inc.	$17.17	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1117217436	CMS
Amgen Inc.	$15.35	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1117217438	CMS
Amgen Inc.	$15.96	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1117217440	CMS
Amgen Inc.	$17.27	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1117217442	CMS
Amgen Inc.	$22.25	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1117217444	CMS
Amgen Inc.	$14.12	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1117217446	CMS
Amgen Inc.	$15.07	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1117217448	CMS
Amgen Inc.	$13.44	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1117217450	CMS
AngioDynamics, Inc.	$15.48	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1095069772	CMS
AngioDynamics, Inc.	$19.91	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1095069775	CMS
AngioDynamics, Inc.	$20.44	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1095069779	CMS
Astellas Pharma US Inc	$26.07	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1139290430	CMS
Astellas Pharma US Inc	$17.71	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1139410831	CMS
AstraZeneca Pharmaceuticals LP	$13.66	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1105537783	CMS
AstraZeneca Pharmaceuticals LP	$19.82	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1104726803	CMS
AstraZeneca Pharmaceuticals LP	$14.73	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1105585842	CMS
AstraZeneca Pharmaceuticals LP	$14.18	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1105493519	CMS
AstraZeneca Pharmaceuticals LP	$18.35	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1105748037	CMS
AstraZeneca Pharmaceuticals LP	$27.69	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1105561760	CMS
AstraZeneca Pharmaceuticals LP	$20.31	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1104349096	CMS
AstraZeneca Pharmaceuticals LP	$20.98	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1105357739	CMS
AstraZeneca Pharmaceuticals LP	$20.36	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1105362991	CMS
Bausch Health US, LLC	$15.94	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1148019192	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.07	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1086125842	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.17	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1118045102	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.43	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1118045096	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$12.83	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1118045088	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.78	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1118045098	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.78	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1118045100	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$29.49	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1118045086	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$24.16	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1118045084	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.93	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1118045104	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.12	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1118045092	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.68	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1118045094	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.51	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1118045090	CMS
Corcept Therapeutics	$21.59	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1117785799	CMS
Corcept Therapeutics	$18.61	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1117785809	CMS
Daiichi Sankyo Inc.	$19.19	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1089406056	CMS
Eisai Inc.	$32.17	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1110744709	CMS
Eisai Inc.	$31.34	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1110744711	CMS
Exact Sciences Corporation	$15.84	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1114478809	CMS
Exact Sciences Corporation	$21.42	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1114478821	CMS
Exact Sciences Corporation	$16.20	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1114478829	CMS
GlaxoSmithKline, LLC.	$19.02	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1116440729	CMS
GlaxoSmithKline, LLC.	$22.68	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1116596987	CMS
GlaxoSmithKline, LLC.	$23.23	12/26/2024	Food and Beverage	Undisputed	01/23/2026	1116082153	CMS
IDORSIA PHARMACEUTICALS US INC	$13.71	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1146781428	CMS
Inspire Medical Systems, Inc.	$21.24	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1148046104	CMS
Inspire Medical Systems, Inc.	$43.96	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1148046106	CMS
Insulet Corporation	$15.46	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1116794857	CMS
Lilly USA, LLC	$17.52	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1136175234	CMS
Lilly USA, LLC	$19.95	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1136175236	CMS
Lilly USA, LLC	$24.67	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1134974524	CMS
Lilly USA, LLC	$18.90	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1134974374	CMS
Lilly USA, LLC	$26.90	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1136173104	CMS
Lilly USA, LLC	$17.89	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1136175238	CMS
Lilly USA, LLC	$24.12	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1134969499	CMS
Lilly USA, LLC	$12.97	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1136167466	CMS
Merck Sharp & Dohme LLC	$28.31	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1141948138	CMS
Merck Sharp & Dohme LLC	$16.84	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1141964351	CMS
Mylan Specialty L.P.	$18.42	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1147381306	CMS
Novo Nordisk Inc	$17.38	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1096709359	CMS
Novo Nordisk Inc	$18.94	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1097379736	CMS
PFIZER INC.	$21.12	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1131463104	CMS
PFIZER INC.	$13.17	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1131560536	CMS
Philips North America LLC	$19.94	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1146865778	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.48	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1153621601	CMS
SANOFI-AVENTIS U.S. LLC	$24.93	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1139652605	CMS
SHIELD THERAPEUTICS INC	$103.32	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1150138799	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, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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