Covered recipient · General Payments record

CARL H BIVENS

Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism

NPI: 1538153796
CMS profile: 24533
Location: ROANOKE, VA

General Payments · PY2018–2024

$16,478.63

Reported across 1,082 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,602.91

92 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	$1,602.91	92

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Xeris Pharmaceuticals, Inc.	$205.51	11
Novo Nordisk AS	$203.40	13
Amgen Inc.	$200.95	12
Lilly USA, LLC	$194.40	12
DEXCOM, INC.	$81.85	5
Abbott Laboratories	$81.06	5
Radius Health, Inc.	$75.76	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$71.63	4
Medtronic, Inc.	$69.23	4
IBSA Pharma Inc.	$66.90	3
Insulet Corporation	$64.15	3
MannKind Corporation	$56.44	3
BETA BIONICS, INC.	$33.75	1
NOVARTIS PHARMACEUTICALS CORPORATION	$32.19	2
Acerta Pharma LLC	$29.58	2
Alexion Pharmaceuticals, Inc.	$23.59	1
PFIZER INC.	$21.46	1
Kyowa Kirin, Inc.	$17.40	1
Ultragenyx Pharmaceutical Inc.	$16.63	1
Tandem Diabetes Care, Inc.	$15.54	1
RECORDATI_RARE_DISEASES_INC.	$14.10	1
ABBVIE INC.	$14.05	1
Bayer HealthCare Pharmaceuticals Inc.	$13.34	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,406.34	179
PY2019	$2,033.86	151
PY2020	$1,977.11	134
PY2021	$2,288.20	148
PY2022	$2,663.98	174
PY2023	$3,506.23	204
PY2024	$1,602.91	92

Payment records · PY2024 (92)

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	$13.34	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1125113296	CMS
Abbott Laboratories	$13.57	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1125113298	CMS
Abbott Laboratories	$20.51	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1125113300	CMS
Abbott Laboratories	$13.12	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1125113302	CMS
Abbott Laboratories	$20.52	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1125113304	CMS
ABBVIE INC.	$14.05	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1103331536	CMS
Alexion Pharmaceuticals, Inc.	$23.59	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1094010344	CMS
Amgen Inc.	$23.27	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1111531102	CMS
Amgen Inc.	$15.08	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1111531094	CMS
Amgen Inc.	$21.09	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1111531104	CMS
Amgen Inc.	$15.21	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1111531088	CMS
Amgen Inc.	$5.69	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1111531096	CMS
Amgen Inc.	$22.94	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1111531106	CMS
Amgen Inc.	$7.43	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1111531098	CMS
Amgen Inc.	$21.63	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1111531090	CMS
Amgen Inc.	$18.18	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1111531108	CMS
Amgen Inc.	$13.17	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1111531100	CMS
Amgen Inc.	$18.70	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1111531092	CMS
Amgen Inc.	$18.56	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1111531110	CMS
AstraZeneca Pharmaceuticals LP	$15.47	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1105876677	CMS
AstraZeneca Pharmaceuticals LP	$14.11	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1104781468	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.34	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1086174578	CMS
BETA BIONICS, INC.	$33.75	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1087875233	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.24	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1118048763	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.19	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1118048757	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.39	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1118048759	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.81	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1118048761	CMS
Dexcom, Inc.	$15.14	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1153289944	CMS
Dexcom, Inc.	$16.54	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1153289948	CMS
Dexcom, Inc.	$15.51	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1153289952	CMS
Dexcom, Inc.	$16.44	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1153289956	CMS
Dexcom, Inc.	$18.22	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1153289960	CMS
IBSA Pharma Inc.	$22.30	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1142986260	CMS
IBSA Pharma Inc.	$22.96	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1142986274	CMS
IBSA Pharma Inc.	$21.64	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1142986288	CMS
Insulet Corporation	$17.73	01/14/2024	Food and Beverage	Undisputed	01/23/2026	1116802872	CMS
Insulet Corporation	$25.87	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1116802870	CMS
Insulet Corporation	$20.55	04/14/2024	Food and Beverage	Undisputed	01/23/2026	1116802866	CMS
Kyowa Kirin, Inc.	$17.40	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1127026835	CMS
Lilly USA, LLC	$19.70	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1136084306	CMS
Lilly USA, LLC	$0.31	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1136084302	CMS
Lilly USA, LLC	$15.48	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1136034446	CMS
Lilly USA, LLC	$23.10	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1136084300	CMS
Lilly USA, LLC	$19.74	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1136087702	CMS
Lilly USA, LLC	$12.82	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1136084552	CMS
Lilly USA, LLC	$14.80	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1136034444	CMS
Lilly USA, LLC	$17.22	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1136080732	CMS
Lilly USA, LLC	$19.56	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1136085322	CMS
Lilly USA, LLC	$11.45	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1136084304	CMS
Lilly USA, LLC	$19.58	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1136091332	CMS
Lilly USA, LLC	$20.64	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1136080734	CMS
Mannkind Corporation	$19.71	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1145839709	CMS
Mannkind Corporation	$17.59	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1145839711	CMS
Mannkind Corporation	$19.14	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1145839713	CMS
Medtronic, Inc.	$16.69	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1119363715	CMS
Medtronic, Inc.	$18.17	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1119363717	CMS
Medtronic, Inc.	$17.00	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1119363719	CMS
Medtronic, Inc.	$17.37	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1119363721	CMS
Novartis Pharmaceuticals Corporation	$14.59	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1086715935	CMS
Novartis Pharmaceuticals Corporation	$17.60	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1086715949	CMS
Novo Nordisk Inc	$11.83	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1097579697	CMS
Novo Nordisk Inc	$20.87	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1097612101	CMS
Novo Nordisk Inc	$16.74	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1096919970	CMS
Novo Nordisk Inc	$13.29	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1096909985	CMS
Novo Nordisk Inc	$21.51	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1096675748	CMS
Novo Nordisk Inc	$14.68	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1096571666	CMS
Novo Nordisk Inc	$14.69	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1096933865	CMS
Novo Nordisk Inc	$16.33	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1097161495	CMS
Novo Nordisk Inc	$14.68	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1096787285	CMS
Novo Nordisk Inc	$14.80	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1097565176	CMS
Novo Nordisk Inc	$19.13	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1096641228	CMS
Novo Nordisk Inc	$21.52	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1097814262	CMS
Novo Nordisk Inc	$3.33	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1097602817	CMS
PFIZER INC.	$21.46	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1131080063	CMS
Radius Health, Inc.	$21.13	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1089940489	CMS
Radius Health, Inc.	$14.00	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1089940482	CMS
Radius Health, Inc.	$16.95	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1089940495	CMS
Radius Health, Inc.	$23.68	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1089940501	CMS
RECORDATI_RARE_DISEASES_INC.	$14.10	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1139161420	CMS
Tandem Diabetes Care, Inc.	$15.54	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1138746193	CMS
Ultragenyx Pharmaceutical Inc.	$16.63	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1153287033	CMS
Xeris Pharmaceuticals, Inc.	$23.54	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1144589542	CMS
Xeris Pharmaceuticals, Inc.	$20.65	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1144589552	CMS
Xeris Pharmaceuticals, Inc.	$19.53	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1144589540	CMS
Xeris Pharmaceuticals, Inc.	$15.15	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1144589550	CMS
Xeris Pharmaceuticals, Inc.	$16.60	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1144589544	CMS
Xeris Pharmaceuticals, Inc.	$17.49	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1144589554	CMS
Xeris Pharmaceuticals, Inc.	$18.04	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1144589546	CMS
Xeris Pharmaceuticals, Inc.	$17.41	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1144589556	CMS
Xeris Pharmaceuticals, Inc.	$15.34	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1144589558	CMS
Xeris Pharmaceuticals, Inc.	$20.79	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1144589560	CMS
Xeris Pharmaceuticals, Inc.	$20.97	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1144589548	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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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.