Covered recipient · General Payments record

ALEX V ZAND

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1649288002
CMS profile: 301629
Location: ORANGE, CA

General Payments · PY2018–2024

$14,894.94

Reported across 763 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,608.02

76 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	$1,608.02	76

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$158.12	9
Lilly USA, LLC	$138.43	5
Janssen Pharmaceuticals, Inc	$131.42	7
Abbott Laboratories	$130.84	5
ABBVIE INC.	$124.71	5
Novo Nordisk AS	$107.47	6
Radius Health, Inc.	$95.10	5
PFIZER INC.	$92.84	5
GlaxoSmithKline, LLC.	$89.71	4
Amgen Inc.	$82.41	4
Takeda Pharmaceuticals U.S.A., Inc.	$73.55	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$43.71	2
SCILEX PHARMACEUTICALS INC.	$41.59	2
AIMMUNE THERAPEUTICS, INC.	$39.99	2
Otsuka America Pharmaceutical, Inc.	$39.44	2
Almatica Pharma Inc.	$35.04	1
Bayer HealthCare Pharmaceuticals Inc.	$29.38	1
Regeneron Healthcare Solutions, Inc.	$26.78	1
Sumitomo Pharma America, Inc.	$24.02	1
Insulet Corporation	$20.12	1
DEXCOM, INC.	$19.24	1
BOSTON SCIENTIFIC CORPORATION	$18.57	1
TOLMAR, INC.	$16.66	1
Exact Sciences Corporation	$15.18	1
IDORSIA PHARMACEUTICALS US INC	$13.70	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,326.80	145
PY2019	$2,478.72	151
PY2020	$1,682.57	84
PY2021	$2,972.22	123
PY2022	$1,632.44	84
PY2023	$2,194.17	100
PY2024	$1,608.02	76

Payment records · PY2024 (76)

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	$26.40	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1125169058	CMS
Abbott Laboratories	$25.34	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1125169060	CMS
Abbott Laboratories	$26.62	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1125169062	CMS
Abbott Laboratories	$28.39	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1125169066	CMS
Abbott Laboratories	$24.09	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1125169064	CMS
ABBVIE INC.	$23.01	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1106390276	CMS
ABBVIE INC.	$26.79	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1106390278	CMS
ABBVIE INC.	$28.66	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1106390280	CMS
ABBVIE INC.	$23.21	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1106390282	CMS
ABBVIE INC.	$23.04	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1106390284	CMS
AIMMUNE THERAPEUTICS, INC.	$21.74	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1146966090	CMS
AIMMUNE THERAPEUTICS, INC.	$18.25	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1146991438	CMS
Almatica Pharma LLC	$35.04	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1137583747	CMS
Amgen Inc.	$27.13	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1117421808	CMS
Amgen Inc.	$18.68	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1111746200	CMS
Amgen Inc.	$16.92	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1111746202	CMS
Amgen Inc.	$19.68	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1111746204	CMS
AstraZeneca Pharmaceuticals LP	$18.76	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1104375653	CMS
AstraZeneca Pharmaceuticals LP	$16.18	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1105820227	CMS
AstraZeneca Pharmaceuticals LP	$13.36	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1105681461	CMS
AstraZeneca Pharmaceuticals LP	$24.95	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1105279104	CMS
AstraZeneca Pharmaceuticals LP	$13.87	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1104553398	CMS
AstraZeneca Pharmaceuticals LP	$17.54	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1105679709	CMS
AstraZeneca Pharmaceuticals LP	$21.59	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1104416743	CMS
AstraZeneca Pharmaceuticals LP	$16.35	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1104372739	CMS
AstraZeneca Pharmaceuticals LP	$15.52	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1104764230	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.38	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1086208161	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.05	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1118093886	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.66	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1118093888	CMS
Boston Scientific Corporation	$18.57	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1092721840	CMS
Dexcom, Inc.	$19.24	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1153277370	CMS
Exact Sciences Corporation	$15.18	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1114958116	CMS
GlaxoSmithKline, LLC.	$23.06	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1116597769	CMS
GlaxoSmithKline, LLC.	$15.27	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1116469300	CMS
GlaxoSmithKline, LLC.	$26.51	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1115982065	CMS
GlaxoSmithKline, LLC.	$24.87	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1116550239	CMS
IDORSIA PHARMACEUTICALS US INC	$13.70	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1146758198	CMS
Insulet Corporation	$20.12	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1116801282	CMS
Janssen Pharmaceuticals, Inc	$12.72	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1077933611	CMS
Janssen Pharmaceuticals, Inc	$15.75	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1077933629	CMS
Janssen Pharmaceuticals, Inc	$35.32	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1077933991	CMS
Janssen Pharmaceuticals, Inc	$10.51	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1077934202	CMS
Janssen Pharmaceuticals, Inc	$9.38	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1077933999	CMS
Janssen Pharmaceuticals, Inc	$18.21	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1077934013	CMS
Janssen Pharmaceuticals, Inc	$29.53	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1077933841	CMS
Lilly USA, LLC	$33.99	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1136018560	CMS
Lilly USA, LLC	$33.27	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1136018531	CMS
Lilly USA, LLC	$19.82	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1136019594	CMS
Lilly USA, LLC	$33.65	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1136019596	CMS
Lilly USA, LLC	$17.70	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1136012863	CMS
Novo Nordisk Inc	$14.80	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1096950388	CMS
Novo Nordisk Inc	$15.29	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1096647494	CMS
Novo Nordisk Inc	$18.42	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1097802697	CMS
Novo Nordisk Inc	$14.85	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1096923690	CMS
Novo Nordisk Inc	$19.56	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1096904607	CMS
Novo Nordisk Inc	$24.55	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1096985102	CMS
Otsuka America Pharmaceutical, Inc.	$15.62	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1119008841	CMS
Otsuka America Pharmaceutical, Inc.	$23.82	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1119008843	CMS
PFIZER INC.	$20.33	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1131125924	CMS
PFIZER INC.	$14.52	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1131873129	CMS
PFIZER INC.	$19.18	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1131993581	CMS
PFIZER INC.	$16.28	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1131149300	CMS
PFIZER INC.	$22.53	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1131417374	CMS
Radius Health, Inc.	$15.60	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1089932489	CMS
Radius Health, Inc.	$20.45	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1089932497	CMS
Radius Health, Inc.	$18.88	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1089932503	CMS
Radius Health, Inc.	$19.39	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1089932509	CMS
Radius Health, Inc.	$20.78	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1089932516	CMS
Regeneron Healthcare Solutions, Inc.	$26.78	08/24/2024	Food and Beverage	Undisputed	01/23/2026	1114260946	CMS
SCILEX PHARMACEUTICALS INC.	$23.19	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1136229614	CMS
SCILEX PHARMACEUTICALS INC.	$18.40	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1136270856	CMS
Sumitomo Pharma America, Inc.	$24.02	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1148939149	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.92	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1137702344	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.95	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1137702346	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$26.68	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1137702348	CMS
Tolmar, Inc.	$16.66	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1138714802	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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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.