Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record Methodology

Covered recipient · General Payments record

ALEXYS NICOLE MARRUFO

Allopathic & Osteopathic Physicians Pediatrics

NPI
1831777374
CMS profile
11639713
Location
LOWELL, AR

General Payments · PY2025

$141.90

  • Reported across 7 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$141.90

7 records · 0 disputed

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

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.
  • 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $141.90 7

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Corium, Inc. $33.53 2
SANOFI-AVENTIS U.S. LLC $27.32 1
Kowa Pharmaceuticals America, Inc. $24.91 1
PFIZER INC. $22.95 1
SANOFI PASTEUR INC. $19.14 1
TONIX PHARMACEUTICALS, INC. $14.05 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2025 $141.90 7

Payment records · PY2025 (7)

Ordering applied by this site (paying entity, then date) · record values are shown as CMS published them

Program year 2025
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Corium, LLC $23.01 05/22/2025 Food and Beverage Undisputed 06/30/2026 1185825484 CMS
Corium, LLC $10.52 07/24/2025 Food and Beverage Undisputed 06/30/2026 1185784700 CMS
Kowa Pharmaceuticals America, Inc. $24.91 05/14/2025 Food and Beverage Undisputed 06/30/2026 1243103493 CMS
PFIZER INC. $22.95 10/23/2025 Food and Beverage Undisputed 06/30/2026 1230673328 CMS
SANOFI PASTEUR INC. $19.14 05/27/2025 Food and Beverage Undisputed 06/30/2026 1226995900 CMS
SANOFI-AVENTIS U.S. LLC $27.32 03/27/2025 Food and Beverage Undisputed 06/30/2026 1233205747 CMS
Tonix Medicines, Inc. $14.05 11/24/2025 Food and Beverage Undisputed 06/30/2026 1235872674 CMS

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
2025
Source files
Dataset page · Bulk file · 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.