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

MIGUEL E COSSIO

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1669426557
CMS profile
302383
Location
MADISON, GA

General Payments · PY2018–2024

$2,205.71

  • Reported across 75 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$219.22

11 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 $219.22 11

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $95.61 4
Otsuka America Pharmaceutical, Inc. $53.37 3
Novo Nordisk AS $46.62 3
Mylan Specialty L.P. $23.62 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $505.23 12
PY2019 $500.63 12
PY2020 $461.12 15
PY2021 $241.09 13
PY2022 $122.20 7
PY2023 $156.22 5
PY2024 $219.22 11

Payment records · PY2024 (11)

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
AstraZeneca Pharmaceuticals LP $29.08 04/25/2024 Food and Beverage Undisputed 01/23/2026 1104298958 CMS
AstraZeneca Pharmaceuticals LP $18.13 10/03/2024 Food and Beverage Undisputed 01/23/2026 1105682013 CMS
AstraZeneca Pharmaceuticals LP $16.71 10/29/2024 Food and Beverage Undisputed 01/23/2026 1104319534 CMS
AstraZeneca Pharmaceuticals LP $31.69 11/07/2024 Food and Beverage Undisputed 01/23/2026 1105645446 CMS
Mylan Specialty L.P. $23.62 02/08/2024 Food and Beverage Undisputed 01/23/2026 1147285176 CMS
Novo Nordisk Inc $17.85 04/01/2024 Food and Beverage Undisputed 01/23/2026 1097835417 CMS
Novo Nordisk Inc $14.91 07/15/2024 Food and Beverage Undisputed 01/23/2026 1097074515 CMS
Novo Nordisk Inc $13.86 11/14/2024 Food and Beverage Undisputed 01/23/2026 1096582475 CMS
Otsuka America Pharmaceutical, Inc. $23.31 02/28/2024 Food and Beverage Undisputed 01/23/2026 1118879510 CMS
Otsuka America Pharmaceutical, Inc. $16.39 04/04/2024 Food and Beverage Undisputed 01/23/2026 1118879512 CMS
Otsuka America Pharmaceutical, Inc. $13.67 08/15/2024 Food and Beverage Undisputed 01/23/2026 1118879514 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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