Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

APRILL M RAMBARRAN

Allopathic & Osteopathic Physicians Family Medicine

NPI
1609003177
CMS profile
921068
Location
PALISADE, CO

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2021 · Entire year

$2,822.55

150 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2021 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,822.55 150

By paying entity

PY2021 · entire year · sorted by reported total

Page 1 of 3; records 1–50 of 150 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

APRILL M RAMBARRAN

NPI 1609003177 · CMS profile ID 921068

Allopathic & Osteopathic Physicians / Family Medicine

PALISADE, CO

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 3; records 1–50 of 150 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1609003177?year=2021&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
APRILL M RAMBARRAN, NPI 1609003177, CMS profile ID 921068. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 3; records 1–50 of 150 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1609003177?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
APA 7
IndustryPayments. (2026). APRILL M RAMBARRAN, NPI 1609003177, CMS profile ID 921068. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 3; records 1–50 of 150 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1609003177?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
Bluebook
APRILL M RAMBARRAN, NPI 1609003177, CMS profile ID 921068, IndustryPayments, General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 3; records 1–50 of 150 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202. https://industrypayments.org/provider/npi-1609003177?year=2021&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2021

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

150 matching records · $2,822.55 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 150 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 150.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Bausch Health US, LLC $12.2112/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 851554167 CMS
Tris Pharma Inc $11.6612/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 851993795 CMS
AbbVie Inc. $127.9312/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795764929 CMS
Novo Nordisk Inc $14.0512/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811631287 CMS
Amgen Inc. $12.9812/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 825155761 CMS
GlaxoSmithKline, LLC. $19.8512/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 802804637 CMS
Acerus Pharmaceuticals Corporation $13.9311/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 777479847 CMS
Kowa Pharmaceuticals America, Inc. $17.0111/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 805559607 CMS
AstraZeneca Pharmaceuticals LP $14.5211/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 829274593 CMS
Eisai Inc. $23.5911/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818059087 CMS
Esperion Therapeutics, Inc. $24.9111/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838381993 CMS
Lilly USA, LLC $5.6111/04/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818952411 CMS
Novo Nordisk Inc $20.2911/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811717881 CMS
AbbVie Inc. $15.4110/26/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795764925 CMS
Esperion Therapeutics, Inc. $11.8410/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838381987 CMS
Merck Sharp & Dohme Corporation $13.6510/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 848723325 CMS
Bausch Health US, LLC $12.7710/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 851554163 CMS
Novo Nordisk Inc $13.4710/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811340897 CMS
AbbVie Inc. $2.0810/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795764921 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.5010/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763659800 CMS
Amgen Inc. $13.5110/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 825155757 CMS
AstraZeneca Pharmaceuticals LP $15.6610/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830231967 CMS
SANOFI-AVENTIS U.S. LLC $11.5510/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 843657033 CMS
AbbVie Inc. $13.8310/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795764917 CMS
Sunovion Pharmaceuticals Inc. $14.5110/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821828705 CMS
Eisai Inc. $23.1310/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818026433 CMS
Amarin Pharma Inc. $21.4209/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 815235775 CMS
Esperion Therapeutics, Inc. $6.4809/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838381983 CMS
AbbVie Inc. $7.7109/29/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795764913 CMS
Abbott Laboratories $18.3609/28/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 833803475 CMS
Bayer HealthCare Pharmaceuticals Inc. $25.2809/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 789190633 CMS
Merck Sharp & Dohme Corporation $12.7909/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 848491453 CMS
Novo Nordisk Inc $17.5009/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811717877 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.5709/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763659802 CMS
Novo Nordisk Inc $22.4209/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810999027 CMS
Amgen Inc. $13.5109/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 825155753 CMS
AstraZeneca Pharmaceuticals LP $15.8209/15/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 829885975 CMS
AbbVie Inc. $22.7309/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795764909 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.1609/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 820171887 CMS
AbbVie Inc. $9.0009/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795764905 CMS
Esperion Therapeutics, Inc. $5.5109/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838381979 CMS
Novo Nordisk Inc $16.8809/01/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810999019 CMS
Novo Nordisk Inc $17.9208/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 811717875 CMS
Merck Sharp & Dohme Corporation $12.7808/27/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 848448757 CMS
Amarin Pharma Inc. $18.1708/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 815091719 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.0508/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 763659804 CMS
Novo Nordisk Inc $11.0208/23/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 810673527 CMS
Amgen Inc. $12.9808/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 825155749 CMS
Bayer HealthCare Pharmaceuticals Inc. $23.5408/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 789057955 CMS
AbbVie Inc. $7.3308/14/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 795764901 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
PY2025 $767.10 40

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.