Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

RAFAEL OTERO

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1790289791
CMS profile
9779864
Location
BROWNSVILLE, TX

General Payments · PY2021–2024

$1,514.03

  • Reported across 56 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$396.65

20 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 paymentAmountRecords
Food and Beverage $396.65 20

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Amgen Inc. $95.40 4
Astellas Pharma US Inc $65.70 3
Lilly USA, LLC $62.94 3
Acerta Pharma LLC $48.99 3
PFIZER INC. $47.12 2
Exact Sciences Corporation $31.81 2
Novo Nordisk AS $29.00 2
ABBVIE INC. $15.69 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $122.81 3
PY2022 $685.35 21
PY2023 $309.22 12
PY2024 $396.65 20

Payment records · PY2024 (20)

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

Program year 2024 202120222023 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
ABBVIE INC. $15.69 03/06/2024 Food and Beverage Undisputed 01/23/2026 1105162325 CMS
Amgen Inc. $18.40 02/08/2024 Food and Beverage Undisputed 01/23/2026 1117646743 CMS
Amgen Inc. $29.09 04/02/2024 Food and Beverage Undisputed 01/23/2026 1117646745 CMS
Amgen Inc. $20.29 06/21/2024 Food and Beverage Undisputed 01/23/2026 1117646747 CMS
Amgen Inc. $27.62 09/12/2024 Food and Beverage Undisputed 01/23/2026 1117646749 CMS
Astellas Pharma US Inc $17.36 02/05/2024 Food and Beverage Undisputed 01/23/2026 1139292312 CMS
Astellas Pharma US Inc $22.31 08/13/2024 Food and Beverage Undisputed 01/23/2026 1139267206 CMS
Astellas Pharma US Inc $26.03 10/15/2024 Food and Beverage Undisputed 01/23/2026 1139405567 CMS
AstraZeneca Pharmaceuticals LP $15.00 01/29/2024 Food and Beverage Undisputed 01/23/2026 1104589560 CMS
AstraZeneca Pharmaceuticals LP $17.06 04/18/2024 Food and Beverage Undisputed 01/23/2026 1104266999 CMS
AstraZeneca Pharmaceuticals LP $16.93 07/02/2024 Food and Beverage Undisputed 01/23/2026 1104709085 CMS
Exact Sciences Corporation $16.95 03/05/2024 Food and Beverage Undisputed 01/23/2026 1114818632 CMS
Exact Sciences Corporation $14.86 08/20/2024 Food and Beverage Undisputed 01/23/2026 1114818638 CMS
Lilly USA, LLC $20.03 05/14/2024 Food and Beverage Undisputed 01/23/2026 1135201595 CMS
Lilly USA, LLC $23.62 07/16/2024 Food and Beverage Undisputed 01/23/2026 1135295057 CMS
Lilly USA, LLC $19.29 10/24/2024 Food and Beverage Undisputed 01/23/2026 1135300799 CMS
Novo Nordisk Inc $13.71 07/23/2024 Food and Beverage Undisputed 01/23/2026 1097541886 CMS
Novo Nordisk Inc $15.29 09/03/2024 Food and Beverage Undisputed 01/23/2026 1097306832 CMS
PFIZER INC. $27.10 07/25/2024 Food and Beverage Undisputed 01/23/2026 1131780568 CMS
PFIZER INC. $20.02 11/21/2024 Food and Beverage Undisputed 01/23/2026 1131277989 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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