Covered recipient · General Payments record

VANCE S ALM

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1578540951
CMS profile: 297612
Location: RENO, NV

General Payments · PY2018–2024

$13,351.28

Reported across 525 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,157.67

71 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	$2,157.67	71

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$393.38	14
Acerta Pharma LLC	$366.03	9
GlaxoSmithKline, LLC.	$243.18	9
Bayer HealthCare Pharmaceuticals Inc.	$177.38	5
Lilly USA, LLC	$148.18	7
Astellas Pharma US Inc	$141.42	7
Novo Nordisk AS	$120.39	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$105.51	1
ITI, Inc.	$94.73	2
Medtronic, Inc.	$84.69	1
Lucid Diagnostics Inc.	$74.11	3
Paratek Pharmaceuticals, Inc.	$64.15	4
PFIZER INC.	$52.57	3
Almatica Pharma Inc.	$22.84	1
Otsuka America Pharmaceutical, Inc.	$21.25	1
Merck Sharp & Dohme Corporation	$17.50	1
Takeda Pharmaceuticals U.S.A., Inc.	$15.61	1
Kowa Pharmaceuticals America, Inc.	$14.75	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$4,188.51	166
PY2019	$2,068.58	109
PY2020	$316.68	18
PY2021	$1,635.86	52
PY2022	$1,276.86	46
PY2023	$1,707.12	63
PY2024	$2,157.67	71

Payment records · PY2024 (71)

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
ABBVIE INC.	$4.03	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1103209745	CMS
ABBVIE INC.	$13.69	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1103209747	CMS
ABBVIE INC.	$117.89	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1103209749	CMS
ABBVIE INC.	$10.34	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1103209751	CMS
ABBVIE INC.	$22.43	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1103209753	CMS
ABBVIE INC.	$6.30	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1103209755	CMS
ABBVIE INC.	$3.92	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1103209757	CMS
ABBVIE INC.	$12.56	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1103209759	CMS
ABBVIE INC.	$17.19	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1103209761	CMS
ABBVIE INC.	$29.20	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1103209763	CMS
ABBVIE INC.	$10.47	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1103209765	CMS
ABBVIE INC.	$107.83	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1103209767	CMS
ABBVIE INC.	$19.39	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1103209769	CMS
ABBVIE INC.	$18.14	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1103209771	CMS
Almatica Pharma LLC	$22.84	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1137554835	CMS
Astellas Pharma US Inc	$30.83	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1139276508	CMS
Astellas Pharma US Inc	$11.73	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1139313712	CMS
Astellas Pharma US Inc	$1.17	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1139313718	CMS
Astellas Pharma US Inc	$24.97	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1139323644	CMS
Astellas Pharma US Inc	$22.49	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1139335012	CMS
Astellas Pharma US Inc	$30.64	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1139276076	CMS
Astellas Pharma US Inc	$19.59	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1139383994	CMS
AstraZeneca Pharmaceuticals LP	$36.06	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1104619540	CMS
AstraZeneca Pharmaceuticals LP	$15.17	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1105868271	CMS
AstraZeneca Pharmaceuticals LP	$106.40	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1105827385	CMS
AstraZeneca Pharmaceuticals LP	$19.36	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1104550762	CMS
AstraZeneca Pharmaceuticals LP	$14.47	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1104513566	CMS
AstraZeneca Pharmaceuticals LP	$120.09	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1105789586	CMS
AstraZeneca Pharmaceuticals LP	$17.46	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1105546375	CMS
AstraZeneca Pharmaceuticals LP	$20.96	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1104747771	CMS
AstraZeneca Pharmaceuticals LP	$16.06	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1104650603	CMS
Bayer Healthcare Pharmaceuticals Inc.	$115.65	04/13/2024	Food and Beverage	Undisputed	01/23/2026	1086215469	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.98	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1086123902	CMS
Bayer Healthcare Pharmaceuticals Inc.	$7.02	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1086092517	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.32	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1086183564	CMS
Bayer Healthcare Pharmaceuticals Inc.	$7.41	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1086087709	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$105.51	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1118065366	CMS
GlaxoSmithKline, LLC.	$4.67	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1115998948	CMS
GlaxoSmithKline, LLC.	$24.24	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1116558117	CMS
GlaxoSmithKline, LLC.	$17.25	04/20/2024	Food and Beverage	Undisputed	01/23/2026	1116719533	CMS
GlaxoSmithKline, LLC.	$8.52	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1116276260	CMS
GlaxoSmithKline, LLC.	$11.21	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1116537982	CMS
GlaxoSmithKline, LLC.	$121.85	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1116369969	CMS
GlaxoSmithKline, LLC.	$20.17	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1116189608	CMS
GlaxoSmithKline, LLC.	$24.03	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1116588555	CMS
GlaxoSmithKline, LLC.	$11.24	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1116397782	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.39	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1143182976	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$78.34	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1143182980	CMS
Kowa Pharmaceuticals America, Inc.	$14.75	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1113463723	CMS
Lilly USA, LLC	$21.76	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1135494180	CMS
Lilly USA, LLC	$76.96	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1135487516	CMS
Lilly USA, LLC	$6.32	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1135470535	CMS
Lilly USA, LLC	$18.46	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1135463480	CMS
Lilly USA, LLC	$1.97	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1135470533	CMS
Lilly USA, LLC	$8.17	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1135487514	CMS
Lilly USA, LLC	$14.54	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1135451522	CMS
Lucid Diagnostics Inc.	$25.31	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1152300734	CMS
Lucid Diagnostics Inc.	$24.40	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1152300736	CMS
Lucid Diagnostics Inc.	$24.40	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1152300738	CMS
Medtronic, Inc.	$84.69	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1119383242	CMS
Merck Sharp & Dohme LLC	$17.50	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1141829090	CMS
Novo Nordisk Inc	$120.39	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1097396289	CMS
Otsuka America Pharmaceutical, Inc.	$21.25	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1118851530	CMS
Paratek Pharmaceuticals, Inc.	$16.06	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1113890507	CMS
Paratek Pharmaceuticals, Inc.	$14.06	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1113890511	CMS
Paratek Pharmaceuticals, Inc.	$19.22	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1113890515	CMS
Paratek Pharmaceuticals, Inc.	$14.81	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1113890519	CMS
PFIZER INC.	$22.44	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1131549105	CMS
PFIZER INC.	$14.92	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1131696021	CMS
PFIZER INC.	$15.21	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1131792545	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.61	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1137468778	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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