Covered recipient · General Payments record

RAFAEL RIVERA RIVERA

Allopathic & Osteopathic Physicians Internal Medicine Critical Care Medicine

NPI: 1669432209
CMS profile: 75192
Location: WICHITA FALLS, TX

General Payments · PY2018–2024

$15,342.44

Reported across 862 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,060.75

142 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	$3,060.75	142

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$497.70	25
GlaxoSmithKline, LLC.	$444.15	26
Regeneron Healthcare Solutions, Inc.	$329.66	19
Mylan Specialty L.P.	$310.29	18
Noah Medical Corporation	$303.24	1
Amgen Inc.	$229.43	12
GENZYME CORPORATION	$203.53	8
Boehringer Ingelheim Pharmaceuticals, Inc.	$125.35	5
United Therapeutics Corporation	$110.01	4
Merck Sharp & Dohme Corporation	$107.78	5
PFIZER INC.	$68.40	4
Actelion Pharmaceuticals US, Inc.	$61.43	3
NOVARTIS PHARMACEUTICALS CORPORATION	$42.01	2
BAXTER HEALTHCARE	$41.40	2
ABIOMED	$38.35	1
Takeda Pharmaceuticals U.S.A., Inc.	$34.33	1
Grifols USA, LLC	$30.91	2
Inari Medical, Inc.	$28.15	1
Inspire Medical Systems, Inc.	$20.15	1
Insmed, Inc.	$19.16	1
Paratek Pharmaceuticals, Inc.	$15.32	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,665.61	113
PY2019	$2,275.27	127
PY2020	$1,402.55	78
PY2021	$1,857.46	114
PY2022	$2,404.44	140
PY2023	$2,676.36	148
PY2024	$3,060.75	142

Payment records · PY2024 (142)

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
ABIOMED	$38.35	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1142248824	CMS
Actelion Pharmaceuticals US, Inc.	$18.60	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1078920001	CMS
Actelion Pharmaceuticals US, Inc.	$23.42	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1078919993	CMS
Actelion Pharmaceuticals US, Inc.	$19.41	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1078920003	CMS
Amgen Inc.	$22.80	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1116060049	CMS
Amgen Inc.	$17.90	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1116060057	CMS
Amgen Inc.	$20.02	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1116060063	CMS
Amgen Inc.	$21.06	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1116060069	CMS
Amgen Inc.	$17.45	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1116060075	CMS
Amgen Inc.	$18.33	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1116060083	CMS
Amgen Inc.	$18.19	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1116060089	CMS
Amgen Inc.	$16.97	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1116060097	CMS
Amgen Inc.	$20.47	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1116060103	CMS
Amgen Inc.	$19.53	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1116060110	CMS
Amgen Inc.	$17.78	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1116060117	CMS
Amgen Inc.	$18.93	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1116060123	CMS
AstraZeneca Pharmaceuticals LP	$13.12	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1105690101	CMS
AstraZeneca Pharmaceuticals LP	$15.05	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1104264153	CMS
AstraZeneca Pharmaceuticals LP	$15.50	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1105354738	CMS
AstraZeneca Pharmaceuticals LP	$53.96	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1104785808	CMS
AstraZeneca Pharmaceuticals LP	$24.71	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1105455610	CMS
AstraZeneca Pharmaceuticals LP	$18.15	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1105670555	CMS
AstraZeneca Pharmaceuticals LP	$21.80	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1104437507	CMS
AstraZeneca Pharmaceuticals LP	$26.48	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1105524355	CMS
AstraZeneca Pharmaceuticals LP	$23.17	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1105202022	CMS
AstraZeneca Pharmaceuticals LP	$20.62	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1104641519	CMS
AstraZeneca Pharmaceuticals LP	$14.40	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1105407034	CMS
AstraZeneca Pharmaceuticals LP	$15.74	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1104536673	CMS
AstraZeneca Pharmaceuticals LP	$16.28	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1104249039	CMS
AstraZeneca Pharmaceuticals LP	$28.62	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1105243530	CMS
AstraZeneca Pharmaceuticals LP	$19.68	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1105678185	CMS
AstraZeneca Pharmaceuticals LP	$14.33	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1105840877	CMS
AstraZeneca Pharmaceuticals LP	$15.65	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1104352410	CMS
AstraZeneca Pharmaceuticals LP	$19.67	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1104780668	CMS
AstraZeneca Pharmaceuticals LP	$14.73	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1105663960	CMS
AstraZeneca Pharmaceuticals LP	$13.17	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1104662739	CMS
AstraZeneca Pharmaceuticals LP	$18.54	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1105779286	CMS
AstraZeneca Pharmaceuticals LP	$18.81	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1105679573	CMS
AstraZeneca Pharmaceuticals LP	$15.63	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1104281583	CMS
AstraZeneca Pharmaceuticals LP	$17.80	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1104565550	CMS
AstraZeneca Pharmaceuticals LP	$22.09	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1104227703	CMS
Baxter Healthcare	$19.59	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1120665440	CMS
Baxter Healthcare	$21.81	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1120665438	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.28	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1118102034	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.66	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1118102032	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.42	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1118102028	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.90	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1118102030	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$30.09	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1118102036	CMS
GENZYME CORPORATION	$28.50	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1139618825	CMS
GENZYME CORPORATION	$20.50	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1139618819	CMS
GENZYME CORPORATION	$36.16	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1139619069	CMS
GENZYME CORPORATION	$31.20	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1139618907	CMS
GENZYME CORPORATION	$4.63	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1139619075	CMS
GENZYME CORPORATION	$36.34	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1139619077	CMS
GENZYME CORPORATION	$24.01	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1139619103	CMS
GENZYME CORPORATION	$22.19	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1139619117	CMS
GlaxoSmithKline, LLC.	$15.52	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1116650335	CMS
GlaxoSmithKline, LLC.	$18.65	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1115977700	CMS
GlaxoSmithKline, LLC.	$21.28	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1116407703	CMS
GlaxoSmithKline, LLC.	$15.71	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1116561004	CMS
GlaxoSmithKline, LLC.	$22.62	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1116036347	CMS
GlaxoSmithKline, LLC.	$24.34	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1116711257	CMS
GlaxoSmithKline, LLC.	$15.22	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1116169122	CMS
GlaxoSmithKline, LLC.	$17.63	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1115951384	CMS
GlaxoSmithKline, LLC.	$16.11	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1116690997	CMS
GlaxoSmithKline, LLC.	$15.10	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1116202442	CMS
GlaxoSmithKline, LLC.	$22.29	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1116098139	CMS
GlaxoSmithKline, LLC.	$14.22	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1116662911	CMS
GlaxoSmithKline, LLC.	$16.74	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1116675741	CMS
GlaxoSmithKline, LLC.	$16.79	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1116265392	CMS
GlaxoSmithKline, LLC.	$22.22	09/02/2024	Food and Beverage	Undisputed	01/23/2026	1116113101	CMS
GlaxoSmithKline, LLC.	$14.59	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1116636610	CMS
GlaxoSmithKline, LLC.	$20.15	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1115848522	CMS
GlaxoSmithKline, LLC.	$14.72	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1116322291	CMS
GlaxoSmithKline, LLC.	$22.75	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1116400586	CMS
GlaxoSmithKline, LLC.	$21.90	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1116363695	CMS
GlaxoSmithKline, LLC.	$16.76	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1116265692	CMS
GlaxoSmithKline, LLC.	$1.67	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1116485533	CMS
GlaxoSmithKline, LLC.	$15.81	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1116660605	CMS
GlaxoSmithKline, LLC.	$16.63	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1116365455	CMS
GlaxoSmithKline, LLC.	$6.94	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1116578124	CMS
GlaxoSmithKline, LLC.	$17.79	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1116590479	CMS
Grifols USA, LLC	$13.39	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1124721399	CMS
Grifols USA, LLC	$17.52	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1124721397	CMS
Inari Medical, Inc.	$28.15	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1140159939	CMS
Insmed, Inc.	$19.16	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1089556644	CMS
Inspire Medical Systems, Inc.	$20.15	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1148101681	CMS
Merck Sharp & Dohme LLC	$24.89	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1141696554	CMS
Merck Sharp & Dohme LLC	$22.38	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1141869407	CMS
Merck Sharp & Dohme LLC	$21.26	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1141696556	CMS
Merck Sharp & Dohme LLC	$19.85	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1141869405	CMS
Merck Sharp & Dohme LLC	$19.40	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1141696558	CMS
Mylan Specialty L.P.	$19.99	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1147312823	CMS
Mylan Specialty L.P.	$13.14	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1147365277	CMS
Mylan Specialty L.P.	$20.56	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1147367331	CMS
Mylan Specialty L.P.	$21.41	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1147364587	CMS
Mylan Specialty L.P.	$14.19	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1147367924	CMS
Mylan Specialty L.P.	$17.16	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1147364934	CMS
Mylan Specialty L.P.	$23.32	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1147293243	CMS
Mylan Specialty L.P.	$11.74	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1147364639	CMS
Mylan Specialty L.P.	$16.12	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1147366213	CMS
Mylan Specialty L.P.	$0.50	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1147367631	CMS
Mylan Specialty L.P.	$23.69	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1147284388	CMS
Mylan Specialty L.P.	$17.79	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1147368091	CMS
Mylan Specialty L.P.	$29.11	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1147318274	CMS
Mylan Specialty L.P.	$10.61	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1147314136	CMS
Mylan Specialty L.P.	$19.06	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1147366062	CMS
Mylan Specialty L.P.	$20.33	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1147342425	CMS
Mylan Specialty L.P.	$20.69	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1147341966	CMS
Mylan Specialty L.P.	$10.88	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1147362492	CMS
Noah Medical Corporation	$303.24	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1145818590	CMS
Novartis Pharmaceuticals Corporation	$24.86	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1087262087	CMS
Novartis Pharmaceuticals Corporation	$17.15	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1087262095	CMS
Paratek Pharmaceuticals, Inc.	$15.32	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1113916053	CMS
PFIZER INC.	$17.02	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1131473754	CMS
PFIZER INC.	$18.15	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1131778532	CMS
PFIZER INC.	$18.46	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1131857362	CMS
PFIZER INC.	$14.77	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1132123641	CMS
Regeneron Healthcare Solutions, Inc.	$0.69	01/15/2024	Food and Beverage	Undisputed	01/23/2026	1114147411	CMS
Regeneron Healthcare Solutions, Inc.	$19.40	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1114147413	CMS
Regeneron Healthcare Solutions, Inc.	$17.10	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1114147415	CMS
Regeneron Healthcare Solutions, Inc.	$21.80	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1114147417	CMS
Regeneron Healthcare Solutions, Inc.	$25.27	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1114147419	CMS
Regeneron Healthcare Solutions, Inc.	$31.10	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1114147421	CMS
Regeneron Healthcare Solutions, Inc.	$16.62	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1114147423	CMS
Regeneron Healthcare Solutions, Inc.	$17.48	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1114147425	CMS
Regeneron Healthcare Solutions, Inc.	$28.08	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1114147427	CMS
Regeneron Healthcare Solutions, Inc.	$1.24	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1114147429	CMS
Regeneron Healthcare Solutions, Inc.	$1.22	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1114147431	CMS
Regeneron Healthcare Solutions, Inc.	$23.64	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1114147433	CMS
Regeneron Healthcare Solutions, Inc.	$21.57	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1114147435	CMS
Regeneron Healthcare Solutions, Inc.	$19.40	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1114147437	CMS
Regeneron Healthcare Solutions, Inc.	$26.64	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1114147439	CMS
Regeneron Healthcare Solutions, Inc.	$19.69	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1114147441	CMS
Regeneron Healthcare Solutions, Inc.	$2.74	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1114147443	CMS
Regeneron Healthcare Solutions, Inc.	$16.37	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1114147445	CMS
Regeneron Healthcare Solutions, Inc.	$19.61	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1114147447	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$34.33	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1137662910	CMS
United Therapeutics Corporation	$25.56	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1149452246	CMS
United Therapeutics Corporation	$28.97	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1149453932	CMS
United Therapeutics Corporation	$30.01	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1149456352	CMS
United Therapeutics Corporation	$25.47	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1149471658	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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