Covered recipient · General Payments record

RAYMOND S LANCE

Allopathic & Osteopathic Physicians Urology

NPI: 1710930607
CMS profile: 77275
Location: SPOKANE, WA

General Payments · PY2018–2024

$171,110.39

Reported across 525 records
CMS publication 2026-01-23

Latest program year · PY2024

$7,249.00

95 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
Consulting Fee	$4,375.00	1
Food and Beverage	$2,874.00	94

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Astellas Pharma US Inc	$4,527.94	8
Janssen Biotech, Inc.	$559.79	16
Ferring Pharmaceuticals Inc.	$412.15	6
Dendreon Pharmaceuticals LLC	$330.82	10
Sumitomo Pharma America, Inc.	$292.15	9
ACCORD HEALTHCARE, INC.	$256.42	9
Verity Pharmaceuticals Inc.	$218.03	11
ABBVIE INC.	$176.42	8
INTUITIVE SURGICAL, INC.	$94.27	1
Endo USA, Inc.	$45.15	2
BOSTON SCIENTIFIC CORPORATION	$42.93	1
SUN PHARMACEUTICAL INDUSTRIES INC.	$41.30	2
TOLMAR, INC.	$40.42	2
PFIZER INC.	$37.94	2
Blue Earth Diagnostics Limited	$30.70	1
180 Medical, Inc.	$29.44	1
Endo Pharmaceuticals Inc.	$22.62	1
PROGENICS PHARMACEUTICALS, INC.	$22.14	1
IMMUNITYBIO, INC.	$20.95	1
Cook Medical LLC	$17.87	1
Merck Sharp & Dohme Corporation	$14.91	1
Olympus America Inc.	$14.64	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$23,170.81	71
PY2019	$48,562.42	92
PY2020	$32,234.43	45
PY2021	$12,560.72	61
PY2022	$31,390.43	92
PY2023	$15,942.58	69
PY2024	$7,249.00	95

Payment records · PY2024 (95)

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
180 Medical, Inc.	$29.44	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1151364351	CMS
ABBVIE INC.	$18.41	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1104133820	CMS
ABBVIE INC.	$18.16	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1104133822	CMS
ABBVIE INC.	$27.41	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1104133824	CMS
ABBVIE INC.	$26.45	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1104133826	CMS
ABBVIE INC.	$26.66	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1104133828	CMS
ABBVIE INC.	$24.86	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1104133830	CMS
ABBVIE INC.	$12.09	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1104133832	CMS
ABBVIE INC.	$22.38	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1104133834	CMS
ACCORD HEALTHCARE, INC.	$20.50	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1120076868	CMS
ACCORD HEALTHCARE, INC.	$24.43	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1120078146	CMS
ACCORD HEALTHCARE, INC.	$18.43	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1120078934	CMS
ACCORD HEALTHCARE, INC.	$21.27	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1120079358	CMS
ACCORD HEALTHCARE, INC.	$21.92	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1120080864	CMS
ACCORD HEALTHCARE, INC.	$24.46	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1120081184	CMS
ACCORD HEALTHCARE, INC.	$23.70	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1120082374	CMS
ACCORD HEALTHCARE, INC.	$80.63	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1120083450	CMS
ACCORD HEALTHCARE, INC.	$21.08	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1120084166	CMS
Astellas Pharma US Inc	$4,375.00	01/24/2024	Consulting Fee	Undisputed	01/23/2026	1139385770	CMS
Astellas Pharma US Inc	$23.42	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1139286812	CMS
Astellas Pharma US Inc	$22.52	03/10/2024	Food and Beverage	Undisputed	01/23/2026	1139295700	CMS
Astellas Pharma US Inc	$26.17	05/18/2024	Food and Beverage	Undisputed	01/23/2026	1139351793	CMS
Astellas Pharma US Inc	$22.76	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1139365809	CMS
Astellas Pharma US Inc	$23.83	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1139267584	CMS
Astellas Pharma US Inc	$21.01	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1139355735	CMS
Astellas Pharma US Inc	$13.23	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1139418111	CMS
Blue Earth Diagnostics Limited	$30.70	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1147801011	CMS
Boston Scientific Corporation	$42.93	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1092752242	CMS
Cook Medical LLC	$17.87	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1118325942	CMS
Dendreon Pharmaceuticals LLC	$2.79	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1149318898	CMS
Dendreon Pharmaceuticals LLC	$5.07	02/04/2024	Food and Beverage	Undisputed	01/23/2026	1149318900	CMS
Dendreon Pharmaceuticals LLC	$2.75	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1149318902	CMS
Dendreon Pharmaceuticals LLC	$23.67	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1149318904	CMS
Dendreon Pharmaceuticals LLC	$14.34	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1149318906	CMS
Dendreon Pharmaceuticals LLC	$18.57	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1149318908	CMS
Dendreon Pharmaceuticals LLC	$99.19	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1149318910	CMS
Dendreon Pharmaceuticals LLC	$18.28	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1149318912	CMS
Dendreon Pharmaceuticals LLC	$29.91	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1149318914	CMS
Dendreon Pharmaceuticals LLC	$116.25	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1149318916	CMS
Endo Pharmaceuticals Inc.	$22.62	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1137015482	CMS
Endo USA, Inc.	$25.20	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1138583463	CMS
Endo USA, Inc.	$19.95	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1138583465	CMS
Ferring Pharmaceuticals Inc.	$4.68	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1137489371	CMS
Ferring Pharmaceuticals Inc.	$218.06	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1137489375	CMS
Ferring Pharmaceuticals Inc.	$122.39	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1137489379	CMS
Ferring Pharmaceuticals Inc.	$19.06	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1137489384	CMS
Ferring Pharmaceuticals Inc.	$18.27	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1137489388	CMS
Ferring Pharmaceuticals Inc.	$29.69	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1137489392	CMS
IMMUNITYBIO, INC.	$20.95	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1125510338	CMS
INTUITIVE SURGICAL, INC.	$94.27	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1137170201	CMS
Janssen Biotech, Inc.	$27.08	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1078833040	CMS
Janssen Biotech, Inc.	$26.63	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1078831629	CMS
Janssen Biotech, Inc.	$29.95	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1078832426	CMS
Janssen Biotech, Inc.	$15.74	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1078831431	CMS
Janssen Biotech, Inc.	$15.82	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1078833201	CMS
Janssen Biotech, Inc.	$16.14	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1078833192	CMS
Janssen Biotech, Inc.	$21.43	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1078831573	CMS
Janssen Biotech, Inc.	$144.69	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1078831562	CMS
Janssen Biotech, Inc.	$32.83	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1078831263	CMS
Janssen Biotech, Inc.	$16.50	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1078832034	CMS
Janssen Biotech, Inc.	$22.95	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1078831543	CMS
Janssen Biotech, Inc.	$21.60	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1078832784	CMS
Janssen Biotech, Inc.	$116.71	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1078832043	CMS
Janssen Biotech, Inc.	$16.50	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1078832668	CMS
Janssen Biotech, Inc.	$15.49	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1078831647	CMS
Janssen Biotech, Inc.	$19.73	12/31/2024	Food and Beverage	Undisputed	01/23/2026	1078832434	CMS
Merck Sharp & Dohme LLC	$14.91	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1141576153	CMS
Olympus America Inc.	$14.64	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1108471246	CMS
PFIZER INC.	$16.41	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1131261098	CMS
PFIZER INC.	$21.53	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1131271782	CMS
PROGENICS PHARMACEUTICALS, INC.	$22.14	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1128512001	CMS
Sumitomo Pharma America, Inc.	$19.95	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1148878790	CMS
Sumitomo Pharma America, Inc.	$24.15	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1148878792	CMS
Sumitomo Pharma America, Inc.	$27.55	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1148878794	CMS
Sumitomo Pharma America, Inc.	$26.25	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1148878796	CMS
Sumitomo Pharma America, Inc.	$28.48	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1148878798	CMS
Sumitomo Pharma America, Inc.	$83.28	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1148878800	CMS
Sumitomo Pharma America, Inc.	$26.32	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1148878802	CMS
Sumitomo Pharma America, Inc.	$27.21	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1148878804	CMS
Sumitomo Pharma America, Inc.	$28.96	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1148878806	CMS
SUN PHARMACEUTICAL INDUSTRIES INC.	$14.05	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1152193464	CMS
SUN PHARMACEUTICAL INDUSTRIES INC.	$27.25	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1152193462	CMS
Tolmar, Inc.	$16.96	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1138704712	CMS
Tolmar, Inc.	$23.46	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1138704714	CMS
Verity Pharmaceuticals Inc.	$28.48	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1080607591	CMS
Verity Pharmaceuticals Inc.	$13.93	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1080607595	CMS
Verity Pharmaceuticals Inc.	$19.74	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1080607603	CMS
Verity Pharmaceuticals Inc.	$31.02	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1080607599	CMS
Verity Pharmaceuticals Inc.	$15.20	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1080607586	CMS
Verity Pharmaceuticals Inc.	$20.20	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1080607612	CMS
Verity Pharmaceuticals Inc.	$14.43	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1080607581	CMS
Verity Pharmaceuticals Inc.	$15.35	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1080607620	CMS
Verity Pharmaceuticals Inc.	$18.02	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1080607616	CMS
Verity Pharmaceuticals Inc.	$15.72	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1080607624	CMS
Verity Pharmaceuticals Inc.	$25.94	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1080607607	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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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.