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

NOEL TOTTI

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1649237181
CMS profile
29496
Location
HATO REY, PR

General Payments · PY2018–2024

$9,458.73

  • Reported across 434 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,871.97

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.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,871.97 82

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,110.29 47
PY2019 $1,114.96 55
PY2020 $1,114.56 56
PY2021 $1,423.32 67
PY2022 $1,566.96 69
PY2023 $1,256.67 58
PY2024 $1,871.97 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
Amgen Inc. $20.00 01/17/2024 Food and Beverage Undisputed 01/23/2026 1116181517 CMS
Amgen Inc. $20.00 02/16/2024 Food and Beverage Undisputed 01/23/2026 1116181520 CMS
Amgen Inc. $20.00 04/12/2024 Food and Beverage Undisputed 01/23/2026 1116181524 CMS
Amgen Inc. $19.96 06/14/2024 Food and Beverage Undisputed 01/23/2026 1116181528 CMS
Amgen Inc. $22.22 08/29/2024 Food and Beverage Undisputed 01/23/2026 1116181532 CMS
Amgen Inc. $22.22 12/12/2024 Food and Beverage Undisputed 01/23/2026 1116181537 CMS
AstraZeneca Pharmaceuticals LP $23.00 01/23/2024 Food and Beverage Undisputed 01/23/2026 1104476580 CMS
AstraZeneca Pharmaceuticals LP $20.00 01/30/2024 Food and Beverage Undisputed 01/23/2026 1105674957 CMS
AstraZeneca Pharmaceuticals LP $20.00 02/06/2024 Food and Beverage Undisputed 01/23/2026 1105597925 CMS
AstraZeneca Pharmaceuticals LP $13.42 02/20/2024 Food and Beverage Undisputed 01/23/2026 1104456602 CMS
AstraZeneca Pharmaceuticals LP $23.00 02/22/2024 Food and Beverage Undisputed 01/23/2026 1105700030 CMS
AstraZeneca Pharmaceuticals LP $20.00 04/03/2024 Food and Beverage Undisputed 01/23/2026 1105791874 CMS
AstraZeneca Pharmaceuticals LP $23.00 05/07/2024 Food and Beverage Undisputed 01/23/2026 1104349886 CMS
AstraZeneca Pharmaceuticals LP $18.73 05/31/2024 Food and Beverage Undisputed 01/23/2026 1105573793 CMS
AstraZeneca Pharmaceuticals LP $23.00 05/31/2024 Food and Beverage Undisputed 01/23/2026 1105671785 CMS
AstraZeneca Pharmaceuticals LP $21.94 06/24/2024 Food and Beverage Undisputed 01/23/2026 1105341775 CMS
AstraZeneca Pharmaceuticals LP $23.00 07/18/2024 Food and Beverage Undisputed 01/23/2026 1105624235 CMS
AstraZeneca Pharmaceuticals LP $25.00 07/31/2024 Food and Beverage Undisputed 01/23/2026 1104259241 CMS
AstraZeneca Pharmaceuticals LP $23.00 08/20/2024 Food and Beverage Undisputed 01/23/2026 1105292481 CMS
AstraZeneca Pharmaceuticals LP $21.94 09/16/2024 Food and Beverage Undisputed 01/23/2026 1104496474 CMS
AstraZeneca Pharmaceuticals LP $18.73 10/02/2024 Food and Beverage Undisputed 01/23/2026 1105805224 CMS
AstraZeneca Pharmaceuticals LP $29.67 10/23/2024 Food and Beverage Undisputed 01/23/2026 1104764396 CMS
AstraZeneca Pharmaceuticals LP $25.00 10/28/2024 Food and Beverage Undisputed 01/23/2026 1105886969 CMS
AstraZeneca Pharmaceuticals LP $25.00 11/14/2024 Food and Beverage Undisputed 01/23/2026 1105507882 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.50 03/19/2024 Food and Beverage Undisputed 01/23/2026 1118093282 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.78 04/24/2024 Food and Beverage Undisputed 01/23/2026 1118093286 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.78 05/15/2024 Food and Beverage Undisputed 01/23/2026 1118093288 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.78 05/30/2024 Food and Beverage Undisputed 01/23/2026 1118093290 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.00 07/16/2024 Food and Beverage Undisputed 01/23/2026 1118093276 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $3.90 07/31/2024 Food and Beverage Undisputed 01/23/2026 1118093274 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $31.25 08/22/2024 Food and Beverage Undisputed 01/23/2026 1118093272 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.00 09/25/2024 Food and Beverage Undisputed 01/23/2026 1118093278 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.00 10/30/2024 Food and Beverage Undisputed 01/23/2026 1118093280 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.50 12/17/2024 Food and Beverage Undisputed 01/23/2026 1118093284 CMS
GENZYME CORPORATION $25.00 01/24/2024 Food and Beverage Undisputed 01/23/2026 1139620855 CMS
GENZYME CORPORATION $18.00 02/29/2024 Food and Beverage Undisputed 01/23/2026 1139620863 CMS
GENZYME CORPORATION $24.44 05/09/2024 Food and Beverage Undisputed 01/23/2026 1139620889 CMS
GENZYME CORPORATION $25.00 06/18/2024 Food and Beverage Undisputed 01/23/2026 1139620903 CMS
GENZYME CORPORATION $22.59 07/17/2024 Food and Beverage Undisputed 01/23/2026 1139620909 CMS
GENZYME CORPORATION $7.58 08/29/2024 Food and Beverage Undisputed 01/23/2026 1139620919 CMS
GENZYME CORPORATION $22.50 09/26/2024 Food and Beverage Undisputed 01/23/2026 1139620927 CMS
GENZYME CORPORATION $22.50 10/15/2024 Food and Beverage Undisputed 01/23/2026 1139620935 CMS
GENZYME CORPORATION $22.00 10/29/2024 Food and Beverage Undisputed 01/23/2026 1139620943 CMS
GENZYME CORPORATION $20.00 11/13/2024 Food and Beverage Undisputed 01/23/2026 1139620947 CMS
GENZYME CORPORATION $25.00 12/03/2024 Food and Beverage Undisputed 01/23/2026 1139620953 CMS
GlaxoSmithKline, LLC. $8.01 01/03/2024 Food and Beverage Undisputed 01/23/2026 1116583377 CMS
GlaxoSmithKline, LLC. $25.00 01/09/2024 Food and Beverage Undisputed 01/23/2026 1116327762 CMS
GlaxoSmithKline, LLC. $25.00 02/15/2024 Food and Beverage Undisputed 01/23/2026 1115778122 CMS
GlaxoSmithKline, LLC. $25.00 02/21/2024 Food and Beverage Undisputed 01/23/2026 1116263342 CMS
GlaxoSmithKline, LLC. $25.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1116377674 CMS
GlaxoSmithKline, LLC. $25.00 03/19/2024 Food and Beverage Undisputed 01/23/2026 1115975150 CMS
GlaxoSmithKline, LLC. $25.00 03/27/2024 Food and Beverage Undisputed 01/23/2026 1116019346 CMS
GlaxoSmithKline, LLC. $25.00 04/01/2024 Food and Beverage Undisputed 01/23/2026 1116391306 CMS
GlaxoSmithKline, LLC. $24.90 05/14/2024 Food and Beverage Undisputed 01/23/2026 1116223010 CMS
GlaxoSmithKline, LLC. $25.00 05/23/2024 Food and Beverage Undisputed 01/23/2026 1116009803 CMS
GlaxoSmithKline, LLC. $2.13 05/31/2024 Food and Beverage Undisputed 01/23/2026 1116580345 CMS
GlaxoSmithKline, LLC. $25.00 06/12/2024 Food and Beverage Undisputed 01/23/2026 1116228109 CMS
GlaxoSmithKline, LLC. $25.00 06/21/2024 Food and Beverage Undisputed 01/23/2026 1116610036 CMS
GlaxoSmithKline, LLC. $25.00 07/10/2024 Food and Beverage Undisputed 01/23/2026 1116736898 CMS
GlaxoSmithKline, LLC. $25.00 09/12/2024 Food and Beverage Undisputed 01/23/2026 1116432917 CMS
GlaxoSmithKline, LLC. $9.24 09/13/2024 Food and Beverage Undisputed 01/23/2026 1116666039 CMS
GlaxoSmithKline, LLC. $25.00 09/18/2024 Food and Beverage Undisputed 01/23/2026 1116360236 CMS
GlaxoSmithKline, LLC. $25.00 10/10/2024 Food and Beverage Undisputed 01/23/2026 1116685097 CMS
GlaxoSmithKline, LLC. $25.00 10/31/2024 Food and Beverage Undisputed 01/23/2026 1116474998 CMS
GlaxoSmithKline, LLC. $25.00 11/07/2024 Food and Beverage Undisputed 01/23/2026 1116351784 CMS
GlaxoSmithKline, LLC. $25.00 12/05/2024 Food and Beverage Undisputed 01/23/2026 1116276356 CMS
Insmed, Inc. $36.82 02/27/2024 Food and Beverage Undisputed 01/23/2026 1089557840 CMS
Insmed, Inc. $25.00 05/28/2024 Food and Beverage Undisputed 01/23/2026 1089558370 CMS
Insmed, Inc. $32.07 09/05/2024 Food and Beverage Undisputed 01/23/2026 1089567605 CMS
Janssen Pharmaceuticals, Inc $20.60 10/17/2024 Food and Beverage Undisputed 01/23/2026 1078167871 CMS
Merck Sharp & Dohme LLC $22.73 05/29/2024 Food and Beverage Undisputed 01/23/2026 1141893687 CMS
Merck Sharp & Dohme LLC $18.00 09/17/2024 Food and Beverage Undisputed 01/23/2026 1141784325 CMS
Merck Sharp & Dohme LLC $20.00 11/21/2024 Food and Beverage Undisputed 01/23/2026 1141784327 CMS
Mylan Specialty L.P. $22.17 03/26/2024 Food and Beverage Undisputed 01/23/2026 1147335026 CMS
Mylan Specialty L.P. $20.95 05/16/2024 Food and Beverage Undisputed 01/23/2026 1147375161 CMS
Mylan Specialty L.P. $29.42 10/02/2024 Food and Beverage Undisputed 01/23/2026 1147302155 CMS
SANOFI US SERVICES INC. $20.00 04/11/2024 Food and Beverage Undisputed 01/23/2026 1139620885 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.00 01/25/2024 Food and Beverage Undisputed 01/23/2026 1137688620 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.00 04/04/2024 Food and Beverage Undisputed 01/23/2026 1137688622 CMS
United Therapeutics Corporation $25.00 02/07/2024 Food and Beverage Undisputed 01/23/2026 1149464402 CMS
United Therapeutics Corporation $27.50 04/02/2024 Food and Beverage Undisputed 01/23/2026 1149466086 CMS
United Therapeutics Corporation $27.50 05/08/2024 Food and Beverage Undisputed 01/23/2026 1149453338 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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