Covered recipient · General Payments record
HISHAM AFA ALREFAI
Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism
A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.
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General Payments · PY2019 · Entire year
$254,598.44
522 records · 0 disputed
“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments
A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.
These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.
A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.
How these totals are calculated
- This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
- Methodology & Data — sourcing, labeling, and limitations.
Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗
By nature of payment
PY2019 · entire year · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $217,024.00 | 97 |
| Travel and Lodging | $28,159.13 | 49 |
| Food and Beverage | $9,318.50 | 373 |
| Education | $96.81 | 3 |
By paying entity
PY2019 · entire year · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk Inc | $83,452.46 | 166 |
| Amgen Inc. | $62,632.32 | 82 |
| AstraZeneca Pharmaceuticals LP | $51,293.52 | 54 |
| Amarin Pharma Inc. | $38,907.32 | 63 |
| Valeritas, Inc. | $14,881.55 | 30 |
| Tandem Diabetes Care, Inc. | $1,700.00 | 5 |
| Insulet Corporation | $466.27 | 43 |
| Medtronic MiniMed, Inc. | $230.78 | 15 |
| Amneal Pharmaceuticals LLC | $221.22 | 13 |
| Abbott Laboratories | $201.42 | 10 |
| Shire North American Group Inc | $131.68 | 9 |
| Merck Sharp & Dohme Corporation | $128.88 | 10 |
| Corcept Therapeutics | $82.33 | 6 |
| AbbVie, Inc. | $57.70 | 3 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $44.71 | 3 |
| Mannkind Corporation | $41.39 | 2 |
| Antares Pharma, Inc. | $35.98 | 2 |
| Senseonics, Incorporated | $19.00 | 1 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $17.73 | 1 |
| Relypsa, Inc. | $14.54 | 1 |
| Kowa Pharmaceuticals America, Inc. | $13.39 | 1 |
| Dexcom, Inc. | $12.82 | 1 |
| IBSA Pharma Inc. | $11.43 | 1 |
Page 4 of 11; records 151–200 of 522 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.
IndustryPayments · General Payments
HISHAM AFA ALREFAI
NPI 1811962350 · CMS profile ID 82578
Allopathic & Osteopathic Physicians / Internal Medicine / Endocrinology, Diabetes & Metabolism
LOUISVILLE, KY
A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.
A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.
General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types
Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00
Page 4 of 11; records 151–200 of 522 matching records. This page contains 50 records (maximum 50), not the full filtered export.
Filtered page: https://industrypayments.org/provider/npi-1811962350?year=2019&recipient=provider&page=4#records-h
CMS source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e
Cite these filtered records
The citation includes this program year, filters, data edition, and page of results.
- Plain
- HISHAM AFA ALREFAI, NPI 1811962350, CMS profile ID 82578. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 4 of 11; records 151–200 of 522 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1811962350?year=2019&recipient=provider&page=4#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
- APA 7
- IndustryPayments. (2026). HISHAM AFA ALREFAI, NPI 1811962350, CMS profile ID 82578. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 4 of 11; records 151–200 of 522 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1811962350?year=2019&recipient=provider&page=4#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
- Bluebook
- HISHAM AFA ALREFAI, NPI 1811962350, CMS profile ID 82578, IndustryPayments, General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 4 of 11; records 151–200 of 522 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e. https://industrypayments.org/provider/npi-1811962350?year=2019&recipient=provider&page=4#records-h.
Centers for Medicare & Medicaid Services, Open Payments
Citation formats are provided for reference; check the requirements of your publication.
Payment records · PY2019
Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them
General Payments · PY2019 · Physicians and non-physician practitioners · CMS publication 2026-06-30
522 matching records · $254,598.44 reported total · 0 disputed
Nature of payment: All payment types
Records imported here (UTC).
CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.
Showing records 151–200 of 522.
| Paying entity | Amount | Date | Nature of payment | Dispute status | Publication flags | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|---|
| Novo Nordisk Inc | $11.52 | 09/17/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 674556699 | CMS |
| Novo Nordisk Inc | $1.31 | 09/17/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 682915719 | CMS |
| Novo Nordisk Inc | $833.85 | 09/17/2019 | Travel and Lodging | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703497101 | CMS |
| Novo Nordisk Inc | $56.84 | 09/17/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703522691 | CMS |
| Novo Nordisk Inc | $3,587.50 | 09/17/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703539739 | CMS |
| Medtronic MiniMed, Inc. | $16.77 | 09/16/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 648796121 | CMS |
| Amarin Pharma Inc. | $15.70 | 09/15/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 699219787 | CMS |
| Amgen Inc. | $110.03 | 09/13/2019 | Travel and Lodging | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393997 | CMS |
| Amgen Inc. | $467.00 | 09/13/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662394003 | CMS |
| Amgen Inc. | $2,800.00 | 09/13/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662394011 | CMS |
| Amgen Inc. | $999.02 | 09/12/2019 | Travel and Lodging | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393947 | CMS |
| AstraZeneca Pharmaceuticals LP | $1,400.00 | 09/12/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 685684943 | CMS |
| Novo Nordisk Inc | $975.06 | 09/12/2019 | Travel and Lodging | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703495263 | CMS |
| Novo Nordisk Inc | $95.57 | 09/12/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703510931 | CMS |
| Novo Nordisk Inc | $3,587.50 | 09/12/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703538001 | CMS |
| Shire North American Group Inc | $15.60 | 09/12/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 637780235 | CMS |
| Novo Nordisk Inc | $20.78 | 09/11/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 674556693 | CMS |
| Novo Nordisk Inc | $1.69 | 09/11/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 682915715 | CMS |
| Amgen Inc. | $119.24 | 09/10/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393993 | CMS |
| Insulet Corporation | $8.55 | 09/10/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 705017943 | CMS |
| Medtronic MiniMed, Inc. | $11.96 | 09/10/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 648796107 | CMS |
| Amgen Inc. | $13.13 | 09/06/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393921 | CMS |
| Amarin Pharma Inc. | $124.44 | 09/05/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 699210179 | CMS |
| Amarin Pharma Inc. | $2,750.00 | 09/05/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 699212119 | CMS |
| Insulet Corporation | $9.82 | 09/05/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 705017941 | CMS |
| Novo Nordisk Inc | $17.24 | 09/04/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 674556695 | CMS |
| Novo Nordisk Inc | $1.20 | 09/04/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 682915725 | CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $12.04 | 09/03/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 700465927 | CMS |
| Medtronic MiniMed, Inc. | $17.41 | 09/03/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 648795905 | CMS |
| Amarin Pharma Inc. | $14.92 | 08/30/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 699211633 | CMS |
| Amgen Inc. | $2,800.00 | 08/30/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393938 | CMS |
| Amgen Inc. | $2,800.00 | 08/30/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393941 | CMS |
| Amgen Inc. | $467.00 | 08/30/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393945 | CMS |
| Amgen Inc. | $121.32 | 08/29/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393953 | CMS |
| Amgen Inc. | $100.58 | 08/28/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662393951 | CMS |
| Novo Nordisk Inc | $19.80 | 08/28/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 674596249 | CMS |
| Novo Nordisk Inc | $1.76 | 08/28/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 682440089 | CMS |
| AstraZeneca Pharmaceuticals LP | $780.27 | 08/27/2019 | Travel and Lodging | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 685213339 | CMS |
| AstraZeneca Pharmaceuticals LP | $55.85 | 08/27/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 685685469 | CMS |
| Insulet Corporation | $15.56 | 08/27/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 705017939 | CMS |
| Insulet Corporation | $6.90 | 08/26/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 705017933 | CMS |
| Insulet Corporation | $15.92 | 08/26/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 705017935 | CMS |
| Insulet Corporation | $10.60 | 08/26/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 705017937 | CMS |
| Amarin Pharma Inc. | $17.34 | 08/24/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 699200871 | CMS |
| Amgen Inc. | $12.34 | 08/23/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 731297121 | CMS |
| Novo Nordisk Inc | $862.11 | 08/22/2019 | Travel and Lodging | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703495363 | CMS |
| Novo Nordisk Inc | $80.42 | 08/22/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703511479 | CMS |
| Novo Nordisk Inc | $3,587.50 | 08/22/2019 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 703538075 | CMS |
| Novo Nordisk Inc | $14.78 | 08/21/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 674596251 | CMS |
| Novo Nordisk Inc | $1.99 | 08/21/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 682440081 | CMS |
By program year
All program years on this page · sorted by year
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-06-30
- Program years on this page
- 2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
- Source files
- Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.