Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

ALEJANDRO LERMA

Allopathic & Osteopathic Physicians Family Medicine

NPI
1679892566
CMS profile
348266
Location
SAN ANTONIO, TX

General Payments · PY2019–2025

$8,622.30

  • Reported across 475 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$692.93

29 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $692.93 29

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,332.07 93
PY2020 $1,243.12 81
PY2021 $1,932.51 94
PY2022 $1,930.38 109
PY2023 $877.59 38
PY2024 $613.70 31
PY2025 $692.93 29

Payment records · PY2025 (29)

Sorted by paying entity, then date · as published by CMS

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Abbott Laboratories $23.41 01/03/2025 Food and Beverage Undisputed 06/30/2026 1240894164 CMS
Abbott Laboratories $24.67 10/13/2025 Food and Beverage Undisputed 06/30/2026 1240984836 CMS
ABBVIE INC. $15.58 06/11/2025 Food and Beverage Undisputed 06/30/2026 1202291305 CMS
ABBVIE INC. $21.02 09/09/2025 Food and Beverage Undisputed 06/30/2026 1202291307 CMS
Amgen Inc. $14.95 11/04/2025 Food and Beverage Undisputed 06/30/2026 1227189624 CMS
AstraZeneca Pharmaceuticals LP $15.76 11/20/2025 Food and Beverage Undisputed 06/30/2026 1207254017 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.40 08/21/2025 Food and Beverage Undisputed 06/30/2026 1225623970 CMS
Bayer Healthcare Pharmaceuticals Inc. $124.99 12/04/2025 Food and Beverage Undisputed 06/30/2026 1225623972 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.22 01/30/2025 Food and Beverage Undisputed 06/30/2026 1222994431 CMS
CVRx, Inc. $20.16 10/09/2025 Food and Beverage Undisputed 06/30/2026 1223408708 CMS
Dexcom, Inc. $149.92 02/27/2025 Food and Beverage Undisputed 06/30/2026 1250467021 CMS
Dynavax Technologies Corporation $4.48 07/10/2025 Food and Beverage Undisputed 06/30/2026 1182978263 CMS
Lilly USA, LLC $15.19 08/28/2025 Food and Beverage Undisputed 06/30/2026 1186497995 CMS
Novo Nordisk Inc $13.28 02/13/2025 Food and Beverage Undisputed 06/30/2026 1188795709 CMS
Novo Nordisk Inc $11.40 04/01/2025 Food and Beverage Undisputed 06/30/2026 1188160734 CMS
Novo Nordisk Inc $11.41 05/06/2025 Food and Beverage Undisputed 06/30/2026 1188165657 CMS
Novo Nordisk Inc $11.88 05/22/2025 Food and Beverage Undisputed 06/30/2026 1188817913 CMS
Novo Nordisk Inc $12.68 08/05/2025 Food and Beverage Undisputed 06/30/2026 1188143730 CMS
Novo Nordisk Inc $13.36 09/04/2025 Food and Beverage Undisputed 06/30/2026 1188549252 CMS
Novo Nordisk Inc $12.19 09/11/2025 Food and Beverage Undisputed 06/30/2026 1188151774 CMS
Novo Nordisk Inc $9.25 09/18/2025 Food and Beverage Undisputed 06/30/2026 1188170334 CMS
Novo Nordisk Inc $12.56 09/25/2025 Food and Beverage Undisputed 06/30/2026 1188838065 CMS
Novo Nordisk Inc $19.40 10/02/2025 Food and Beverage Undisputed 06/30/2026 1188817592 CMS
Novo Nordisk Inc $10.91 10/23/2025 Food and Beverage Undisputed 06/30/2026 1188491603 CMS
Novo Nordisk Inc $10.10 11/05/2025 Food and Beverage Undisputed 06/30/2026 1188185103 CMS
Novo Nordisk Inc $17.47 12/02/2025 Food and Beverage Undisputed 06/30/2026 1188759710 CMS
PFIZER INC. $17.35 02/13/2025 Food and Beverage Undisputed 06/30/2026 1229861245 CMS
PFIZER INC. $18.91 10/16/2025 Food and Beverage Undisputed 06/30/2026 1230445755 CMS
Sumitomo Pharma America, Inc. $22.03 07/22/2025 Food and Beverage Undisputed 06/30/2026 1176682517 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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