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

RAFAEL J SEPULVEDA ACOSTA

Allopathic & Osteopathic Physicians Internal Medicine Sleep Medicine

NPI
1558611459
CMS profile
1279798
Location
SONOMA, CA

General Payments · PY2018–2024

$2,023.81

  • Reported across 62 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$988.44

20 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 $988.44 20

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Inspire Medical Systems, Inc. $578.16 12
JAZZ PHARMACEUTICALS INC. $284.73 3
ResMed Corp $53.57 1
Novo Nordisk AS $40.83 2
Currax Pharmaceuticals LLC $16.75 1
Lilly USA, LLC $14.40 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $52.93 2
PY2019 $153.75 8
PY2020 $55.02 4
PY2021 $133.26 8
PY2022 $267.73 8
PY2023 $372.68 12
PY2024 $988.44 20

Payment records · PY2024 (20)

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

Program year 2024 201820192020202120222023 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
Currax Pharmaceuticals LLC $16.75 12/17/2024 Food and Beverage Undisputed 01/23/2026 1089514648 CMS
Inspire Medical Systems, Inc. $34.55 02/03/2024 Food and Beverage Undisputed 01/23/2026 1148108601 CMS
Inspire Medical Systems, Inc. $28.89 03/08/2024 Food and Beverage Undisputed 01/23/2026 1148108605 CMS
Inspire Medical Systems, Inc. $140.99 05/01/2024 Food and Beverage Undisputed 01/23/2026 1148108609 CMS
Inspire Medical Systems, Inc. $26.45 06/13/2024 Food and Beverage Undisputed 01/23/2026 1148108613 CMS
Inspire Medical Systems, Inc. $38.10 07/18/2024 Food and Beverage Undisputed 01/23/2026 1148108617 CMS
Inspire Medical Systems, Inc. $7.00 07/18/2024 Food and Beverage Undisputed 01/23/2026 1148108621 CMS
Inspire Medical Systems, Inc. $4.87 07/18/2024 Food and Beverage Undisputed 01/23/2026 1148108625 CMS
Inspire Medical Systems, Inc. $18.30 08/22/2024 Food and Beverage Undisputed 01/23/2026 1148108629 CMS
Inspire Medical Systems, Inc. $91.98 10/01/2024 Food and Beverage Undisputed 01/23/2026 1148108633 CMS
Inspire Medical Systems, Inc. $67.57 11/08/2024 Food and Beverage Undisputed 01/23/2026 1148108637 CMS
Inspire Medical Systems, Inc. $67.21 11/15/2024 Food and Beverage Undisputed 01/23/2026 1148108641 CMS
Inspire Medical Systems, Inc. $52.25 12/10/2024 Food and Beverage Undisputed 01/23/2026 1148108646 CMS
JAZZ PHARMACEUTICALS INC. $91.96 02/22/2024 Food and Beverage Undisputed 01/23/2026 1150221150 CMS
JAZZ PHARMACEUTICALS INC. $70.57 02/24/2024 Food and Beverage Undisputed 01/23/2026 1150221146 CMS
JAZZ PHARMACEUTICALS INC. $122.20 08/21/2024 Food and Beverage Undisputed 01/23/2026 1150221148 CMS
Lilly USA, LLC $14.40 05/23/2024 Food and Beverage Undisputed 01/23/2026 1135330081 CMS
Novo Nordisk Inc $20.82 04/12/2024 Food and Beverage Undisputed 01/23/2026 1097269204 CMS
Novo Nordisk Inc $20.01 12/13/2024 Food and Beverage Undisputed 01/23/2026 1096882576 CMS
Resmed Corp $53.57 11/07/2024 Food and Beverage Undisputed 01/23/2026 1140204989 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

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.