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

RALPH SNYDERMAN

Allopathic & Osteopathic Physicians Internal Medicine Rheumatology

NPI
1679657530
CMS profile
866332
Location
DURHAM, NC

General Payments · PY2018–2024

$1,433,134.80

  • Reported across 123 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$235,730.86

39 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
Consulting Fee $219,706.75 5
Travel and Lodging $13,981.74 19
Food and Beverage $1,889.33 14
Gift $153.04 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
iRhythm Technologies, Inc. $235,730.86 39

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $151,184.64 12
PY2019 $181,392.15 12
PY2020 $187,328.99 9
PY2021 $201,439.21 9
PY2022 $234,541.73 17
PY2023 $241,517.22 25
PY2024 $235,730.86 39

Payment records · PY2024 (39)

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
iRhythm Technologies, Inc. $353.35 02/27/2024 Travel and Lodging Undisputed 01/23/2026 1154050658 CMS
iRhythm Technologies, Inc. $12.00 02/27/2024 Travel and Lodging Undisputed 01/23/2026 1154050672 CMS
iRhythm Technologies, Inc. $67.41 02/27/2024 Food and Beverage Undisputed 01/23/2026 1154050676 CMS
iRhythm Technologies, Inc. $123.21 02/27/2024 Food and Beverage Undisputed 01/23/2026 1154050680 CMS
iRhythm Technologies, Inc. $278.31 02/27/2024 Food and Beverage Undisputed 01/23/2026 1154050684 CMS
iRhythm Technologies, Inc. $682.05 02/27/2024 Travel and Lodging Undisputed 01/23/2026 1154050690 CMS
iRhythm Technologies, Inc. $295.05 02/28/2024 Travel and Lodging Undisputed 01/23/2026 1154050660 CMS
iRhythm Technologies, Inc. $682.05 02/28/2024 Travel and Lodging Undisputed 01/23/2026 1154050692 CMS
iRhythm Technologies, Inc. $512.40 02/28/2024 Travel and Lodging Undisputed 01/23/2026 1154050732 CMS
iRhythm Technologies, Inc. $15,000.00 03/15/2024 Consulting Fee Undisputed 01/23/2026 1154050728 CMS
iRhythm Technologies, Inc. $1,585.41 03/18/2024 Travel and Lodging Undisputed 01/23/2026 1154050726 CMS
iRhythm Technologies, Inc. $270.07 05/27/2024 Travel and Lodging Undisputed 01/23/2026 1154050700 CMS
iRhythm Technologies, Inc. $270.07 05/28/2024 Travel and Lodging Undisputed 01/23/2026 1154050702 CMS
iRhythm Technologies, Inc. $247.55 05/28/2024 Travel and Lodging Undisputed 01/23/2026 1154050704 CMS
iRhythm Technologies, Inc. $90.03 05/28/2024 Food and Beverage Undisputed 01/23/2026 1154050708 CMS
iRhythm Technologies, Inc. $79.67 05/28/2024 Food and Beverage Undisputed 01/23/2026 1154050710 CMS
iRhythm Technologies, Inc. $70.23 05/28/2024 Food and Beverage Undisputed 01/23/2026 1154050712 CMS
iRhythm Technologies, Inc. $159.55 05/28/2024 Food and Beverage Undisputed 01/23/2026 1154050714 CMS
iRhythm Technologies, Inc. $278.20 05/29/2024 Travel and Lodging Undisputed 01/23/2026 1154050706 CMS
iRhythm Technologies, Inc. $159,706.75 05/29/2024 Consulting Fee Undisputed 01/23/2026 1154050752 CMS
iRhythm Technologies, Inc. $15,000.00 06/10/2024 Consulting Fee Undisputed 01/23/2026 1154050730 CMS
iRhythm Technologies, Inc. $372.23 08/13/2024 Travel and Lodging Undisputed 01/23/2026 1154050738 CMS
iRhythm Technologies, Inc. $322.35 08/14/2024 Travel and Lodging Undisputed 01/23/2026 1154050734 CMS
iRhythm Technologies, Inc. $623.90 08/14/2024 Food and Beverage Undisputed 01/23/2026 1154050736 CMS
iRhythm Technologies, Inc. $372.23 08/14/2024 Travel and Lodging Undisputed 01/23/2026 1154050740 CMS
iRhythm Technologies, Inc. $26.38 08/14/2024 Food and Beverage Undisputed 01/23/2026 1154050744 CMS
iRhythm Technologies, Inc. $372.23 08/15/2024 Travel and Lodging Undisputed 01/23/2026 1154050742 CMS
iRhythm Technologies, Inc. $15,000.00 09/11/2024 Consulting Fee Undisputed 01/23/2026 1154050746 CMS
iRhythm Technologies, Inc. $338.10 11/06/2024 Travel and Lodging Undisputed 01/23/2026 1154050756 CMS
iRhythm Technologies, Inc. $264.40 11/06/2024 Food and Beverage Undisputed 01/23/2026 1154050760 CMS
iRhythm Technologies, Inc. $29.25 11/06/2024 Food and Beverage Undisputed 01/23/2026 1154050762 CMS
iRhythm Technologies, Inc. $20.16 11/06/2024 Food and Beverage Undisputed 01/23/2026 1154050764 CMS
iRhythm Technologies, Inc. $338.10 11/07/2024 Travel and Lodging Undisputed 01/23/2026 1154050754 CMS
iRhythm Technologies, Inc. $36.99 11/07/2024 Food and Beverage Undisputed 01/23/2026 1154050766 CMS
iRhythm Technologies, Inc. $19.84 11/07/2024 Food and Beverage Undisputed 01/23/2026 1154050768 CMS
iRhythm Technologies, Inc. $375.45 11/08/2024 Travel and Lodging Undisputed 01/23/2026 1154050758 CMS
iRhythm Technologies, Inc. $6,302.85 11/21/2024 Travel and Lodging Undisputed 01/23/2026 1154050748 CMS
iRhythm Technologies, Inc. $15,000.00 12/10/2024 Consulting Fee Undisputed 01/23/2026 1154050750 CMS
iRhythm Technologies, Inc. $153.04 12/31/2024 Gift Undisputed 01/23/2026 1154050770 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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