IndustryPayments
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

JOSEPH ROLAND D ESPIRITU

Allopathic & Osteopathic Physicians Internal Medicine Sleep Medicine

NPI
1578650362
CMS profile
207827
Location
ST. LOUIS, MO

General Payments · PY2018–2024

$5,522.39

  • Reported across 177 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,211.21

82 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.

Related groups: Sleep Medicine MO All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,111.22 81
Education $99.99 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
HARMONY BIOSCIENCES LLC $914.21 19
GlaxoSmithKline, LLC. $345.36 16
JAZZ PHARMACEUTICALS INC. $229.34 13
Avadel CNS Pharmaceuticals, LLC $223.95 11
Regeneron Healthcare Solutions, Inc. $215.63 8
Inspire Medical Systems, Inc. $208.44 12
GENZYME CORPORATION $47.76 2
Actelion Pharmaceuticals US, Inc. $26.52 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $39.53 5
PY2019 $276.31 9
PY2020 $105.56 1
PY2021 $684.81 11
PY2022 $856.89 26
PY2023 $1,348.08 43
PY2024 $2,211.21 82

Payment records · PY2024 (82)

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
Actelion Pharmaceuticals US, Inc. $26.52 04/19/2024 Food and Beverage Undisputed 01/23/2026 1078895815 CMS
Avadel CNS Pharmaceuticals, LLC $20.59 02/06/2024 Food and Beverage Undisputed 01/23/2026 1123381056 CMS
Avadel CNS Pharmaceuticals, LLC $17.95 04/02/2024 Food and Beverage Undisputed 01/23/2026 1123381058 CMS
Avadel CNS Pharmaceuticals, LLC $28.21 04/25/2024 Food and Beverage Undisputed 01/23/2026 1123381060 CMS
Avadel CNS Pharmaceuticals, LLC $27.78 05/28/2024 Food and Beverage Undisputed 01/23/2026 1123381062 CMS
Avadel CNS Pharmaceuticals, LLC $20.05 07/02/2024 Food and Beverage Undisputed 01/23/2026 1123381064 CMS
Avadel CNS Pharmaceuticals, LLC $24.82 07/30/2024 Food and Beverage Undisputed 01/23/2026 1123381066 CMS
Avadel CNS Pharmaceuticals, LLC $17.63 08/30/2024 Food and Beverage Undisputed 01/23/2026 1123381068 CMS
Avadel CNS Pharmaceuticals, LLC $18.55 09/03/2024 Food and Beverage Undisputed 01/23/2026 1123381070 CMS
Avadel CNS Pharmaceuticals, LLC $14.56 09/26/2024 Food and Beverage Undisputed 01/23/2026 1123381072 CMS
Avadel CNS Pharmaceuticals, LLC $18.14 10/24/2024 Food and Beverage Undisputed 01/23/2026 1123381074 CMS
Avadel CNS Pharmaceuticals, LLC $15.67 11/12/2024 Food and Beverage Undisputed 01/23/2026 1123381076 CMS
GENZYME CORPORATION $23.65 07/16/2024 Food and Beverage Undisputed 01/23/2026 1139917037 CMS
GENZYME CORPORATION $24.11 12/12/2024 Food and Beverage Undisputed 01/23/2026 1139917105 CMS
GlaxoSmithKline, LLC. $21.08 01/18/2024 Food and Beverage Undisputed 01/23/2026 1116027906 CMS
GlaxoSmithKline, LLC. $11.91 02/29/2024 Food and Beverage Undisputed 01/23/2026 1116247192 CMS
GlaxoSmithKline, LLC. $19.81 02/29/2024 Food and Beverage Undisputed 01/23/2026 1116677367 CMS
GlaxoSmithKline, LLC. $8.88 03/14/2024 Food and Beverage Undisputed 01/23/2026 1116117679 CMS
GlaxoSmithKline, LLC. $19.81 04/16/2024 Food and Beverage Undisputed 01/23/2026 1116611265 CMS
GlaxoSmithKline, LLC. $14.81 05/21/2024 Food and Beverage Undisputed 01/23/2026 1116459579 CMS
GlaxoSmithKline, LLC. $19.81 05/30/2024 Food and Beverage Undisputed 01/23/2026 1116153619 CMS
GlaxoSmithKline, LLC. $8.39 06/05/2024 Food and Beverage Undisputed 01/23/2026 1116212589 CMS
GlaxoSmithKline, LLC. $13.65 07/26/2024 Food and Beverage Undisputed 01/23/2026 1116668802 CMS
GlaxoSmithKline, LLC. $11.43 08/23/2024 Food and Beverage Undisputed 01/23/2026 1116403247 CMS
GlaxoSmithKline, LLC. $21.59 08/29/2024 Food and Beverage Undisputed 01/23/2026 1116679139 CMS
GlaxoSmithKline, LLC. $8.60 09/20/2024 Food and Beverage Undisputed 01/23/2026 1116416047 CMS
GlaxoSmithKline, LLC. $124.99 09/26/2024 Food and Beverage Undisputed 01/23/2026 1116139413 CMS
GlaxoSmithKline, LLC. $21.28 10/16/2024 Food and Beverage Undisputed 01/23/2026 1116438747 CMS
GlaxoSmithKline, LLC. $8.04 11/15/2024 Food and Beverage Undisputed 01/23/2026 1116711829 CMS
GlaxoSmithKline, LLC. $11.28 12/04/2024 Food and Beverage Undisputed 01/23/2026 1116494524 CMS
Harmony Biosciences Llc $48.12 10/10/2024 Food and Beverage Undisputed 01/23/2026 1141478622 CMS
Harmony Biosciences Llc $42.01 10/29/2024 Food and Beverage Undisputed 01/23/2026 1141478222 CMS
Harmony Biosciences Llc $45.98 11/05/2024 Food and Beverage Undisputed 01/23/2026 1141478050 CMS
Harmony Biosciences Llc $43.69 11/14/2024 Food and Beverage Undisputed 01/23/2026 1141477752 CMS
Harmony Biosciences Llc $31.21 11/20/2024 Food and Beverage Undisputed 01/23/2026 1141475568 CMS
Harmony Biosciences Llc $46.44 12/11/2024 Food and Beverage Undisputed 01/23/2026 1141478666 CMS
HARMONY BIOSCIENCES LLC $31.91 03/06/2024 Food and Beverage Undisputed 01/23/2026 1126075348 CMS
HARMONY BIOSCIENCES LLC $49.39 06/11/2024 Food and Beverage Undisputed 01/23/2026 1126075316 CMS
HARMONY BIOSCIENCES LLC $38.92 07/08/2024 Food and Beverage Undisputed 01/23/2026 1126075344 CMS
HARMONY BIOSCIENCES LLC $46.45 07/14/2024 Food and Beverage Undisputed 01/23/2026 1126075340 CMS
HARMONY BIOSCIENCES LLC $49.90 07/22/2024 Food and Beverage Undisputed 01/23/2026 1126075308 CMS
HARMONY BIOSCIENCES LLC $49.90 07/29/2024 Food and Beverage Undisputed 01/23/2026 1126075304 CMS
HARMONY BIOSCIENCES LLC $49.27 08/12/2024 Food and Beverage Undisputed 01/23/2026 1126075320 CMS
HARMONY BIOSCIENCES LLC $99.99 08/15/2024 Education Undisputed 01/23/2026 1126075300 CMS
HARMONY BIOSCIENCES LLC $46.65 08/19/2024 Food and Beverage Undisputed 01/23/2026 1126075336 CMS
HARMONY BIOSCIENCES LLC $49.11 08/26/2024 Food and Beverage Undisputed 01/23/2026 1126075324 CMS
HARMONY BIOSCIENCES LLC $47.48 09/09/2024 Food and Beverage Undisputed 01/23/2026 1126075332 CMS
HARMONY BIOSCIENCES LLC $49.46 09/17/2024 Food and Beverage Undisputed 01/23/2026 1126075312 CMS
HARMONY BIOSCIENCES LLC $48.33 09/24/2024 Food and Beverage Undisputed 01/23/2026 1126075328 CMS
Inspire Medical Systems, Inc. $6.19 02/09/2024 Food and Beverage Undisputed 01/23/2026 1148053292 CMS
Inspire Medical Systems, Inc. $7.97 03/14/2024 Food and Beverage Undisputed 01/23/2026 1148053294 CMS
Inspire Medical Systems, Inc. $5.61 04/15/2024 Food and Beverage Undisputed 01/23/2026 1148053296 CMS
Inspire Medical Systems, Inc. $23.51 04/18/2024 Food and Beverage Undisputed 01/23/2026 1148053298 CMS
Inspire Medical Systems, Inc. $7.68 05/03/2024 Food and Beverage Undisputed 01/23/2026 1148053300 CMS
Inspire Medical Systems, Inc. $22.67 06/03/2024 Food and Beverage Undisputed 01/23/2026 1148053302 CMS
Inspire Medical Systems, Inc. $9.06 07/29/2024 Food and Beverage Undisputed 01/23/2026 1148053304 CMS
Inspire Medical Systems, Inc. $13.65 08/29/2024 Food and Beverage Undisputed 01/23/2026 1148053306 CMS
Inspire Medical Systems, Inc. $86.54 09/24/2024 Food and Beverage Undisputed 01/23/2026 1148053308 CMS
Inspire Medical Systems, Inc. $10.69 10/03/2024 Food and Beverage Undisputed 01/23/2026 1148053310 CMS
Inspire Medical Systems, Inc. $8.55 10/03/2024 Food and Beverage Undisputed 01/23/2026 1148053312 CMS
Inspire Medical Systems, Inc. $6.32 12/11/2024 Food and Beverage Undisputed 01/23/2026 1148053314 CMS
JAZZ PHARMACEUTICALS INC. $29.79 02/23/2024 Food and Beverage Undisputed 01/23/2026 1150221706 CMS
JAZZ PHARMACEUTICALS INC. $34.04 04/23/2024 Food and Beverage Undisputed 01/23/2026 1150221708 CMS
JAZZ PHARMACEUTICALS INC. $1.91 05/23/2024 Food and Beverage Undisputed 01/23/2026 1150221712 CMS
JAZZ PHARMACEUTICALS INC. $16.27 05/23/2024 Food and Beverage Undisputed 01/23/2026 1150221716 CMS
JAZZ PHARMACEUTICALS INC. $23.66 06/11/2024 Food and Beverage Undisputed 01/23/2026 1150221704 CMS
JAZZ PHARMACEUTICALS INC. $23.69 08/13/2024 Food and Beverage Undisputed 01/23/2026 1150221718 CMS
JAZZ PHARMACEUTICALS INC. $2.19 08/20/2024 Food and Beverage Undisputed 01/23/2026 1150221720 CMS
JAZZ PHARMACEUTICALS INC. $14.75 08/21/2024 Food and Beverage Undisputed 01/23/2026 1150221722 CMS
JAZZ PHARMACEUTICALS INC. $30.09 10/01/2024 Food and Beverage Undisputed 01/23/2026 1150221710 CMS
JAZZ PHARMACEUTICALS INC. $8.86 10/31/2024 Food and Beverage Undisputed 01/23/2026 1150221726 CMS
JAZZ PHARMACEUTICALS INC. $10.43 11/17/2024 Food and Beverage Undisputed 01/23/2026 1150221724 CMS
JAZZ PHARMACEUTICALS INC. $4.14 11/18/2024 Food and Beverage Undisputed 01/23/2026 1150221714 CMS
JAZZ PHARMACEUTICALS INC. $29.52 12/10/2024 Food and Beverage Undisputed 01/23/2026 1150221728 CMS
Regeneron Healthcare Solutions, Inc. $23.19 01/16/2024 Food and Beverage Undisputed 01/23/2026 1114044461 CMS
Regeneron Healthcare Solutions, Inc. $30.61 02/15/2024 Food and Beverage Undisputed 01/23/2026 1114044463 CMS
Regeneron Healthcare Solutions, Inc. $13.97 03/14/2024 Food and Beverage Undisputed 01/23/2026 1114044465 CMS
Regeneron Healthcare Solutions, Inc. $34.77 04/04/2024 Food and Beverage Undisputed 01/23/2026 1114044467 CMS
Regeneron Healthcare Solutions, Inc. $29.79 05/16/2024 Food and Beverage Undisputed 01/23/2026 1114044469 CMS
Regeneron Healthcare Solutions, Inc. $32.32 07/11/2024 Food and Beverage Undisputed 01/23/2026 1114044471 CMS
Regeneron Healthcare Solutions, Inc. $22.64 08/08/2024 Food and Beverage Undisputed 01/23/2026 1114044473 CMS
Regeneron Healthcare Solutions, Inc. $28.34 11/04/2024 Food and Beverage Undisputed 01/23/2026 1114044475 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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