NIRMAL JOSEPH

Allopathic & Osteopathic Physicians|Anesthesiology MIAMI, FL NPI 1790760643

General Payments — all program years on this page

$841.44

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 29
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $132.37 across 5 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $132.375

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entityAmountRecords
MEDLINE INDUSTRIES LP $77.472
Merck Sharp & Dohme Corporation $54.903

By program year

Program yearAmountRecords
2018 $104.156
2019 $236.437
2020 $119.221
2021 $11.881
2022 $71.824
2023 $165.575
2024 $132.375

Records — PY2024 (5)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1141562376 Merck Sharp & Dohme LLC $20.17 01/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141562378 Merck Sharp & Dohme LLC $17.64 09/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141562380 Merck Sharp & Dohme LLC $17.09 07/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144135738 Medline Industries LP $23.47 02/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1144135782 Medline Industries LP $54.00 05/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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.