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

LAURA FERNANDES

Allopathic & Osteopathic Physicians Internal Medicine Interventional Cardiology

NPI
1811083116
CMS profile
127942
Location
SHENANDOAH, TX

General Payments · PY2018–2024

$12,694.40

  • Reported across 552 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,582.75

69 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 $1,582.75 69

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,341.92 76
PY2019 $1,509.92 78
PY2020 $904.48 65
PY2021 $3,355.46 96
PY2022 $1,908.88 77
PY2023 $2,090.99 91
PY2024 $1,582.75 69

Payment records · PY2024 (69)

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

Program year 2024 201820192020202120222023 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
Amgen Inc. $23.01 01/24/2024 Food and Beverage Undisputed 01/23/2026 1111573912 CMS
Amgen Inc. $18.16 03/27/2024 Food and Beverage Undisputed 01/23/2026 1111573914 CMS
Amgen Inc. $6.80 05/16/2024 Food and Beverage Undisputed 01/23/2026 1111573916 CMS
Amgen Inc. $132.50 05/22/2024 Food and Beverage Undisputed 01/23/2026 1111573920 CMS
Amgen Inc. $20.64 07/15/2024 Food and Beverage Undisputed 01/23/2026 1111573918 CMS
Amgen Inc. $14.95 08/26/2024 Food and Beverage Undisputed 01/23/2026 1111573922 CMS
Amgen Inc. $13.53 10/02/2024 Food and Beverage Undisputed 01/23/2026 1111573924 CMS
Amgen Inc. $20.51 11/07/2024 Food and Beverage Undisputed 01/23/2026 1111573926 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.39 04/11/2024 Food and Beverage Undisputed 01/23/2026 1118162822 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.13 06/20/2024 Food and Beverage Undisputed 01/23/2026 1118162824 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.20 09/04/2024 Food and Beverage Undisputed 01/23/2026 1118162820 CMS
Boston Scientific Corporation $146.52 06/25/2024 Food and Beverage Undisputed 01/23/2026 1092626141 CMS
CashFlow Solutions, LLC $9.28 01/22/2024 Food and Beverage Undisputed 01/23/2026 1139260277 CMS
Cleerly, Inc. $15.80 04/17/2024 Food and Beverage Undisputed 01/23/2026 1144711016 CMS
Cleerly, Inc. $15.10 06/20/2024 Food and Beverage Undisputed 01/23/2026 1144711136 CMS
Cleerly, Inc. $18.96 11/02/2024 Food and Beverage Undisputed 01/23/2026 1144711156 CMS
Daiichi Sankyo Inc. $22.31 10/23/2024 Food and Beverage Undisputed 01/23/2026 1089421032 CMS
Daiichi Sankyo Inc. $21.13 12/03/2024 Food and Beverage Undisputed 01/23/2026 1089421036 CMS
E.R. Squibb & Sons, L.L.C. $23.10 02/07/2024 Food and Beverage Undisputed 01/23/2026 1101323724 CMS
HEARTFLOW, INC. $18.09 08/27/2024 Food and Beverage Undisputed 01/23/2026 1154183846 CMS
iRhythm Technologies, Inc. $96.79 01/02/2024 Food and Beverage Undisputed 01/23/2026 1154056406 CMS
Itamar Medical Inc $18.33 02/28/2024 Food and Beverage Undisputed 01/23/2026 1154006106 CMS
Janssen Pharmaceuticals, Inc $18.88 01/11/2024 Food and Beverage Undisputed 01/23/2026 1078218145 CMS
Janssen Pharmaceuticals, Inc $14.93 02/22/2024 Food and Beverage Undisputed 01/23/2026 1078218097 CMS
Janssen Pharmaceuticals, Inc $22.52 03/26/2024 Food and Beverage Undisputed 01/23/2026 1078217985 CMS
Janssen Pharmaceuticals, Inc $22.52 05/14/2024 Food and Beverage Undisputed 01/23/2026 1078217981 CMS
Janssen Pharmaceuticals, Inc $14.93 06/12/2024 Food and Beverage Undisputed 01/23/2026 1078217999 CMS
Janssen Pharmaceuticals, Inc $14.78 08/07/2024 Food and Beverage Undisputed 01/23/2026 1078218191 CMS
Janssen Pharmaceuticals, Inc $16.52 09/17/2024 Food and Beverage Undisputed 01/23/2026 1078218161 CMS
Merck Sharp & Dohme LLC $24.95 01/09/2024 Food and Beverage Undisputed 01/23/2026 1141873931 CMS
Merck Sharp & Dohme LLC $25.94 03/12/2024 Food and Beverage Undisputed 01/23/2026 1141711735 CMS
Merck Sharp & Dohme LLC $24.18 06/04/2024 Food and Beverage Undisputed 01/23/2026 1141711737 CMS
Novartis Pharmaceuticals Corporation $22.67 01/04/2024 Food and Beverage Undisputed 01/23/2026 1086839635 CMS
Novartis Pharmaceuticals Corporation $20.52 02/09/2024 Food and Beverage Undisputed 01/23/2026 1086839643 CMS
Novartis Pharmaceuticals Corporation $19.88 03/04/2024 Food and Beverage Undisputed 01/23/2026 1086839645 CMS
Novartis Pharmaceuticals Corporation $20.61 03/25/2024 Food and Beverage Undisputed 01/23/2026 1086839647 CMS
Novartis Pharmaceuticals Corporation $5.32 04/09/2024 Food and Beverage Undisputed 01/23/2026 1086839649 CMS
Novartis Pharmaceuticals Corporation $18.41 04/22/2024 Food and Beverage Undisputed 01/23/2026 1086839657 CMS
Novartis Pharmaceuticals Corporation $24.09 05/22/2024 Food and Beverage Undisputed 01/23/2026 1086839659 CMS
Novartis Pharmaceuticals Corporation $12.66 06/06/2024 Food and Beverage Undisputed 01/23/2026 1086839661 CMS
Novartis Pharmaceuticals Corporation $18.12 06/25/2024 Food and Beverage Undisputed 01/23/2026 1086839671 CMS
Novartis Pharmaceuticals Corporation $25.18 07/22/2024 Food and Beverage Undisputed 01/23/2026 1086839677 CMS
Novartis Pharmaceuticals Corporation $3.64 07/29/2024 Food and Beverage Undisputed 01/23/2026 1086839679 CMS
Novartis Pharmaceuticals Corporation $6.14 08/05/2024 Food and Beverage Undisputed 01/23/2026 1086839681 CMS
Novartis Pharmaceuticals Corporation $16.75 08/06/2024 Food and Beverage Undisputed 01/23/2026 1086839675 CMS
Novartis Pharmaceuticals Corporation $17.03 08/06/2024 Food and Beverage Undisputed 01/23/2026 1086839683 CMS
Novartis Pharmaceuticals Corporation $11.46 08/14/2024 Food and Beverage Undisputed 01/23/2026 1086839685 CMS
Novartis Pharmaceuticals Corporation $13.24 08/28/2024 Food and Beverage Undisputed 01/23/2026 1086839689 CMS
Novartis Pharmaceuticals Corporation $21.22 09/03/2024 Food and Beverage Undisputed 01/23/2026 1086839691 CMS
Novartis Pharmaceuticals Corporation $28.01 09/18/2024 Food and Beverage Undisputed 01/23/2026 1086839699 CMS
Novartis Pharmaceuticals Corporation $13.94 10/03/2024 Food and Beverage Undisputed 01/23/2026 1086839695 CMS
Novartis Pharmaceuticals Corporation $4.11 10/08/2024 Food and Beverage Undisputed 01/23/2026 1086839701 CMS
Novartis Pharmaceuticals Corporation $27.04 10/28/2024 Food and Beverage Undisputed 01/23/2026 1086839707 CMS
Novartis Pharmaceuticals Corporation $5.01 10/31/2024 Food and Beverage Undisputed 01/23/2026 1086839709 CMS
Novartis Pharmaceuticals Corporation $18.07 11/19/2024 Food and Beverage Undisputed 01/23/2026 1086839711 CMS
Novartis Pharmaceuticals Corporation $24.25 12/10/2024 Food and Beverage Undisputed 01/23/2026 1086839715 CMS
Novo Nordisk Inc $21.96 05/15/2024 Food and Beverage Undisputed 01/23/2026 1096686342 CMS
Novo Nordisk Inc $20.80 09/25/2024 Food and Beverage Undisputed 01/23/2026 1096994663 CMS
PFIZER INC. $27.32 03/20/2024 Food and Beverage Undisputed 01/23/2026 1131262594 CMS
PFIZER INC. $20.16 05/21/2024 Food and Beverage Undisputed 01/23/2026 1131524921 CMS
PFIZER INC. $23.96 05/21/2024 Food and Beverage Undisputed 01/23/2026 1131526188 CMS
PFIZER INC. $29.10 06/06/2024 Food and Beverage Undisputed 01/23/2026 1131647718 CMS
Philips North America LLC $16.04 04/23/2024 Food and Beverage Undisputed 01/23/2026 1146921536 CMS
Tactile Systems Technology Inc $20.46 02/14/2024 Food and Beverage Undisputed 01/23/2026 1082367267 CMS
Tactile Systems Technology Inc $16.47 04/03/2024 Food and Beverage Undisputed 01/23/2026 1082367273 CMS
Tactile Systems Technology Inc $18.41 06/26/2024 Food and Beverage Undisputed 01/23/2026 1082367269 CMS
Tactile Systems Technology Inc $21.31 10/29/2024 Food and Beverage Undisputed 01/23/2026 1082367271 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $4.50 05/23/2024 Food and Beverage Undisputed 01/23/2026 1080647939 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $11.51 11/13/2024 Food and Beverage Undisputed 01/23/2026 1080648245 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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