Covered recipient · General Payments record

ELIZABETH M COSMAI

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI: 1740210202
CMS profile: 214476
Location: FORT MYERS, FL

General Payments · PY2018–2024

$140,646.11

Reported across 728 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,280.82

89 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	$3,280.82	89

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
HEARTFLOW, INC.	$869.54	12
CVRx Inc.	$578.83	13
Kestra Medical Technology Services, Inc.	$575.74	6
Janssen Pharmaceuticals, Inc	$403.83	18
PFIZER INC.	$230.97	11
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$130.32	8
Alnylam Pharmaceuticals Inc.	$122.01	1
Amgen Inc.	$99.86	5
Acerta Pharma LLC	$60.88	4
NOVARTIS PHARMACEUTICALS CORPORATION	$54.05	3
Bayer HealthCare Pharmaceuticals Inc.	$46.70	2
E.R. Squibb & Sons, L.L.C.	$41.08	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$34.84	2
Lexicon Pharmaceuticals, Inc.	$16.19	1
Merck Sharp & Dohme Corporation	$15.98	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$50,886.61	154
PY2019	$41,967.23	125
PY2020	$16,489.44	64
PY2021	$15,476.24	95
PY2022	$9,589.06	116
PY2023	$2,956.71	85
PY2024	$3,280.82	89

Payment records · PY2024 (89)

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
Alnylam Pharmaceuticals Inc.	$122.01	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1125827611	CMS
Amgen Inc.	$23.57	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1111554639	CMS
Amgen Inc.	$19.34	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1111554641	CMS
Amgen Inc.	$18.22	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1111554643	CMS
Amgen Inc.	$15.58	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1111554645	CMS
Amgen Inc.	$23.15	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1111554647	CMS
AstraZeneca Pharmaceuticals LP	$14.93	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1105516435	CMS
AstraZeneca Pharmaceuticals LP	$17.33	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1104372877	CMS
AstraZeneca Pharmaceuticals LP	$13.63	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1104464030	CMS
AstraZeneca Pharmaceuticals LP	$14.99	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1104361947	CMS
Bayer Healthcare Pharmaceuticals Inc.	$25.02	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1086129938	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.68	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1086178686	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.44	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1118133689	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.40	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1118133691	CMS
CVRx, Inc.	$4.81	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1127782904	CMS
CVRx, Inc.	$3.33	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1127782906	CMS
CVRx, Inc.	$21.30	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1127782908	CMS
CVRx, Inc.	$15.24	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1127782910	CMS
CVRx, Inc.	$3.91	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1127782912	CMS
CVRx, Inc.	$4.51	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1127782914	CMS
CVRx, Inc.	$15.09	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1127782916	CMS
CVRx, Inc.	$180.00	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1127782918	CMS
CVRx, Inc.	$166.00	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1127782920	CMS
CVRx, Inc.	$4.95	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1127782922	CMS
CVRx, Inc.	$104.03	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1127782924	CMS
CVRx, Inc.	$6.66	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1127782926	CMS
CVRx, Inc.	$49.00	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1127782928	CMS
E.R. Squibb & Sons, L.L.C.	$22.28	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1101631161	CMS
E.R. Squibb & Sons, L.L.C.	$18.80	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1101631192	CMS
HEARTFLOW, INC.	$116.45	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1154170864	CMS
HEARTFLOW, INC.	$43.08	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1154170866	CMS
HEARTFLOW, INC.	$141.43	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1154170892	CMS
HEARTFLOW, INC.	$8.30	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1154170896	CMS
HEARTFLOW, INC.	$10.18	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1154170878	CMS
HEARTFLOW, INC.	$10.81	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1154170880	CMS
HEARTFLOW, INC.	$147.75	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1154170882	CMS
HEARTFLOW, INC.	$79.76	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1154170884	CMS
HEARTFLOW, INC.	$166.68	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1154170888	CMS
HEARTFLOW, INC.	$10.48	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1154170870	CMS
HEARTFLOW, INC.	$122.67	08/04/2024	Food and Beverage	Undisputed	01/23/2026	1154170872	CMS
HEARTFLOW, INC.	$11.95	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1154170874	CMS
Janssen Pharmaceuticals, Inc	$20.13	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1077959500	CMS
Janssen Pharmaceuticals, Inc	$6.12	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1077959456	CMS
Janssen Pharmaceuticals, Inc	$33.29	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1077958916	CMS
Janssen Pharmaceuticals, Inc	$8.16	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1077958938	CMS
Janssen Pharmaceuticals, Inc	$7.37	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1077959270	CMS
Janssen Pharmaceuticals, Inc	$27.83	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1077959056	CMS
Janssen Pharmaceuticals, Inc	$27.83	02/25/2024	Food and Beverage	Undisputed	01/23/2026	1077958844	CMS
Janssen Pharmaceuticals, Inc	$6.20	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1077959490	CMS
Janssen Pharmaceuticals, Inc	$21.66	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1077959590	CMS
Janssen Pharmaceuticals, Inc	$6.56	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1077958908	CMS
Janssen Pharmaceuticals, Inc	$9.96	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1077959558	CMS
Janssen Pharmaceuticals, Inc	$0.99	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1077959172	CMS
Janssen Pharmaceuticals, Inc	$3.33	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1077959364	CMS
Janssen Pharmaceuticals, Inc	$3.12	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1077959126	CMS
Janssen Pharmaceuticals, Inc	$16.37	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1077959552	CMS
Janssen Pharmaceuticals, Inc	$37.36	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1077959528	CMS
Janssen Pharmaceuticals, Inc	$140.55	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1077959420	CMS
Janssen Pharmaceuticals, Inc	$27.00	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1077959466	CMS
Kestra Medical Technology Services, Inc.	$91.90	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1152378979	CMS
Kestra Medical Technology Services, Inc.	$110.37	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1152378988	CMS
Kestra Medical Technology Services, Inc.	$111.83	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1152378984	CMS
Kestra Medical Technology Services, Inc.	$139.86	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1152378982	CMS
Kestra Medical Technology Services, Inc.	$106.00	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1152378990	CMS
Kestra Medical Technology Services, Inc.	$15.78	12/31/2024	Food and Beverage	Undisputed	01/23/2026	1152378986	CMS
Lexicon Pharmaceuticals, Inc.	$16.19	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1081724119	CMS
Merck Sharp & Dohme LLC	$15.98	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1141576715	CMS
Novartis Pharmaceuticals Corporation	$20.16	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1086650567	CMS
Novartis Pharmaceuticals Corporation	$17.09	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1086650563	CMS
Novartis Pharmaceuticals Corporation	$16.80	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1086650621	CMS
PFIZER INC.	$3.62	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1130896170	CMS
PFIZER INC.	$4.72	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1130891986	CMS
PFIZER INC.	$7.21	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1130895632	CMS
PFIZER INC.	$16.30	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1131483209	CMS
PFIZER INC.	$25.91	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131636326	CMS
PFIZER INC.	$3.24	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1130922491	CMS
PFIZER INC.	$16.14	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1131885733	CMS
PFIZER INC.	$3.58	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1130963696	CMS
PFIZER INC.	$124.11	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1131025130	CMS
PFIZER INC.	$10.00	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1131066065	CMS
PFIZER INC.	$16.14	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1131435749	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$4.56	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1080594955	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$4.39	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1080594975	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$8.46	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1080595025	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$72.72	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1080595065	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$6.07	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1080595091	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$20.05	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1080595181	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$6.60	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1080595357	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$7.47	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1080595639	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.