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

THOMAS W MIERAS

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1578564787
CMS profile
116349
Location
SAN ANTONIO, TX

General Payments · PY2018–2024

$14,232.25

  • Reported across 982 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,267.79

72 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 $1,267.79 72

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,179.19 195
PY2019 $2,066.41 168
PY2020 $1,521.08 100
PY2021 $2,042.61 129
PY2022 $2,439.80 143
PY2023 $2,715.37 175
PY2024 $1,267.79 72

Payment records · PY2024 (72)

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
Abbott Laboratories $18.53 06/28/2024 Food and Beverage Undisputed 01/23/2026 1125133958 CMS
ABBVIE INC. $30.31 01/19/2024 Food and Beverage Undisputed 01/23/2026 1105032707 CMS
ABBVIE INC. $15.91 01/31/2024 Food and Beverage Undisputed 01/23/2026 1105032709 CMS
ABBVIE INC. $31.75 02/03/2024 Food and Beverage Undisputed 01/23/2026 1105032711 CMS
ABBVIE INC. $15.88 02/20/2024 Food and Beverage Undisputed 01/23/2026 1105032713 CMS
ABBVIE INC. $34.88 03/15/2024 Food and Beverage Undisputed 01/23/2026 1105032715 CMS
ABBVIE INC. $13.37 03/26/2024 Food and Beverage Undisputed 01/23/2026 1105032717 CMS
ABBVIE INC. $15.38 04/18/2024 Food and Beverage Undisputed 01/23/2026 1105032719 CMS
ABBVIE INC. $14.26 04/18/2024 Food and Beverage Undisputed 01/23/2026 1105032721 CMS
ABBVIE INC. $14.96 05/23/2024 Food and Beverage Undisputed 01/23/2026 1105032723 CMS
ABBVIE INC. $29.93 06/11/2024 Food and Beverage Undisputed 01/23/2026 1105032725 CMS
ABBVIE INC. $15.59 06/19/2024 Food and Beverage Undisputed 01/23/2026 1105032727 CMS
Amgen Inc. $23.69 01/23/2024 Food and Beverage Undisputed 01/23/2026 1117629586 CMS
Amgen Inc. $19.11 05/09/2024 Food and Beverage Undisputed 01/23/2026 1115931162 CMS
Amgen Inc. $20.81 06/24/2024 Food and Beverage Undisputed 01/23/2026 1117629588 CMS
AstraZeneca Pharmaceuticals LP $24.49 01/17/2024 Food and Beverage Undisputed 01/23/2026 1104360363 CMS
AstraZeneca Pharmaceuticals LP $13.74 01/22/2024 Food and Beverage Undisputed 01/23/2026 1104547026 CMS
AstraZeneca Pharmaceuticals LP $13.13 02/16/2024 Food and Beverage Undisputed 01/23/2026 1104689768 CMS
AstraZeneca Pharmaceuticals LP $15.77 03/19/2024 Food and Beverage Undisputed 01/23/2026 1104746551 CMS
AstraZeneca Pharmaceuticals LP $20.48 04/01/2024 Food and Beverage Undisputed 01/23/2026 1104715791 CMS
AstraZeneca Pharmaceuticals LP $13.95 04/15/2024 Food and Beverage Undisputed 01/23/2026 1105446947 CMS
AstraZeneca Pharmaceuticals LP $15.72 04/30/2024 Food and Beverage Undisputed 01/23/2026 1105210269 CMS
AstraZeneca Pharmaceuticals LP $16.73 05/03/2024 Food and Beverage Undisputed 01/23/2026 1105512921 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.64 03/18/2024 Food and Beverage Undisputed 01/23/2026 1086193648 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.85 05/09/2024 Food and Beverage Undisputed 01/23/2026 1086179312 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.21 01/18/2024 Food and Beverage Undisputed 01/23/2026 1118065872 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.25 04/05/2024 Food and Beverage Undisputed 01/23/2026 1118065874 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.70 05/22/2024 Food and Beverage Undisputed 01/23/2026 1118065870 CMS
Currax Pharmaceuticals LLC $18.07 02/09/2024 Food and Beverage Undisputed 01/23/2026 1089516282 CMS
Daiichi Sankyo Inc. $22.39 01/11/2024 Food and Beverage Undisputed 01/23/2026 1089456964 CMS
Daiichi Sankyo Inc. $19.84 02/15/2024 Food and Beverage Undisputed 01/23/2026 1089456966 CMS
Daiichi Sankyo Inc. $22.20 06/06/2024 Food and Beverage Undisputed 01/23/2026 1089456968 CMS
Esperion Therapeutics, Inc. $14.55 04/03/2024 Food and Beverage Undisputed 01/23/2026 1129446914 CMS
Esperion Therapeutics, Inc. $14.37 05/14/2024 Food and Beverage Undisputed 01/23/2026 1129446916 CMS
Esperion Therapeutics, Inc. $14.55 06/12/2024 Food and Beverage Undisputed 01/23/2026 1129446918 CMS
Gilead Sciences, Inc. $28.57 01/31/2024 Food and Beverage Undisputed 01/23/2026 1133764889 CMS
Lilly USA, LLC $15.24 01/10/2024 Food and Beverage Undisputed 01/23/2026 1135491786 CMS
Lilly USA, LLC $17.40 02/01/2024 Food and Beverage Undisputed 01/23/2026 1135481959 CMS
Lilly USA, LLC $18.28 02/05/2024 Food and Beverage Undisputed 01/23/2026 1135477304 CMS
Lilly USA, LLC $13.93 03/06/2024 Food and Beverage Undisputed 01/23/2026 1135449320 CMS
Lilly USA, LLC $1.13 03/21/2024 Food and Beverage Undisputed 01/23/2026 1135481961 CMS
Lilly USA, LLC $17.72 03/22/2024 Food and Beverage Undisputed 01/23/2026 1135456743 CMS
Lilly USA, LLC $5.66 04/05/2024 Food and Beverage Undisputed 01/23/2026 1135463246 CMS
Lilly USA, LLC $20.98 04/12/2024 Food and Beverage Undisputed 01/23/2026 1135437737 CMS
Lilly USA, LLC $16.03 04/13/2024 Food and Beverage Undisputed 01/23/2026 1135437739 CMS
Lilly USA, LLC $20.84 04/26/2024 Food and Beverage Undisputed 01/23/2026 1135437741 CMS
Lilly USA, LLC $20.83 05/13/2024 Food and Beverage Undisputed 01/23/2026 1135449318 CMS
Lilly USA, LLC $20.17 05/14/2024 Food and Beverage Undisputed 01/23/2026 1135456745 CMS
Lilly USA, LLC $16.23 05/15/2024 Food and Beverage Undisputed 01/23/2026 1135456741 CMS
Lilly USA, LLC $0.46 06/13/2024 Food and Beverage Undisputed 01/23/2026 1135462185 CMS
Lilly USA, LLC $13.82 06/14/2024 Food and Beverage Undisputed 01/23/2026 1135449322 CMS
Lilly USA, LLC $22.57 07/03/2024 Food and Beverage Undisputed 01/23/2026 1135456739 CMS
Merck Sharp & Dohme LLC $13.15 05/10/2024 Food and Beverage Undisputed 01/23/2026 1141846015 CMS
Novo Nordisk Inc $16.26 01/04/2024 Food and Beverage Undisputed 01/23/2026 1096728728 CMS
Novo Nordisk Inc $20.72 01/07/2024 Food and Beverage Undisputed 01/23/2026 1096907883 CMS
Novo Nordisk Inc $19.96 02/06/2024 Food and Beverage Undisputed 01/23/2026 1097438483 CMS
Novo Nordisk Inc $20.72 03/14/2024 Food and Beverage Undisputed 01/23/2026 1097660202 CMS
Novo Nordisk Inc $13.19 03/20/2024 Food and Beverage Undisputed 01/23/2026 1097385548 CMS
Novo Nordisk Inc $16.50 04/15/2024 Food and Beverage Undisputed 01/23/2026 1096690471 CMS
Novo Nordisk Inc $15.92 04/23/2024 Food and Beverage Undisputed 01/23/2026 1097167481 CMS
Novo Nordisk Inc $22.02 05/01/2024 Food and Beverage Undisputed 01/23/2026 1096684029 CMS
Novo Nordisk Inc $19.89 06/20/2024 Food and Beverage Undisputed 01/23/2026 1097373400 CMS
PFIZER INC. $14.93 01/09/2024 Food and Beverage Undisputed 01/23/2026 1130988013 CMS
PFIZER INC. $13.44 03/12/2024 Food and Beverage Undisputed 01/23/2026 1131084718 CMS
PFIZER INC. $15.82 03/28/2024 Food and Beverage Undisputed 01/23/2026 1131185115 CMS
PFIZER INC. $14.85 04/02/2024 Food and Beverage Undisputed 01/23/2026 1131419466 CMS
PFIZER INC. $17.14 05/07/2024 Food and Beverage Undisputed 01/23/2026 1131390345 CMS
PFIZER INC. $16.40 06/07/2024 Food and Beverage Undisputed 01/23/2026 1131611761 CMS
Sumitomo Pharma America, Inc. $20.08 06/26/2024 Food and Beverage Undisputed 01/23/2026 1148890721 CMS
ViiV Healthcare Company $17.38 03/04/2024 Food and Beverage Undisputed 01/23/2026 1112805267 CMS
ViiV Healthcare Company $18.44 04/04/2024 Food and Beverage Undisputed 01/23/2026 1112817571 CMS
ViiV Healthcare Company $19.13 06/17/2024 Food and Beverage Undisputed 01/23/2026 1112795314 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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