JOEL D STARNES

Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology LUBBOCK, TX NPI 1568670396

General Payments — all program years on this page

$6,131.58

Category: General Payments
Program years: PY2018–2024
Record count: 295
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,564.04 across 54 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$1,487.47	51
Education	$76.57	3

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
Bayer HealthCare Pharmaceuticals Inc.	$398.21	9
Acerta Pharma LLC	$330.23	12
Otsuka America Pharmaceutical, Inc.	$324.30	12
Amgen Inc.	$115.17	5
Boehringer Ingelheim Pharmaceuticals, Inc.	$89.16	4
Retrophin, Inc.	$65.15	2
Aurinia Pharma U.S., Inc.	$63.84	3
Novo Nordisk AS	$49.29	2
AKEBIA THERAPEUTICS INC	$47.62	2
Ardelyx, Inc.	$41.10	2
NOVARTIS PHARMACEUTICALS CORPORATION	$39.97	1

By program year

Program year	Amount	Records
2018	$537.45	36
2019	$688.47	39
2020	$641.87	28
2021	$802.76	40
2022	$948.99	54
2023	$948.00	44
2024	$1,564.04	54

Records — PY2024 (54)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1086122958	Bayer Healthcare Pharmaceuticals Inc.	$122.79	11/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086175156	Bayer Healthcare Pharmaceuticals Inc.	$16.41	01/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086178818	Bayer Healthcare Pharmaceuticals Inc.	$23.51	07/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086180519	Bayer Healthcare Pharmaceuticals Inc.	$22.26	04/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086191578	Bayer Healthcare Pharmaceuticals Inc.	$123.00	04/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086200296	Bayer Healthcare Pharmaceuticals Inc.	$24.97	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086220451	Bayer Healthcare Pharmaceuticals Inc.	$22.57	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086221657	Bayer Healthcare Pharmaceuticals Inc.	$18.50	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086224942	Bayer Healthcare Pharmaceuticals Inc.	$24.20	11/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087327239	Novartis Pharmaceuticals Corporation	$39.97	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1096911095	Novo Nordisk Inc	$32.27	09/24/2024	Education	Undisputed	01/23/2026	View at CMS
1097075397	Novo Nordisk Inc	$17.02	09/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104209061	AstraZeneca Pharmaceuticals LP	$23.20	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104242613	AstraZeneca Pharmaceuticals LP	$24.87	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104482126	AstraZeneca Pharmaceuticals LP	$23.94	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104698048	AstraZeneca Pharmaceuticals LP	$14.84	09/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104745967	AstraZeneca Pharmaceuticals LP	$21.75	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104750012	AstraZeneca Pharmaceuticals LP	$20.30	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105227225	AstraZeneca Pharmaceuticals LP	$17.08	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105263517	AstraZeneca Pharmaceuticals LP	$18.04	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105548161	AstraZeneca Pharmaceuticals LP	$6.08	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105636652	AstraZeneca Pharmaceuticals LP	$123.35	08/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105734137	AstraZeneca Pharmaceuticals LP	$18.72	01/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105813921	AstraZeneca Pharmaceuticals LP	$18.06	08/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1111715912	Amgen Inc.	$20.09	09/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117390638	Amgen Inc.	$30.69	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117390640	Amgen Inc.	$26.64	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117390642	Amgen Inc.	$18.80	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117390644	Amgen Inc.	$18.95	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118062331	Boehringer Ingelheim Pharmaceuticals, Inc.	$18.84	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118062333	Boehringer Ingelheim Pharmaceuticals, Inc.	$22.58	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118062335	Boehringer Ingelheim Pharmaceuticals, Inc.	$23.66	03/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118062337	Boehringer Ingelheim Pharmaceuticals, Inc.	$24.08	12/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987676	Otsuka America Pharmaceutical, Inc.	$122.79	01/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987678	Otsuka America Pharmaceutical, Inc.	$10.34	05/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987680	Otsuka America Pharmaceutical, Inc.	$28.18	06/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987682	Otsuka America Pharmaceutical, Inc.	$10.64	06/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987684	Otsuka America Pharmaceutical, Inc.	$27.33	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987686	Otsuka America Pharmaceutical, Inc.	$2.54	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987688	Otsuka America Pharmaceutical, Inc.	$28.81	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987690	Otsuka America Pharmaceutical, Inc.	$3.97	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987692	Otsuka America Pharmaceutical, Inc.	$29.45	09/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987694	Otsuka America Pharmaceutical, Inc.	$1.85	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987696	Otsuka America Pharmaceutical, Inc.	$28.89	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118987698	Otsuka America Pharmaceutical, Inc.	$29.51	11/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145831669	AKEBIA THERAPEUTICS INC	$23.01	12/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145834601	AKEBIA THERAPEUTICS INC	$24.61	12/02/2024	Education	Undisputed	01/23/2026	View at CMS
1146709420	Ardelyx, Inc.	$14.45	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146709422	Ardelyx, Inc.	$26.65	11/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149946645	Travere Therapeutics, Inc.	$29.06	07/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149946649	Travere Therapeutics, Inc.	$36.09	12/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150692654	Aurinia Pharma U.S., Inc.	$19.69	06/04/2024	Education	Undisputed	01/23/2026	View at CMS
1150692656	Aurinia Pharma U.S., Inc.	$20.34	06/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150692658	Aurinia Pharma U.S., Inc.	$23.81	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
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.