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

ADAM GIERMASZ

Allopathic & Osteopathic Physicians Internal Medicine Hematology & Oncology

NPI
1831374644
CMS profile
264563
Location
SACRAMENTO, CA

General Payments · PY2018–2024

$433,905.60

  • Reported across 403 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$90,033.40

66 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

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
BioMarin Pharmaceutical Inc. $38,226.16 13
Alexion Pharmaceuticals, Inc. $19,016.44 12
GENZYME CORPORATION $14,129.74 12
HEMA Biologics, LLC $12,440.24 18
SANOFI-AVENTIS U.S. LLC $3,539.20 2
CSL Behring $2,264.00 4
Genentech USA, Inc. $262.24 4
Regeneron Pharmaceuticals, Inc. $155.38 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $63,688.23 69
PY2019 $83,184.18 56
PY2020 $25,742.18 23
PY2021 $21,305.22 32
PY2022 $53,904.06 65
PY2023 $96,048.33 92
PY2024 $90,033.40 66

Payment records · PY2024 (66)

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
Alexion Pharmaceuticals, Inc. $930.00 02/29/2024 Consulting Fee Undisputed 01/23/2026 1094033322 CMS
Alexion Pharmaceuticals, Inc. $1,085.00 04/18/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1093895976 CMS
Alexion Pharmaceuticals, Inc. $4,805.00 05/10/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1093982602 CMS
Alexion Pharmaceuticals, Inc. $45.83 05/11/2024 Food and Beverage Undisputed 01/23/2026 1093979485 CMS
Alexion Pharmaceuticals, Inc. $122.31 10/03/2024 Food and Beverage Undisputed 01/23/2026 1093937774 CMS
Alexion Pharmaceuticals, Inc. $3,100.00 10/03/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1094042952 CMS
Alexion Pharmaceuticals, Inc. $375.06 10/09/2024 Travel and Lodging Undisputed 01/23/2026 1093887444 CMS
Alexion Pharmaceuticals, Inc. $1,120.35 10/10/2024 Travel and Lodging Undisputed 01/23/2026 1093943045 CMS
Alexion Pharmaceuticals, Inc. $4,960.00 10/10/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1094028135 CMS
Alexion Pharmaceuticals, Inc. $489.10 10/15/2024 Travel and Lodging Undisputed 01/23/2026 1093883022 CMS
Alexion Pharmaceuticals, Inc. $1,860.00 11/07/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1093998327 CMS
Alexion Pharmaceuticals, Inc. $123.79 11/15/2024 Food and Beverage Undisputed 01/23/2026 1093968088 CMS
BioMarin Pharmaceutical Inc. $2,620.00 07/23/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1127062890 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057603 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057715 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057719 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057721 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057723 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057725 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057727 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057729 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057731 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057733 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057735 CMS
BioMarin Pharmaceutical Inc. $2,967.18 12/31/2024 Consulting Fee Undisputed 01/23/2026 1127057737 CMS
CSL Behring $438.90 03/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1134639019 CMS
CSL Behring $74.00 06/27/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1134639021 CMS
CSL Behring $1,168.90 09/09/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1134639023 CMS
CSL Behring $582.20 10/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1134639025 CMS
Genentech USA, Inc. $72.34 02/05/2024 Food and Beverage Undisputed 01/23/2026 1132972067 CMS
Genentech USA, Inc. $57.30 02/06/2024 Food and Beverage Undisputed 01/23/2026 1132972069 CMS
Genentech USA, Inc. $60.43 04/23/2024 Food and Beverage Undisputed 01/23/2026 1132972071 CMS
Genentech USA, Inc. $72.17 11/02/2024 Food and Beverage Undisputed 01/23/2026 1132972073 CMS
GENZYME CORPORATION $1,152.50 03/08/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1139785977 CMS
GENZYME CORPORATION $691.50 05/21/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1139786003 CMS
GENZYME CORPORATION $461.00 07/09/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1139786061 CMS
GENZYME CORPORATION $1,614.00 07/12/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1139785983 CMS
GENZYME CORPORATION $1,614.00 07/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1139786023 CMS
GENZYME CORPORATION $1,614.00 08/28/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1139786033 CMS
GENZYME CORPORATION $30.21 09/26/2024 Food and Beverage Undisputed 01/23/2026 1139786021 CMS
GENZYME CORPORATION $5,993.00 11/14/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1139786051 CMS
GENZYME CORPORATION $290.11 11/14/2024 Travel and Lodging Undisputed 01/23/2026 1139786053 CMS
GENZYME CORPORATION $199.95 11/14/2024 Travel and Lodging Undisputed 01/23/2026 1139786055 CMS
GENZYME CORPORATION $465.80 11/14/2024 Travel and Lodging Undisputed 01/23/2026 1139786057 CMS
GENZYME CORPORATION $3.67 12/07/2024 Food and Beverage Undisputed 01/23/2026 1139786045 CMS
HEMA Biologics, LLC $510.20 03/05/2024 Travel and Lodging Undisputed 01/23/2026 1152821585 CMS
HEMA Biologics, LLC $5,000.00 03/23/2024 Consulting Fee Undisputed 01/23/2026 1152821587 CMS
HEMA Biologics, LLC $5.87 03/23/2024 Food and Beverage Undisputed 01/23/2026 1152821589 CMS
HEMA Biologics, LLC $224.73 03/23/2024 Travel and Lodging Undisputed 01/23/2026 1152821595 CMS
HEMA Biologics, LLC $57.25 03/23/2024 Food and Beverage Undisputed 01/23/2026 1152821597 CMS
HEMA Biologics, LLC $116.86 03/23/2024 Food and Beverage Undisputed 01/23/2026 1152821599 CMS
HEMA Biologics, LLC $88.14 03/23/2024 Food and Beverage Undisputed 01/23/2026 1152821601 CMS
HEMA Biologics, LLC $127.57 03/23/2024 Food and Beverage Undisputed 01/23/2026 1152821603 CMS
HEMA Biologics, LLC $13.99 03/24/2024 Travel and Lodging Undisputed 01/23/2026 1152821591 CMS
HEMA Biologics, LLC $154.85 04/23/2024 Food and Beverage Undisputed 01/23/2026 1152821593 CMS
HEMA Biologics, LLC $542.45 10/09/2024 Travel and Lodging Undisputed 01/23/2026 1152821617 CMS
HEMA Biologics, LLC $5,000.00 11/09/2024 Consulting Fee Undisputed 01/23/2026 1152821619 CMS
HEMA Biologics, LLC $76.72 11/11/2024 Food and Beverage Undisputed 01/23/2026 1152821621 CMS
HEMA Biologics, LLC $269.00 11/14/2024 Travel and Lodging Undisputed 01/23/2026 1152821607 CMS
HEMA Biologics, LLC $44.26 11/14/2024 Travel and Lodging Undisputed 01/23/2026 1152821609 CMS
HEMA Biologics, LLC $72.53 11/14/2024 Food and Beverage Undisputed 01/23/2026 1152821611 CMS
HEMA Biologics, LLC $38.32 11/14/2024 Food and Beverage Undisputed 01/23/2026 1152821613 CMS
HEMA Biologics, LLC $97.50 11/14/2024 Food and Beverage Undisputed 01/23/2026 1152821615 CMS
Regeneron Pharmaceuticals, Inc. $155.38 06/23/2024 Food and Beverage Undisputed 01/23/2026 1114399259 CMS
SANOFI-AVENTIS U.S. LLC $774.20 12/14/2024 Consulting Fee Undisputed 01/23/2026 1139786063 CMS
SANOFI-AVENTIS U.S. LLC $2,765.00 12/16/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1139786065 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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