Covered recipient · General Payments record

MYL RAMA

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1609947704
CMS profile: 73219
Location: TRUMBULL, CT

General Payments · PY2018–2019

$5,574.21

Reported across 298 records
CMS publication 2026-01-23

Latest program year · PY2019

$2,388.79

115 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

PY2019 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,339.19	111
Education	$49.60	4

By paying entity

PY2019 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$654.10	27
SANOFI-AVENTIS U.S. LLC	$320.42	9
Boehringer Ingelheim Pharmaceuticals, Inc.	$237.83	9
Novo Nordisk AS	$232.95	13
Lilly USA, LLC	$227.94	10
Janssen Pharmaceuticals, Inc	$209.48	10
NOVARTIS PHARMACEUTICALS CORPORATION	$134.66	7
Merck Sharp & Dohme Corporation	$128.17	15
Allergan Inc.	$59.00	3
PFIZER INC.	$55.92	4
AYTU BioPharma, Inc.	$35.79	2
Amarin Pharma Inc.	$31.99	2
Takeda Pharmaceuticals U.S.A., Inc.	$31.39	2
Bausch Health US, LLC	$14.99	1
Teva Pharmaceuticals USA, Inc.	$14.16	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$3,185.42	183
PY2019	$2,388.79	115

Payment records · PY2019 (115)

Sorted by paying entity, then date · as published by CMS

Program year 2019 2018 Record-level detail is published for PY2019; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Allergan Inc.	$29.99	06/28/2019	Education	Undisputed	01/23/2026	670985157	CMS
Allergan Inc.	$13.24	06/28/2019	Food and Beverage	Undisputed	01/23/2026	670985161	CMS
Allergan Inc.	$15.77	10/01/2019	Food and Beverage	Undisputed	01/23/2026	670985163	CMS
Amarin Pharma Inc.	$17.13	05/09/2019	Food and Beverage	Undisputed	01/23/2026	699144717	CMS
Amarin Pharma Inc.	$14.86	06/10/2019	Food and Beverage	Undisputed	01/23/2026	699164611	CMS
AstraZeneca Pharmaceuticals LP	$16.27	01/08/2019	Food and Beverage	Undisputed	01/23/2026	685270239	CMS
AstraZeneca Pharmaceuticals LP	$16.86	01/14/2019	Food and Beverage	Undisputed	01/23/2026	685258359	CMS
AstraZeneca Pharmaceuticals LP	$20.77	01/28/2019	Food and Beverage	Undisputed	01/23/2026	685779411	CMS
AstraZeneca Pharmaceuticals LP	$18.91	02/04/2019	Food and Beverage	Undisputed	01/23/2026	685591223	CMS
AstraZeneca Pharmaceuticals LP	$6.00	02/08/2019	Education	Undisputed	01/23/2026	685172539	CMS
AstraZeneca Pharmaceuticals LP	$16.60	02/11/2019	Food and Beverage	Undisputed	01/23/2026	685946991	CMS
AstraZeneca Pharmaceuticals LP	$16.51	02/26/2019	Food and Beverage	Undisputed	01/23/2026	685549947	CMS
AstraZeneca Pharmaceuticals LP	$125.00	02/26/2019	Food and Beverage	Undisputed	01/23/2026	685783377	CMS
AstraZeneca Pharmaceuticals LP	$16.47	02/28/2019	Food and Beverage	Undisputed	01/23/2026	685204581	CMS
AstraZeneca Pharmaceuticals LP	$16.86	03/05/2019	Food and Beverage	Undisputed	01/23/2026	685841097	CMS
AstraZeneca Pharmaceuticals LP	$16.95	03/21/2019	Food and Beverage	Undisputed	01/23/2026	685681443	CMS
AstraZeneca Pharmaceuticals LP	$27.19	03/25/2019	Food and Beverage	Undisputed	01/23/2026	685678953	CMS
AstraZeneca Pharmaceuticals LP	$13.44	03/25/2019	Food and Beverage	Undisputed	01/23/2026	685768231	CMS
AstraZeneca Pharmaceuticals LP	$20.05	04/02/2019	Food and Beverage	Undisputed	01/23/2026	685715623	CMS
AstraZeneca Pharmaceuticals LP	$14.31	04/26/2019	Food and Beverage	Undisputed	01/23/2026	685562371	CMS
AstraZeneca Pharmaceuticals LP	$13.33	04/30/2019	Food and Beverage	Undisputed	01/23/2026	685524179	CMS
AstraZeneca Pharmaceuticals LP	$14.37	05/07/2019	Food and Beverage	Undisputed	01/23/2026	685034589	CMS
AstraZeneca Pharmaceuticals LP	$12.30	05/16/2019	Food and Beverage	Undisputed	01/23/2026	685190129	CMS
AstraZeneca Pharmaceuticals LP	$12.47	05/21/2019	Food and Beverage	Undisputed	01/23/2026	685758091	CMS
AstraZeneca Pharmaceuticals LP	$14.52	06/13/2019	Food and Beverage	Undisputed	01/23/2026	685838917	CMS
AstraZeneca Pharmaceuticals LP	$14.92	06/19/2019	Food and Beverage	Undisputed	01/23/2026	685436062	CMS
AstraZeneca Pharmaceuticals LP	$14.88	07/08/2019	Food and Beverage	Undisputed	01/23/2026	685343543	CMS
AstraZeneca Pharmaceuticals LP	$19.63	08/08/2019	Food and Beverage	Undisputed	01/23/2026	685126779	CMS
AstraZeneca Pharmaceuticals LP	$19.09	08/21/2019	Food and Beverage	Undisputed	01/23/2026	685196381	CMS
AstraZeneca Pharmaceuticals LP	$17.19	09/10/2019	Food and Beverage	Undisputed	01/23/2026	685622201	CMS
AstraZeneca Pharmaceuticals LP	$15.21	09/23/2019	Food and Beverage	Undisputed	01/23/2026	685764023	CMS
AstraZeneca Pharmaceuticals LP	$124.00	11/07/2019	Food and Beverage	Undisputed	01/23/2026	685735567	CMS
Aytu BioScience, Inc	$18.20	02/07/2019	Food and Beverage	Undisputed	01/23/2026	668010753	CMS
Aytu BioScience, Inc	$17.59	06/01/2019	Food and Beverage	Undisputed	01/23/2026	668010755	CMS
Bausch Health US, LLC	$14.99	03/06/2019	Food and Beverage	Undisputed	01/23/2026	684532033	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.98	02/01/2019	Food and Beverage	Undisputed	01/23/2026	700092295	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$8.48	02/19/2019	Food and Beverage	Undisputed	01/23/2026	700092293	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.19	03/01/2019	Food and Beverage	Undisputed	01/23/2026	700092291	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$9.54	04/01/2019	Food and Beverage	Undisputed	01/23/2026	700092289	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.38	04/08/2019	Food and Beverage	Undisputed	01/23/2026	700092287	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.47	05/13/2019	Food and Beverage	Undisputed	01/23/2026	700092285	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.40	06/25/2019	Food and Beverage	Undisputed	01/23/2026	700092283	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.94	08/05/2019	Food and Beverage	Undisputed	01/23/2026	700092281	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$120.45	09/26/2019	Food and Beverage	Undisputed	01/23/2026	700092279	CMS
Janssen Pharmaceuticals, Inc	$11.74	03/14/2019	Food and Beverage	Undisputed	01/23/2026	659221007	CMS
Janssen Pharmaceuticals, Inc	$112.80	03/27/2019	Food and Beverage	Undisputed	01/23/2026	659221009	CMS
Janssen Pharmaceuticals, Inc	$10.71	04/11/2019	Food and Beverage	Undisputed	01/23/2026	659221013	CMS
Janssen Pharmaceuticals, Inc	$4.89	04/11/2019	Food and Beverage	Undisputed	01/23/2026	659221015	CMS
Janssen Pharmaceuticals, Inc	$5.26	05/23/2019	Education	Undisputed	01/23/2026	659221019	CMS
Janssen Pharmaceuticals, Inc	$15.63	06/15/2019	Food and Beverage	Undisputed	01/23/2026	659221021	CMS
Janssen Pharmaceuticals, Inc	$2.73	07/25/2019	Food and Beverage	Undisputed	01/23/2026	659221025	CMS
Janssen Pharmaceuticals, Inc	$19.65	07/26/2019	Food and Beverage	Undisputed	01/23/2026	659221027	CMS
Janssen Pharmaceuticals, Inc	$14.72	08/23/2019	Food and Beverage	Undisputed	01/23/2026	659221029	CMS
Janssen Pharmaceuticals, Inc	$11.35	09/21/2019	Food and Beverage	Undisputed	01/23/2026	659221033	CMS
Lilly USA, LLC	$13.60	01/11/2019	Food and Beverage	Undisputed	01/23/2026	658048239	CMS
Lilly USA, LLC	$21.70	01/24/2019	Food and Beverage	Undisputed	01/23/2026	658051773	CMS
Lilly USA, LLC	$14.44	02/19/2019	Food and Beverage	Undisputed	01/23/2026	658058461	CMS
Lilly USA, LLC	$19.61	04/23/2019	Food and Beverage	Undisputed	01/23/2026	658061615	CMS
Lilly USA, LLC	$6.00	05/14/2019	Food and Beverage	Undisputed	01/23/2026	658055133	CMS
Lilly USA, LLC	$100.00	05/14/2019	Food and Beverage	Undisputed	01/23/2026	658061617	CMS
Lilly USA, LLC	$17.18	07/23/2019	Food and Beverage	Undisputed	01/23/2026	658058463	CMS
Lilly USA, LLC	$8.35	08/01/2019	Education	Undisputed	01/23/2026	658041391	CMS
Lilly USA, LLC	$13.20	08/06/2019	Food and Beverage	Undisputed	01/23/2026	658061613	CMS
Lilly USA, LLC	$13.86	09/26/2019	Food and Beverage	Undisputed	01/23/2026	658048237	CMS
Merck Sharp & Dohme Corporation	$3.88	01/10/2019	Food and Beverage	Undisputed	01/23/2026	695919773	CMS
Merck Sharp & Dohme Corporation	$15.86	01/17/2019	Food and Beverage	Undisputed	01/23/2026	695920515	CMS
Merck Sharp & Dohme Corporation	$4.86	01/28/2019	Food and Beverage	Undisputed	01/23/2026	695919771	CMS
Merck Sharp & Dohme Corporation	$16.69	02/12/2019	Food and Beverage	Undisputed	01/23/2026	695920407	CMS
Merck Sharp & Dohme Corporation	$3.34	02/26/2019	Food and Beverage	Undisputed	01/23/2026	695920057	CMS
Merck Sharp & Dohme Corporation	$4.02	03/18/2019	Food and Beverage	Undisputed	01/23/2026	695920555	CMS
Merck Sharp & Dohme Corporation	$15.23	03/19/2019	Food and Beverage	Undisputed	01/23/2026	695891041	CMS
Merck Sharp & Dohme Corporation	$3.38	03/29/2019	Food and Beverage	Undisputed	01/23/2026	695920975	CMS
Merck Sharp & Dohme Corporation	$17.35	04/09/2019	Food and Beverage	Undisputed	01/23/2026	695920041	CMS
Merck Sharp & Dohme Corporation	$2.97	04/25/2019	Food and Beverage	Undisputed	01/23/2026	695920665	CMS
Merck Sharp & Dohme Corporation	$3.17	05/09/2019	Food and Beverage	Undisputed	01/23/2026	695920751	CMS
Merck Sharp & Dohme Corporation	$2.76	05/23/2019	Food and Beverage	Undisputed	01/23/2026	695920673	CMS
Merck Sharp & Dohme Corporation	$14.69	06/06/2019	Food and Beverage	Undisputed	01/23/2026	695919827	CMS
Merck Sharp & Dohme Corporation	$17.31	08/01/2019	Food and Beverage	Undisputed	01/23/2026	695920221	CMS
Merck Sharp & Dohme Corporation	$2.66	08/09/2019	Food and Beverage	Undisputed	01/23/2026	695920755	CMS
Novartis Pharmaceuticals Corporation	$22.26	01/25/2019	Food and Beverage	Undisputed	01/23/2026	659888961	CMS
Novartis Pharmaceuticals Corporation	$13.78	02/21/2019	Food and Beverage	Undisputed	01/23/2026	659888953	CMS
Novartis Pharmaceuticals Corporation	$19.51	03/28/2019	Food and Beverage	Undisputed	01/23/2026	659888955	CMS
Novartis Pharmaceuticals Corporation	$18.38	04/26/2019	Food and Beverage	Undisputed	01/23/2026	659888963	CMS
Novartis Pharmaceuticals Corporation	$19.89	05/30/2019	Food and Beverage	Undisputed	01/23/2026	659888957	CMS
Novartis Pharmaceuticals Corporation	$23.67	06/27/2019	Food and Beverage	Undisputed	01/23/2026	659888959	CMS
Novartis Pharmaceuticals Corporation	$17.17	09/24/2019	Food and Beverage	Undisputed	01/23/2026	659888965	CMS
Novo Nordisk Inc	$24.58	02/08/2019	Food and Beverage	Undisputed	01/23/2026	668785419	CMS
Novo Nordisk Inc	$17.54	02/18/2019	Food and Beverage	Undisputed	01/23/2026	668785417	CMS
Novo Nordisk Inc	$24.07	03/15/2019	Food and Beverage	Undisputed	01/23/2026	669499791	CMS
Novo Nordisk Inc	$16.73	03/26/2019	Food and Beverage	Undisputed	01/23/2026	669499793	CMS
Novo Nordisk Inc	$20.31	04/12/2019	Food and Beverage	Undisputed	01/23/2026	669522815	CMS
Novo Nordisk Inc	$17.87	04/23/2019	Food and Beverage	Undisputed	01/23/2026	669522817	CMS
Novo Nordisk Inc	$14.67	05/20/2019	Food and Beverage	Undisputed	01/23/2026	669567913	CMS
Novo Nordisk Inc	$22.64	05/24/2019	Food and Beverage	Undisputed	01/23/2026	669567911	CMS
Novo Nordisk Inc	$18.98	06/17/2019	Food and Beverage	Undisputed	01/23/2026	674462371	CMS
Novo Nordisk Inc	$15.47	06/21/2019	Food and Beverage	Undisputed	01/23/2026	674462373	CMS
Novo Nordisk Inc	$5.00	06/21/2019	Food and Beverage	Undisputed	01/23/2026	682816857	CMS
Novo Nordisk Inc	$18.04	08/12/2019	Food and Beverage	Undisputed	01/23/2026	674609057	CMS
Novo Nordisk Inc	$17.05	09/03/2019	Food and Beverage	Undisputed	01/23/2026	674571135	CMS
PFIZER INC.	$11.60	01/22/2019	Food and Beverage	Undisputed	01/23/2026	672212807	CMS
PFIZER INC.	$18.44	02/15/2019	Food and Beverage	Undisputed	01/23/2026	672224213	CMS
PFIZER INC.	$13.75	03/29/2019	Food and Beverage	Undisputed	01/23/2026	672131487	CMS
PFIZER INC.	$12.13	05/06/2019	Food and Beverage	Undisputed	01/23/2026	672171927	CMS
SANOFI-AVENTIS U.S. LLC	$14.35	01/29/2019	Food and Beverage	Undisputed	01/23/2026	693900419	CMS
SANOFI-AVENTIS U.S. LLC	$24.70	02/14/2019	Food and Beverage	Undisputed	01/23/2026	693921947	CMS
SANOFI-AVENTIS U.S. LLC	$12.49	02/25/2019	Food and Beverage	Undisputed	01/23/2026	693925485	CMS
SANOFI-AVENTIS U.S. LLC	$14.06	03/14/2019	Food and Beverage	Undisputed	01/23/2026	693987497	CMS
SANOFI-AVENTIS U.S. LLC	$19.43	05/23/2019	Food and Beverage	Undisputed	01/23/2026	694033479	CMS
SANOFI-AVENTIS U.S. LLC	$19.40	07/26/2019	Food and Beverage	Undisputed	01/23/2026	694114961	CMS
SANOFI-AVENTIS U.S. LLC	$95.08	08/29/2019	Food and Beverage	Undisputed	01/23/2026	694312955	CMS
SANOFI-AVENTIS U.S. LLC	$16.69	09/27/2019	Food and Beverage	Undisputed	01/23/2026	694201343	CMS
SANOFI-AVENTIS U.S. LLC	$104.22	10/22/2019	Food and Beverage	Undisputed	01/23/2026	694185947	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.35	03/18/2019	Food and Beverage	Undisputed	01/23/2026	681690727	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.04	08/09/2019	Food and Beverage	Undisputed	01/23/2026	682042861	CMS
Teva Pharmaceuticals USA, Inc.	$14.16	01/31/2019	Food and Beverage	Undisputed	01/23/2026	697753907	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
Source files: Dataset page · Bulk file · PY2018 , PY2019
Generated from: OP_DTL_GNRL_PGYR2019_P01232026_01102026.csv

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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.