Covered recipient · General Payments record

RAMA G GARIMELLA

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI: 1740278415
CMS profile: 78372
Location: CARY, NC

General Payments · PY2018–2024

$15,004.48

Reported across 1,076 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,494.02

138 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	$2,494.02	138

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
E.R. Squibb & Sons, L.L.C.	$431.60	28
Esperion Therapeutics, Inc.	$294.13	16
Amgen Inc.	$246.20	13
Acerta Pharma LLC	$204.00	12
NOVARTIS PHARMACEUTICALS CORPORATION	$195.39	12
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$163.69	10
Novo Nordisk AS	$138.89	2
SANOFI-AVENTIS U.S. LLC	$135.88	7
HEARTFLOW, INC.	$132.01	8
Boehringer Ingelheim Pharmaceuticals, Inc.	$103.88	5
Janssen Pharmaceuticals, Inc	$72.87	4
Medtronic, Inc.	$63.04	3
Kestra Medical Technology Services, Inc.	$62.83	3
Lexicon Pharmaceuticals, Inc.	$55.57	3
Merck Sharp & Dohme Corporation	$42.96	3
ABIOMED	$33.65	2
Edwards Lifesciences Corporation	$31.51	2
Alnylam Pharmaceuticals Inc.	$23.86	1
Kiniksa Pharmaceuticals International, plc	$20.80	1
BECTON, DICKINSON AND COMPANY	$17.14	1
GENZYME CORPORATION	$13.43	1
VivaQuant Inc, dba Rhythm Express	$10.69	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,104.26	186
PY2019	$2,189.55	184
PY2020	$1,528.91	110
PY2021	$2,302.89	179
PY2022	$2,476.01	181
PY2023	$1,908.84	98
PY2024	$2,494.02	138

Payment records · PY2024 (138)

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
ABIOMED	$15.00	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1142244643	CMS
ABIOMED	$18.65	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1142244743	CMS
Alnylam Pharmaceuticals Inc.	$23.86	05/18/2024	Food and Beverage	Undisputed	01/23/2026	1125834065	CMS
Amgen Inc.	$19.34	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1115647848	CMS
Amgen Inc.	$16.69	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1115647860	CMS
Amgen Inc.	$17.08	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1115647867	CMS
Amgen Inc.	$20.42	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1115647874	CMS
Amgen Inc.	$15.29	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1115647883	CMS
Amgen Inc.	$26.73	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1115647892	CMS
Amgen Inc.	$20.89	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1115647900	CMS
Amgen Inc.	$18.24	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1115647908	CMS
Amgen Inc.	$17.42	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1115647916	CMS
Amgen Inc.	$20.15	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1115647923	CMS
Amgen Inc.	$20.78	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1115647932	CMS
Amgen Inc.	$22.24	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1115647940	CMS
Amgen Inc.	$10.93	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1115647949	CMS
AstraZeneca Pharmaceuticals LP	$33.28	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1104720937	CMS
AstraZeneca Pharmaceuticals LP	$14.58	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1105707388	CMS
AstraZeneca Pharmaceuticals LP	$16.98	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105715198	CMS
AstraZeneca Pharmaceuticals LP	$13.35	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1105459131	CMS
AstraZeneca Pharmaceuticals LP	$15.76	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1105601339	CMS
AstraZeneca Pharmaceuticals LP	$14.04	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1104550672	CMS
AstraZeneca Pharmaceuticals LP	$17.22	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1104468996	CMS
AstraZeneca Pharmaceuticals LP	$16.65	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1104620560	CMS
AstraZeneca Pharmaceuticals LP	$13.77	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1104213665	CMS
AstraZeneca Pharmaceuticals LP	$15.59	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1104734453	CMS
AstraZeneca Pharmaceuticals LP	$16.52	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1105814727	CMS
AstraZeneca Pharmaceuticals LP	$16.26	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1105860554	CMS
Becton, Dickinson and Company	$17.14	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1127619382	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.84	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1118134717	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.29	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1118134721	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.73	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1118134715	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.05	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1118134713	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.97	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1118134719	CMS
E.R. Squibb & Sons, L.L.C.	$7.27	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1101720064	CMS
E.R. Squibb & Sons, L.L.C.	$2.58	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1101720078	CMS
E.R. Squibb & Sons, L.L.C.	$15.25	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1101720082	CMS
E.R. Squibb & Sons, L.L.C.	$14.34	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1101720085	CMS
E.R. Squibb & Sons, L.L.C.	$2.46	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1101720089	CMS
E.R. Squibb & Sons, L.L.C.	$15.34	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1101720096	CMS
E.R. Squibb & Sons, L.L.C.	$1.87	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1101720100	CMS
E.R. Squibb & Sons, L.L.C.	$16.22	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1101720107	CMS
E.R. Squibb & Sons, L.L.C.	$1.96	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1101720111	CMS
E.R. Squibb & Sons, L.L.C.	$15.63	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1101720155	CMS
E.R. Squibb & Sons, L.L.C.	$2.04	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1101720158	CMS
E.R. Squibb & Sons, L.L.C.	$0.52	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1101720148	CMS
E.R. Squibb & Sons, L.L.C.	$8.78	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1101720151	CMS
E.R. Squibb & Sons, L.L.C.	$1.65	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1101720169	CMS
E.R. Squibb & Sons, L.L.C.	$13.23	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1101720173	CMS
E.R. Squibb & Sons, L.L.C.	$77.28	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1101720209	CMS
E.R. Squibb & Sons, L.L.C.	$9.24	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1101720177	CMS
E.R. Squibb & Sons, L.L.C.	$1.62	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1101720217	CMS
E.R. Squibb & Sons, L.L.C.	$12.01	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1101720220	CMS
E.R. Squibb & Sons, L.L.C.	$16.67	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1101720202	CMS
E.R. Squibb & Sons, L.L.C.	$12.91	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1101720228	CMS
E.R. Squibb & Sons, L.L.C.	$1.95	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1101720242	CMS
E.R. Squibb & Sons, L.L.C.	$17.28	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1101720253	CMS
E.R. Squibb & Sons, L.L.C.	$121.83	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1101720264	CMS
E.R. Squibb & Sons, L.L.C.	$2.81	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1101720246	CMS
E.R. Squibb & Sons, L.L.C.	$19.61	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1101720249	CMS
E.R. Squibb & Sons, L.L.C.	$17.25	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1101720272	CMS
E.R. Squibb & Sons, L.L.C.	$2.00	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1101720275	CMS
Edwards Lifesciences Corporation	$17.45	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1138827306	CMS
Edwards Lifesciences Corporation	$14.06	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1138827308	CMS
Esperion Therapeutics, Inc.	$15.88	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1129435556	CMS
Esperion Therapeutics, Inc.	$13.77	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1129435558	CMS
Esperion Therapeutics, Inc.	$15.58	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1129435560	CMS
Esperion Therapeutics, Inc.	$125.00	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1129435562	CMS
Esperion Therapeutics, Inc.	$13.77	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1129435564	CMS
Esperion Therapeutics, Inc.	$11.01	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1129435566	CMS
Esperion Therapeutics, Inc.	$10.96	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1129435568	CMS
Esperion Therapeutics, Inc.	$2.97	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1129435570	CMS
Esperion Therapeutics, Inc.	$10.39	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1129435572	CMS
Esperion Therapeutics, Inc.	$15.94	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1129435574	CMS
Esperion Therapeutics, Inc.	$15.33	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1129435576	CMS
Esperion Therapeutics, Inc.	$12.30	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1129435578	CMS
Esperion Therapeutics, Inc.	$18.29	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1129435580	CMS
Esperion Therapeutics, Inc.	$3.60	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1129435582	CMS
Esperion Therapeutics, Inc.	$1.00	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1129435584	CMS
Esperion Therapeutics, Inc.	$8.34	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1129435586	CMS
GENZYME CORPORATION	$13.43	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1139678453	CMS
HEARTFLOW, INC.	$24.09	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1154166828	CMS
HEARTFLOW, INC.	$19.17	07/13/2024	Food and Beverage	Undisputed	01/23/2026	1154166830	CMS
HEARTFLOW, INC.	$4.99	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1154166838	CMS
HEARTFLOW, INC.	$18.50	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1154166840	CMS
HEARTFLOW, INC.	$21.90	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1154166842	CMS
HEARTFLOW, INC.	$19.54	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1154166832	CMS
HEARTFLOW, INC.	$16.03	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1154166834	CMS
HEARTFLOW, INC.	$7.79	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1154166836	CMS
Janssen Pharmaceuticals, Inc	$15.50	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1078070348	CMS
Janssen Pharmaceuticals, Inc	$18.74	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1078070128	CMS
Janssen Pharmaceuticals, Inc	$22.30	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1078070372	CMS
Janssen Pharmaceuticals, Inc	$16.33	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1078070084	CMS
Kestra Medical Technology Services, Inc.	$15.54	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1152379008	CMS
Kestra Medical Technology Services, Inc.	$25.70	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1152379004	CMS
Kestra Medical Technology Services, Inc.	$21.59	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1152379006	CMS
Kiniksa Pharmaceuticals International, plc	$20.80	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1154891067	CMS
Lexicon Pharmaceuticals, Inc.	$24.68	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1081728967	CMS
Lexicon Pharmaceuticals, Inc.	$15.40	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1081728963	CMS
Lexicon Pharmaceuticals, Inc.	$15.49	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1081728965	CMS
Medtronic, Inc.	$18.54	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1119461955	CMS
Medtronic, Inc.	$22.59	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1119461957	CMS
Medtronic, Inc.	$21.91	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1119461959	CMS
Merck Sharp & Dohme LLC	$14.75	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1141737067	CMS
Merck Sharp & Dohme LLC	$14.07	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1141737209	CMS
Merck Sharp & Dohme LLC	$14.14	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1141950863	CMS
Novartis Pharmaceuticals Corporation	$0.25	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1086848677	CMS
Novartis Pharmaceuticals Corporation	$11.87	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1086848679	CMS
Novartis Pharmaceuticals Corporation	$95.43	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1086848671	CMS
Novartis Pharmaceuticals Corporation	$7.19	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1086848689	CMS
Novartis Pharmaceuticals Corporation	$14.69	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1086848691	CMS
Novartis Pharmaceuticals Corporation	$8.81	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1086848685	CMS
Novartis Pharmaceuticals Corporation	$10.77	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1086848701	CMS
Novartis Pharmaceuticals Corporation	$13.02	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1086848709	CMS
Novartis Pharmaceuticals Corporation	$13.61	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1086848711	CMS
Novartis Pharmaceuticals Corporation	$1.60	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1086848715	CMS
Novartis Pharmaceuticals Corporation	$10.59	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1086848721	CMS
Novartis Pharmaceuticals Corporation	$7.56	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1086848739	CMS
Novo Nordisk Inc	$119.45	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1096732003	CMS
Novo Nordisk Inc	$19.44	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1097160776	CMS
SANOFI-AVENTIS U.S. LLC	$29.22	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1139678381	CMS
SANOFI-AVENTIS U.S. LLC	$15.48	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1139678389	CMS
SANOFI-AVENTIS U.S. LLC	$24.14	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1139678399	CMS
SANOFI-AVENTIS U.S. LLC	$7.18	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1139678413	CMS
SANOFI-AVENTIS U.S. LLC	$21.26	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1139678421	CMS
SANOFI-AVENTIS U.S. LLC	$22.16	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1139678433	CMS
SANOFI-AVENTIS U.S. LLC	$16.44	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1139678435	CMS
VivaQuant Inc, dba Rhythm Express	$10.69	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1154303721	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$9.25	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1080683934	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$0.55	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1080683936	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$19.03	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1080683938	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$30.95	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1080683942	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$8.05	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1080683944	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$15.48	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1080683946	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$12.64	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1080683948	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$35.52	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1080683950	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$3.64	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1080683958	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$28.58	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1080683960	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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