Covered recipient · General Payments record

JOHN C SIANO

Allopathic & Osteopathic Physicians Internal Medicine

NPI: 1689628067
CMS profile: 348177
Location: LANSING, MI

General Payments · PY2018–2024

$9,257.13

Reported across 626 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,746.10

90 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	$1,746.10	90

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
PFIZER INC.	$211.55	11
Novo Nordisk AS	$187.03	11
GlaxoSmithKline, LLC.	$161.30	9
Lilly USA, LLC	$142.94	9
Bayer HealthCare Pharmaceuticals Inc.	$134.03	7
Mallinckrodt Hospital Products Inc.	$124.61	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$108.82	5
ViiV Healthcare Company	$107.33	6
Astellas Pharma US Inc	$81.50	3
Otsuka America Pharmaceutical, Inc.	$68.75	3
Amgen Inc.	$59.95	3
ABBVIE INC.	$48.37	3
Acerta Pharma LLC	$45.03	3
Abbott Laboratories	$44.62	2
NOVARTIS PHARMACEUTICALS CORPORATION	$40.72	2
Exact Sciences Corporation	$35.48	2
Nevro Corp.	$28.52	1
EISAI INC.	$23.70	1
Alnylam Pharmaceuticals Inc.	$20.06	1
ITI, Inc.	$19.71	1
DEXCOM, INC.	$19.18	1
Agios Pharmaceuticals, Inc.	$18.65	1
Merck Sharp & Dohme Corporation	$14.25	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,058.91	92
PY2019	$1,306.30	120
PY2020	$1,295.29	84
PY2021	$1,179.17	79
PY2022	$1,497.99	91
PY2023	$1,173.37	70
PY2024	$1,746.10	90

Payment records · PY2024 (90)

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
Abbott Laboratories	$21.26	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1125197275	CMS
Abbott Laboratories	$23.36	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1125197277	CMS
ABBVIE INC.	$17.73	02/03/2024	Food and Beverage	Undisputed	01/23/2026	1106096383	CMS
ABBVIE INC.	$14.36	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1106096385	CMS
ABBVIE INC.	$16.28	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1106096387	CMS
Agios Pharmaceuticals, Inc.	$18.65	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1149640611	CMS
Alnylam Pharmaceuticals Inc.	$20.06	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1125854989	CMS
Amgen Inc.	$21.42	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1117382668	CMS
Amgen Inc.	$17.25	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1117382670	CMS
Amgen Inc.	$21.28	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1111707384	CMS
Astellas Pharma US Inc	$33.95	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1139328664	CMS
Astellas Pharma US Inc	$15.47	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1139404501	CMS
Astellas Pharma US Inc	$32.08	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1139403245	CMS
AstraZeneca Pharmaceuticals LP	$14.95	06/22/2024	Food and Beverage	Undisputed	01/23/2026	1104520716	CMS
AstraZeneca Pharmaceuticals LP	$15.94	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1105515485	CMS
AstraZeneca Pharmaceuticals LP	$14.14	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1105901846	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.71	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1086257334	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.75	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1086186906	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.05	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1086241204	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.25	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1086230510	CMS
Bayer Healthcare Pharmaceuticals Inc.	$26.35	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1086193722	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.44	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1086222900	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.48	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1086212621	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.46	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1118111139	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.51	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1118111145	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.38	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1118111141	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.99	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1118111147	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.48	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1118111143	CMS
Dexcom, Inc.	$19.18	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1153310143	CMS
Eisai Inc.	$23.70	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1110754126	CMS
Exact Sciences Corporation	$18.04	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1114898035	CMS
Exact Sciences Corporation	$17.44	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1114898038	CMS
GlaxoSmithKline, LLC.	$15.78	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1116666511	CMS
GlaxoSmithKline, LLC.	$22.06	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1116650703	CMS
GlaxoSmithKline, LLC.	$21.21	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1116720042	CMS
GlaxoSmithKline, LLC.	$2.65	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1116269114	CMS
GlaxoSmithKline, LLC.	$16.92	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1116656865	CMS
GlaxoSmithKline, LLC.	$25.37	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1116597813	CMS
GlaxoSmithKline, LLC.	$20.72	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1116224479	CMS
GlaxoSmithKline, LLC.	$15.64	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1116690689	CMS
GlaxoSmithKline, LLC.	$20.95	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1116603282	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.71	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1143320001	CMS
Lilly USA, LLC	$16.68	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1135067967	CMS
Lilly USA, LLC	$16.91	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1135068175	CMS
Lilly USA, LLC	$17.01	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1135054462	CMS
Lilly USA, LLC	$19.02	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1135055982	CMS
Lilly USA, LLC	$18.48	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1135030196	CMS
Lilly USA, LLC	$16.57	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1135070187	CMS
Lilly USA, LLC	$17.85	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1135067969	CMS
Lilly USA, LLC	$1.89	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1135067971	CMS
Lilly USA, LLC	$18.53	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1135068173	CMS
Mallinckrodt Hospital Products Inc.	$26.84	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1145137715	CMS
Mallinckrodt Hospital Products Inc.	$33.03	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1145137719	CMS
Mallinckrodt Hospital Products Inc.	$25.02	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1145137723	CMS
Mallinckrodt Hospital Products Inc.	$39.72	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1145137727	CMS
Merck Sharp & Dohme LLC	$14.25	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1141679153	CMS
Nevro Corp.	$28.52	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1130752533	CMS
Novartis Pharmaceuticals Corporation	$23.63	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1087263193	CMS
Novartis Pharmaceuticals Corporation	$17.09	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1087263197	CMS
Novo Nordisk Inc	$21.39	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1096644785	CMS
Novo Nordisk Inc	$12.45	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1097095695	CMS
Novo Nordisk Inc	$19.99	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1097048949	CMS
Novo Nordisk Inc	$15.63	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1097228014	CMS
Novo Nordisk Inc	$16.10	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1097181743	CMS
Novo Nordisk Inc	$18.83	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1097591547	CMS
Novo Nordisk Inc	$15.60	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1096834170	CMS
Novo Nordisk Inc	$12.52	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1097371199	CMS
Novo Nordisk Inc	$23.31	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1096616826	CMS
Novo Nordisk Inc	$16.99	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1097410569	CMS
Novo Nordisk Inc	$14.22	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1097432050	CMS
Otsuka America Pharmaceutical, Inc.	$29.94	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1118982494	CMS
Otsuka America Pharmaceutical, Inc.	$25.73	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1118982496	CMS
Otsuka America Pharmaceutical, Inc.	$13.08	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1118982498	CMS
PFIZER INC.	$19.86	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1131617860	CMS
PFIZER INC.	$24.80	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1131617864	CMS
PFIZER INC.	$13.14	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1131617868	CMS
PFIZER INC.	$20.82	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1131616434	CMS
PFIZER INC.	$17.85	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1131616430	CMS
PFIZER INC.	$13.88	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1131616426	CMS
PFIZER INC.	$22.70	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1131617527	CMS
PFIZER INC.	$15.79	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1131616422	CMS
PFIZER INC.	$20.82	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1131617535	CMS
PFIZER INC.	$21.07	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1131617531	CMS
PFIZER INC.	$20.82	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1131617703	CMS
ViiV Healthcare Company	$21.44	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1112724226	CMS
ViiV Healthcare Company	$15.56	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1112791490	CMS
ViiV Healthcare Company	$14.58	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1112741953	CMS
ViiV Healthcare Company	$17.96	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1112774276	CMS
ViiV Healthcare Company	$22.13	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1112734991	CMS
ViiV Healthcare Company	$15.66	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1112747698	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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