Covered recipient · General Payments record
RONALD HARRISON LITTLEFIELD SR.
Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease
General Payments · PY2018–2021
$6,337.87
- Reported across 422 records
- CMS publication 2026-01-23
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
PY2021 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $320.76 | 20 |
By paying entity
PY2021 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Amarin Pharma Inc. | $71.02 | 5 |
| Amgen Inc. | $44.45 | 3 |
| Novo Nordisk AS | $30.09 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $30.02 | 2 |
| Esperion Therapeutics, Inc. | $26.05 | 1 |
| Acerta Pharma LLC | $24.28 | 2 |
| Merck Sharp & Dohme Corporation | $19.73 | 1 |
| Paratek Pharmaceuticals, Inc. | $16.18 | 1 |
| ARBOR PHARMACEUTICALS, INC. | $15.83 | 1 |
| Janssen Pharmaceuticals, Inc | $15.78 | 1 |
| ABBVIE INC. | $13.87 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $13.46 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2021 (20)
Sorted by paying entity, then date · as published by 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
- Generated from
- OP_DTL_GNRL_PGYR2021_P01232026_01102026.csv
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