Covered recipient · General Payments record

RAFAEL J PEREZ

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1659364644
CMS profile: 119881
Location: MANATI, PR

General Payments · PY2018–2024

$22,689.40

Reported across 744 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,872.37

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

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,872.37	115

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$468.29	16
E.R. Squibb & Sons, L.L.C.	$241.71	11
Janssen Pharmaceuticals, Inc	$233.90	10
PUMA BIOTECHNOLOGY, INC.	$215.26	5
Genentech USA, Inc.	$211.20	10
Merck Sharp & Dohme Corporation	$207.64	9
PBG PUERTO RICO LLC	$159.89	7
NOVARTIS PHARMACEUTICALS CORPORATION	$135.51	6
Exelixis Inc.	$128.52	5
Amgen Inc.	$122.96	6
Tempus AI, Inc	$119.23	5
ABBVIE INC.	$95.31	4
Bayer Puerto Rico Inc.	$95.11	4
Alexion Pharmaceuticals, Inc.	$94.47	3
Regeneron Healthcare Solutions, Inc.	$74.90	3
GlaxoSmithKline, LLC.	$62.08	2
GENZYME CORPORATION	$46.76	2
Eli Lilly Export S.A. Puerto Rico Branch	$45.00	2
SpringWorks Therapeutics, Inc.	$42.41	2
BeiGene USA, Inc.	$24.53	1
EMD Serono, Inc.	$23.87	1
EISAI INC.	$23.82	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$7,804.46	166
PY2019	$4,728.34	141
PY2020	$959.83	50
PY2021	$1,236.89	59
PY2022	$2,264.59	92
PY2023	$2,822.92	121
PY2024	$2,872.37	115

Payment records · PY2024 (115)

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
ABBVIE INC.	$22.44	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1105238446	CMS
ABBVIE INC.	$25.00	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1105238449	CMS
ABBVIE INC.	$25.00	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1105238454	CMS
ABBVIE INC.	$22.87	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1105238458	CMS
Alexion Pharmaceuticals, Inc.	$28.75	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1093914730	CMS
Alexion Pharmaceuticals, Inc.	$32.86	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1094003534	CMS
Alexion Pharmaceuticals, Inc.	$32.86	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1093989400	CMS
Amgen Inc.	$20.00	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1117653248	CMS
Amgen Inc.	$19.87	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1116011033	CMS
Amgen Inc.	$20.91	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1117653246	CMS
Amgen Inc.	$22.00	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1117653250	CMS
Amgen Inc.	$20.18	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1116011040	CMS
Amgen Inc.	$20.00	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1117653252	CMS
AstraZeneca Pharmaceuticals LP	$25.00	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1105249976	CMS
AstraZeneca Pharmaceuticals LP	$22.00	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1104252907	CMS
AstraZeneca Pharmaceuticals LP	$21.95	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1105790524	CMS
AstraZeneca Pharmaceuticals LP	$19.94	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1104735893	CMS
AstraZeneca Pharmaceuticals LP	$25.00	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1105586550	CMS
AstraZeneca Pharmaceuticals LP	$125.00	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1104729217	CMS
AstraZeneca Pharmaceuticals LP	$23.00	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1104262601	CMS
AstraZeneca Pharmaceuticals LP	$22.00	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1105697956	CMS
AstraZeneca Pharmaceuticals LP	$22.00	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1104350936	CMS
AstraZeneca Pharmaceuticals LP	$20.00	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1104329576	CMS
AstraZeneca Pharmaceuticals LP	$25.00	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1104200845	CMS
AstraZeneca Pharmaceuticals LP	$23.45	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1105736643	CMS
AstraZeneca Pharmaceuticals LP	$23.00	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1104675149	CMS
AstraZeneca Pharmaceuticals LP	$23.00	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1104335832	CMS
AstraZeneca Pharmaceuticals LP	$23.00	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1104704827	CMS
AstraZeneca Pharmaceuticals LP	$24.95	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1105381642	CMS
Bayer Puerto Rico Inc.	$25.00	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1086117236	CMS
Bayer Puerto Rico Inc.	$22.37	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1086198676	CMS
Bayer Puerto Rico Inc.	$22.74	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1086129408	CMS
Bayer Puerto Rico Inc.	$25.00	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1086174248	CMS
BeiGene USA, Inc.	$24.53	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1120860055	CMS
E.R. Squibb & Sons, L.L.C.	$24.95	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1101336417	CMS
E.R. Squibb & Sons, L.L.C.	$23.73	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1101336427	CMS
E.R. Squibb & Sons, L.L.C.	$21.94	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1101336439	CMS
E.R. Squibb & Sons, L.L.C.	$24.95	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1101336467	CMS
E.R. Squibb & Sons, L.L.C.	$22.56	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1101336453	CMS
E.R. Squibb & Sons, L.L.C.	$23.95	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1101336473	CMS
E.R. Squibb & Sons, L.L.C.	$23.73	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1101336479	CMS
E.R. Squibb & Sons, L.L.C.	$5.96	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1101336519	CMS
E.R. Squibb & Sons, L.L.C.	$22.51	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1101336523	CMS
E.R. Squibb & Sons, L.L.C.	$25.14	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1101336551	CMS
E.R. Squibb & Sons, L.L.C.	$22.29	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1101336559	CMS
Eisai Inc.	$23.82	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1110774243	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$20.00	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1135295061	CMS
Eli Lilly Export S.A. Puerto Rico Branch	$25.00	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1135307657	CMS
EMD Serono, Inc.	$23.87	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1120225075	CMS
Exelixis Inc.	$24.46	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1138564012	CMS
Exelixis Inc.	$25.09	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1138564010	CMS
Exelixis Inc.	$28.03	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1138564016	CMS
Exelixis Inc.	$24.46	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1138564014	CMS
Exelixis Inc.	$26.48	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1138564018	CMS
Genentech USA, Inc.	$18.96	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1133091560	CMS
Genentech USA, Inc.	$21.16	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1133091584	CMS
Genentech USA, Inc.	$22.93	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1133091568	CMS
Genentech USA, Inc.	$16.69	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1133091548	CMS
Genentech USA, Inc.	$27.29	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1133091572	CMS
Genentech USA, Inc.	$24.46	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1133091576	CMS
Genentech USA, Inc.	$18.96	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1133091552	CMS
Genentech USA, Inc.	$19.11	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1133091564	CMS
Genentech USA, Inc.	$22.56	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1133091580	CMS
Genentech USA, Inc.	$19.08	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1133091556	CMS
GENZYME CORPORATION	$22.42	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1139780712	CMS
GENZYME CORPORATION	$24.34	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1139780874	CMS
GlaxoSmithKline, LLC.	$28.65	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1116010609	CMS
GlaxoSmithKline, LLC.	$33.43	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1116509407	CMS
Janssen Pharmaceuticals, Inc	$22.62	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1078169993	CMS
Janssen Pharmaceuticals, Inc	$20.67	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1078170347	CMS
Janssen Pharmaceuticals, Inc	$25.00	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1078170275	CMS
Janssen Pharmaceuticals, Inc	$22.56	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1078171941	CMS
Janssen Pharmaceuticals, Inc	$24.88	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1078169891	CMS
Janssen Pharmaceuticals, Inc	$22.61	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1078171919	CMS
Janssen Pharmaceuticals, Inc	$22.56	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1078171743	CMS
Janssen Pharmaceuticals, Inc	$23.44	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1078171719	CMS
Janssen Pharmaceuticals, Inc	$24.61	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1078171257	CMS
Janssen Pharmaceuticals, Inc	$24.95	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1078170957	CMS
Merck Sharp & Dohme LLC	$23.81	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1141775999	CMS
Merck Sharp & Dohme LLC	$23.68	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1141776015	CMS
Merck Sharp & Dohme LLC	$20.79	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1141775879	CMS
Merck Sharp & Dohme LLC	$26.19	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1141775863	CMS
Merck Sharp & Dohme LLC	$22.56	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1141893665	CMS
Merck Sharp & Dohme LLC	$21.62	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1141776017	CMS
Merck Sharp & Dohme LLC	$23.81	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1141776001	CMS
Merck Sharp & Dohme LLC	$22.62	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1141893663	CMS
Merck Sharp & Dohme LLC	$22.56	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1141775881	CMS
Novartis Pharmaceuticals Corporation	$24.95	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1087222103	CMS
Novartis Pharmaceuticals Corporation	$24.99	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1087222105	CMS
Novartis Pharmaceuticals Corporation	$21.20	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1087222113	CMS
Novartis Pharmaceuticals Corporation	$25.00	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1087222111	CMS
Novartis Pharmaceuticals Corporation	$21.40	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1087222119	CMS
Novartis Pharmaceuticals Corporation	$17.97	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1087222123	CMS
PBG PUERTO RICO LLC	$24.61	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1131540914	CMS
PBG PUERTO RICO LLC	$22.56	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1131625464	CMS
PBG PUERTO RICO LLC	$22.56	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1131631294	CMS
PBG PUERTO RICO LLC	$22.56	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1131629303	CMS
PBG PUERTO RICO LLC	$22.42	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1131854755	CMS
PBG PUERTO RICO LLC	$22.62	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1131933868	CMS
PBG PUERTO RICO LLC	$22.56	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1131093059	CMS
PUMA BIOTECHNOLOGY, INC.	$24.95	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1113858969	CMS
PUMA BIOTECHNOLOGY, INC.	$117.46	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1113856749	CMS
PUMA BIOTECHNOLOGY, INC.	$23.95	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1113854178	CMS
PUMA BIOTECHNOLOGY, INC.	$23.95	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1113851364	CMS
PUMA BIOTECHNOLOGY, INC.	$24.95	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1113836182	CMS
Regeneron Healthcare Solutions, Inc.	$26.08	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1114135772	CMS
Regeneron Healthcare Solutions, Inc.	$24.95	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1114135774	CMS
Regeneron Healthcare Solutions, Inc.	$23.87	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1114135776	CMS
SpringWorks Therapeutics, Inc.	$16.63	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1085807043	CMS
SpringWorks Therapeutics, Inc.	$25.78	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1085807045	CMS
Tempus AI, Inc	$24.71	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1150171871	CMS
Tempus AI, Inc	$24.46	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1150171873	CMS
Tempus AI, Inc	$21.65	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1150171875	CMS
Tempus AI, Inc	$25.48	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1150171877	CMS
Tempus AI, Inc	$22.93	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1150171879	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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