Covered recipient · General Payments record
MYRNA B CARAG-WEST
Allopathic & Osteopathic Physicians Internal Medicine
General Payments · PY2018–2019
$238.56
- Reported across 12 records
- CMS publication 2026-01-23
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
PY2019 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $155.23 | 9 |
By paying entity
PY2019 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Astellas Pharma US Inc | $76.11 | 4 |
| PFIZER INC. | $34.38 | 2 |
| Novo Nordisk AS | $27.94 | 2 |
| Mylan Specialty L.P. | $16.80 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2019 (9)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Astellas Pharma US Inc | $18.87 | 02/12/2019 | Food and Beverage | Undisputed | 01/23/2026 | 655493561 | CMS |
| Astellas Pharma US Inc | $21.79 | 04/16/2019 | Food and Beverage | Undisputed | 01/23/2026 | 655493565 | CMS |
| Astellas Pharma US Inc | $20.88 | 06/04/2019 | Food and Beverage | Undisputed | 01/23/2026 | 655493567 | CMS |
| Astellas Pharma US Inc | $14.57 | 11/05/2019 | Food and Beverage | Undisputed | 01/23/2026 | 655493571 | CMS |
| Mylan Specialty L.P. | $16.80 | 05/08/2019 | Food and Beverage | Undisputed | 01/23/2026 | 694782785 | CMS |
| Novo Nordisk Inc | $13.12 | 01/16/2019 | Food and Beverage | Undisputed | 01/23/2026 | 668736431 | CMS |
| Novo Nordisk Inc | $14.82 | 01/23/2019 | Food and Beverage | Undisputed | 01/23/2026 | 668736433 | CMS |
| PFIZER INC. | $16.69 | 08/08/2019 | Food and Beverage | Undisputed | 01/23/2026 | 672498491 | CMS |
| PFIZER INC. | $17.69 | 10/22/2019 | Food and Beverage | Undisputed | 01/23/2026 | 673150317 | 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
- Source files
- Dataset page · Bulk file · PY2018 , PY2019
- Generated from
- OP_DTL_GNRL_PGYR2019_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.