Covered recipient · General Payments record

APRILL M RAMBARRAN

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1609003177
CMS profile: 921068
Location: PALISADE, CO

General Payments · PY2018–2024

$14,675.82

Reported across 788 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,092.87

110 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	$2,083.97	109
Education	$8.90	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Novo Nordisk AS	$270.29	18
Lilly USA, LLC	$262.13	15
Otsuka America Pharmaceutical, Inc.	$236.43	7
ABBVIE INC.	$184.30	12
Bayer HealthCare Pharmaceuticals Inc.	$133.19	8
Supernus Pharmaceuticals, Inc.	$128.77	3
Corium, Inc.	$103.05	8
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$75.82	5
Amgen Inc.	$73.21	4
PFIZER INC.	$67.27	3
IRONSHORE PHARMACEUTICALS INC.	$62.64	3
Abbott Laboratories	$57.56	3
Medtronic, Inc.	$54.73	2
Acerta Pharma LLC	$52.39	3
Exact Sciences Corporation	$44.12	2
Esperion Therapeutics, Inc.	$41.10	2
Axsome Therapeutics, Inc.	$33.06	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$32.54	2
Hologic Sales and Service, LLC	$25.70	1
Inspire Medical Systems, Inc.	$25.22	1
Astellas Pharma US Inc	$24.78	1
Noven Therapeutics, LLC	$23.78	1
Merck Sharp & Dohme Corporation	$22.86	1
Tris Pharma Inc	$20.19	1
Takeda Pharmaceuticals U.S.A., Inc.	$19.48	1
Ardelyx, Inc.	$18.26	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,610.92	79
PY2019	$1,712.73	83
PY2020	$1,661.31	106
PY2021	$2,822.55	150
PY2022	$2,324.32	140
PY2023	$2,451.12	120
PY2024	$2,092.87	110

Payment records · PY2024 (110)

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
Abbott Laboratories	$16.06	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1125147118	CMS
Abbott Laboratories	$22.44	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1125147120	CMS
Abbott Laboratories	$19.06	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1125147122	CMS
ABBVIE INC.	$18.08	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1105981579	CMS
ABBVIE INC.	$7.50	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1105981581	CMS
ABBVIE INC.	$15.59	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105981583	CMS
ABBVIE INC.	$19.06	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1105981585	CMS
ABBVIE INC.	$20.68	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1105981587	CMS
ABBVIE INC.	$16.21	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1105981589	CMS
ABBVIE INC.	$9.59	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1105981591	CMS
ABBVIE INC.	$4.47	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1105981593	CMS
ABBVIE INC.	$33.33	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1105981595	CMS
ABBVIE INC.	$11.52	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1105981597	CMS
ABBVIE INC.	$12.19	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1105981599	CMS
ABBVIE INC.	$16.08	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1105981601	CMS
Amgen Inc.	$15.19	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1117360004	CMS
Amgen Inc.	$24.78	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1111682969	CMS
Amgen Inc.	$17.18	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1117360006	CMS
Amgen Inc.	$16.06	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1117360008	CMS
Ardelyx, Inc.	$18.26	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1146704800	CMS
Astellas Pharma US Inc	$24.78	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1139446106	CMS
AstraZeneca Pharmaceuticals LP	$17.04	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1104386233	CMS
AstraZeneca Pharmaceuticals LP	$17.86	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1104323570	CMS
AstraZeneca Pharmaceuticals LP	$17.49	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1105584108	CMS
Axsome Therapeutics, Inc.	$17.67	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1148265355	CMS
Axsome Therapeutics, Inc.	$15.39	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1148265357	CMS
Bayer Healthcare Pharmaceuticals Inc.	$10.54	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1086091677	CMS
Bayer Healthcare Pharmaceuticals Inc.	$11.37	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1086085395	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.11	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1086195708	CMS
Bayer Healthcare Pharmaceuticals Inc.	$10.55	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1086083361	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.98	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1086155764	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.98	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1086134562	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.38	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1086176504	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.28	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1086238328	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.64	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1118076252	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.90	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1118076250	CMS
Corium, LLC	$18.21	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1100103446	CMS
Corium, LLC	$23.41	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1100087394	CMS
Corium, LLC	$0.73	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1100138389	CMS
Corium, LLC	$20.02	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1100097709	CMS
Corium, LLC	$1.11	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1100137699	CMS
Corium, LLC	$18.68	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1100173976	CMS
Corium, LLC	$19.95	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1100177600	CMS
Corium, LLC	$0.94	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1100139855	CMS
Esperion Therapeutics, Inc.	$18.38	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1129453080	CMS
Esperion Therapeutics, Inc.	$22.72	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1129453082	CMS
Exact Sciences Corporation	$23.00	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1114862526	CMS
Exact Sciences Corporation	$21.12	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1114862534	CMS
Hologic Sales and Service, LLC	$25.70	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1084907066	CMS
Inspire Medical Systems, Inc.	$25.22	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1148103867	CMS
IRONSHORE PHARMACEUTICALS INC.	$22.33	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1146250565	CMS
IRONSHORE PHARMACEUTICALS INC.	$18.18	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1146290500	CMS
IRONSHORE PHARMACEUTICALS INC.	$22.13	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1146325201	CMS
Lilly USA, LLC	$21.00	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1136050175	CMS
Lilly USA, LLC	$18.94	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1136000353	CMS
Lilly USA, LLC	$24.90	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1136000345	CMS
Lilly USA, LLC	$18.77	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1136049383	CMS
Lilly USA, LLC	$18.79	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1136062562	CMS
Lilly USA, LLC	$20.05	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1136000347	CMS
Lilly USA, LLC	$18.46	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1136049385	CMS
Lilly USA, LLC	$7.58	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1136000349	CMS
Lilly USA, LLC	$17.66	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1136051237	CMS
Lilly USA, LLC	$8.65	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1136050173	CMS
Lilly USA, LLC	$0.57	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1136000351	CMS
Lilly USA, LLC	$24.48	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1136046521	CMS
Lilly USA, LLC	$21.97	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1136053718	CMS
Lilly USA, LLC	$22.28	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1136053720	CMS
Lilly USA, LLC	$18.03	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1136049381	CMS
Medtronic, Inc.	$18.88	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1119396132	CMS
Medtronic, Inc.	$35.85	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1119396134	CMS
Merck Sharp & Dohme LLC	$22.86	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1141846629	CMS
Noven Therapeutics, LLC	$23.78	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1084818514	CMS
Novo Nordisk Inc	$15.35	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1097773621	CMS
Novo Nordisk Inc	$15.02	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1097429657	CMS
Novo Nordisk Inc	$16.23	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1096905243	CMS
Novo Nordisk Inc	$18.92	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1096600029	CMS
Novo Nordisk Inc	$13.44	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1097568747	CMS
Novo Nordisk Inc	$8.90	06/27/2024	Education	Undisputed	01/23/2026	1096683950	CMS
Novo Nordisk Inc	$16.37	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1096974702	CMS
Novo Nordisk Inc	$15.03	06/29/2024	Food and Beverage	Undisputed	01/23/2026	1097001882	CMS
Novo Nordisk Inc	$18.18	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1097174344	CMS
Novo Nordisk Inc	$12.16	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1097121345	CMS
Novo Nordisk Inc	$4.03	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1096965962	CMS
Novo Nordisk Inc	$12.77	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1097555730	CMS
Novo Nordisk Inc	$13.58	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1096831083	CMS
Novo Nordisk Inc	$12.16	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1097722334	CMS
Novo Nordisk Inc	$26.62	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1096744318	CMS
Novo Nordisk Inc	$12.77	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1097610115	CMS
Novo Nordisk Inc	$21.19	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1096946003	CMS
Novo Nordisk Inc	$17.57	11/23/2024	Food and Beverage	Undisputed	01/23/2026	1097258476	CMS
Otsuka America Pharmaceutical, Inc.	$19.36	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1118972842	CMS
Otsuka America Pharmaceutical, Inc.	$121.82	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1118972844	CMS
Otsuka America Pharmaceutical, Inc.	$14.88	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1118972846	CMS
Otsuka America Pharmaceutical, Inc.	$25.42	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1118972848	CMS
Otsuka America Pharmaceutical, Inc.	$22.69	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1118972850	CMS
Otsuka America Pharmaceutical, Inc.	$11.97	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1118972852	CMS
Otsuka America Pharmaceutical, Inc.	$20.29	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1118972854	CMS
PFIZER INC.	$21.12	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1130942441	CMS
PFIZER INC.	$24.46	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1131392399	CMS
PFIZER INC.	$21.69	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1131393434	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.73	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1153577293	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.14	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1153717727	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.81	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1153632606	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.79	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1153732753	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.35	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1153741160	CMS
Supernus Pharmaceuticals, Inc.	$91.29	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1147896399	CMS
Supernus Pharmaceuticals, Inc.	$23.51	05/05/2024	Food and Beverage	Undisputed	01/23/2026	1147772253	CMS
Supernus Pharmaceuticals, Inc.	$13.97	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1147772251	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.48	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1137665126	CMS
Tris Pharma Inc	$20.19	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1147218612	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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