Covered recipient · General Payments record
GARY P SYMKOVIAK
Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease
General Payments · PY2018–2021
$4,517.98
- Reported across 258 records
- CMS publication 2026-01-23
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
PY2021 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $397.54 | 22 |
By paying entity
PY2021 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| BOSTON SCIENTIFIC CORPORATION | $108.35 | 6 |
| PFIZER INC. | $91.21 | 5 |
| Medicure Pharma Inc. | $40.24 | 1 |
| Esperion Therapeutics, Inc. | $33.00 | 2 |
| Merck Sharp & Dohme Corporation | $30.90 | 2 |
| E.R. Squibb & Sons, L.L.C. | $27.34 | 2 |
| Amgen Inc. | $19.84 | 1 |
| Amarin Pharma Inc. | $19.14 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $14.80 | 1 |
| ARBOR PHARMACEUTICALS, INC. | $12.72 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2021 (22)
Sorted by paying entity, then date · as published by 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
- Generated from
- OP_DTL_GNRL_PGYR2021_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.