Covered recipient · General Payments record

MEL F ROCA

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1841427564
CMS profile: 265535
Location: COUNCIL BLUFFS, IA

General Payments · PY2018–2024

$12,399.62

Reported across 776 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,207.01

154 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 payment	Amount	Records
Food and Beverage	$3,178.34	153
Education	$28.67	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
AIMMUNE THERAPEUTICS, INC.	$733.77	5
Acerta Pharma LLC	$438.19	15
ABBVIE INC.	$371.02	26
GlaxoSmithKline, LLC.	$239.91	13
Novo Nordisk AS	$231.97	14
PFIZER INC.	$186.60	14
Lilly USA, LLC	$157.96	14
Amgen Inc.	$140.63	13
Gilead Sciences, Inc.	$129.68	5
Bayer HealthCare Pharmaceuticals Inc.	$120.70	7
NOVARTIS PHARMACEUTICALS CORPORATION	$55.50	3
Astellas Pharma US Inc	$48.45	3
Lundbeck LLC	$45.81	3
Janssen Pharmaceuticals, Inc	$43.63	3
E.R. Squibb & Sons, L.L.C.	$42.58	3
Abbott Laboratories	$38.94	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$37.17	2
Lexicon Pharmaceuticals, Inc.	$33.35	2
Teva Pharmaceuticals USA, Inc.	$20.34	1
Sumitomo Pharma America, Inc.	$17.51	1
Mylan Specialty L.P.	$15.56	1
SANOFI-AVENTIS U.S. LLC	$15.32	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.73	1
Exact Sciences Corporation	$14.18	1
Merck Sharp & Dohme Corporation	$13.51	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,517.75	134
PY2019	$1,825.36	145
PY2020	$207.73	16
PY2021	$925.58	60
PY2022	$2,288.65	120
PY2023	$2,427.54	147
PY2024	$3,207.01	154

Payment records · PY2024 (154)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
Abbott Laboratories	$17.22	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1125299581	CMS
Abbott Laboratories	$21.72	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1125299583	CMS
ABBVIE INC.	$12.68	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1105961524	CMS
ABBVIE INC.	$12.44	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1105961526	CMS
ABBVIE INC.	$10.66	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1105961528	CMS
ABBVIE INC.	$16.24	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1105961530	CMS
ABBVIE INC.	$14.93	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1105961532	CMS
ABBVIE INC.	$9.52	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1105961534	CMS
ABBVIE INC.	$17.53	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1105961536	CMS
ABBVIE INC.	$4.63	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1105961538	CMS
ABBVIE INC.	$33.71	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1105961540	CMS
ABBVIE INC.	$16.54	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1105961542	CMS
ABBVIE INC.	$19.80	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1105961544	CMS
ABBVIE INC.	$12.88	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1105961546	CMS
ABBVIE INC.	$12.21	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1105961548	CMS
ABBVIE INC.	$14.86	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1105961550	CMS
ABBVIE INC.	$19.63	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1105961552	CMS
ABBVIE INC.	$15.24	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1105961554	CMS
ABBVIE INC.	$20.09	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1105961556	CMS
ABBVIE INC.	$7.49	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1105961558	CMS
ABBVIE INC.	$11.19	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1105961560	CMS
ABBVIE INC.	$1.33	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1105961562	CMS
ABBVIE INC.	$10.48	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1105961564	CMS
ABBVIE INC.	$15.26	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1105961566	CMS
ABBVIE INC.	$6.59	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1105961568	CMS
ABBVIE INC.	$29.66	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1105961570	CMS
ABBVIE INC.	$11.47	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1105961572	CMS
ABBVIE INC.	$13.96	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1105961574	CMS
AIMMUNE THERAPEUTICS, INC.	$130.49	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1147013304	CMS
AIMMUNE THERAPEUTICS, INC.	$219.53	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1146973811	CMS
AIMMUNE THERAPEUTICS, INC.	$192.09	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1146971435	CMS
AIMMUNE THERAPEUTICS, INC.	$184.23	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1147007966	CMS
AIMMUNE THERAPEUTICS, INC.	$7.43	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1146974792	CMS
Amgen Inc.	$14.69	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1116062692	CMS
Amgen Inc.	$8.41	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1117366718	CMS
Amgen Inc.	$11.36	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1116062698	CMS
Amgen Inc.	$9.99	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1117366720	CMS
Amgen Inc.	$14.61	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1116062705	CMS
Amgen Inc.	$8.55	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1117366722	CMS
Amgen Inc.	$9.46	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1117366724	CMS
Amgen Inc.	$13.02	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1116062711	CMS
Amgen Inc.	$8.76	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1117366726	CMS
Amgen Inc.	$8.52	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1117366728	CMS
Amgen Inc.	$12.89	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1116062717	CMS
Amgen Inc.	$12.13	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1116062723	CMS
Amgen Inc.	$8.24	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1117366730	CMS
Astellas Pharma US Inc	$14.77	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1139292538	CMS
Astellas Pharma US Inc	$17.04	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1139358763	CMS
Astellas Pharma US Inc	$16.64	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1139406815	CMS
AstraZeneca Pharmaceuticals LP	$99.27	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1105861392	CMS
AstraZeneca Pharmaceuticals LP	$117.17	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1104770702	CMS
AstraZeneca Pharmaceuticals LP	$13.47	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1104309374	CMS
AstraZeneca Pharmaceuticals LP	$14.60	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1104352726	CMS
AstraZeneca Pharmaceuticals LP	$14.70	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1105216387	CMS
AstraZeneca Pharmaceuticals LP	$16.97	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1104289484	CMS
AstraZeneca Pharmaceuticals LP	$14.87	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1105568919	CMS
AstraZeneca Pharmaceuticals LP	$23.79	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1105761410	CMS
AstraZeneca Pharmaceuticals LP	$13.94	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1105878141	CMS
AstraZeneca Pharmaceuticals LP	$14.44	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1104531132	CMS
AstraZeneca Pharmaceuticals LP	$13.18	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1105687483	CMS
AstraZeneca Pharmaceuticals LP	$19.99	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1105751127	CMS
AstraZeneca Pharmaceuticals LP	$28.67	10/21/2024	Education	Undisputed	01/23/2026	1104381969	CMS
AstraZeneca Pharmaceuticals LP	$19.95	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1105602248	CMS
AstraZeneca Pharmaceuticals LP	$13.18	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1104607718	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.36	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1086259620	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.01	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1086166204	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.46	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1086112256	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.99	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1086246322	CMS
Bayer Healthcare Pharmaceuticals Inc.	$27.14	08/24/2024	Food and Beverage	Undisputed	01/23/2026	1086192814	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.18	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1086249686	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.56	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1086233240	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.60	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1118178665	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.57	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1118178669	CMS
E.R. Squibb & Sons, L.L.C.	$13.72	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1101240044	CMS
E.R. Squibb & Sons, L.L.C.	$14.79	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1101240132	CMS
E.R. Squibb & Sons, L.L.C.	$14.07	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1101240142	CMS
Exact Sciences Corporation	$14.18	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1114857885	CMS
Gilead Sciences, Inc.	$30.85	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1133743283	CMS
Gilead Sciences, Inc.	$22.09	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1133743285	CMS
Gilead Sciences, Inc.	$20.53	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1133743287	CMS
Gilead Sciences, Inc.	$27.74	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1133743289	CMS
Gilead Sciences, Inc.	$28.47	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1133743291	CMS
GlaxoSmithKline, LLC.	$9.83	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1116707641	CMS
GlaxoSmithKline, LLC.	$8.03	02/10/2024	Food and Beverage	Undisputed	01/23/2026	1116311523	CMS
GlaxoSmithKline, LLC.	$8.43	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1116501071	CMS
GlaxoSmithKline, LLC.	$11.00	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1116522202	CMS
GlaxoSmithKline, LLC.	$9.73	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1116457467	CMS
GlaxoSmithKline, LLC.	$10.36	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1116176371	CMS
GlaxoSmithKline, LLC.	$10.22	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1116097778	CMS
GlaxoSmithKline, LLC.	$7.84	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1116264632	CMS
GlaxoSmithKline, LLC.	$10.80	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1116240066	CMS
GlaxoSmithKline, LLC.	$11.14	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1116243942	CMS
GlaxoSmithKline, LLC.	$122.01	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1116138736	CMS
GlaxoSmithKline, LLC.	$11.72	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1116597321	CMS
GlaxoSmithKline, LLC.	$8.80	12/24/2024	Food and Beverage	Undisputed	01/23/2026	1116420921	CMS
Janssen Pharmaceuticals, Inc	$14.00	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1077998842	CMS
Janssen Pharmaceuticals, Inc	$15.92	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1077998830	CMS
Janssen Pharmaceuticals, Inc	$13.71	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1077998884	CMS
Lexicon Pharmaceuticals, Inc.	$15.75	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1081695813	CMS
Lexicon Pharmaceuticals, Inc.	$17.60	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1081695815	CMS
Lilly USA, LLC	$10.47	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1135187835	CMS
Lilly USA, LLC	$11.39	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1135219268	CMS
Lilly USA, LLC	$7.86	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1135182262	CMS
Lilly USA, LLC	$1.76	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1135188317	CMS
Lilly USA, LLC	$1.10	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1135219264	CMS
Lilly USA, LLC	$11.32	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1135199655	CMS
Lilly USA, LLC	$12.38	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1135199657	CMS
Lilly USA, LLC	$13.95	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1135188223	CMS
Lilly USA, LLC	$13.67	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1135171230	CMS
Lilly USA, LLC	$13.04	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1135188225	CMS
Lilly USA, LLC	$20.97	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1135188319	CMS
Lilly USA, LLC	$11.26	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1135182264	CMS
Lilly USA, LLC	$4.94	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1135188227	CMS
Lilly USA, LLC	$23.85	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1135182260	CMS
Lundbeck LLC	$14.13	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1145962034	CMS
Lundbeck LLC	$17.18	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1145962036	CMS
Lundbeck LLC	$14.50	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1145962038	CMS
Merck Sharp & Dohme LLC	$13.51	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1141740245	CMS
Mylan Specialty L.P.	$15.56	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1147286104	CMS
Novartis Pharmaceuticals Corporation	$18.19	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1087288185	CMS
Novartis Pharmaceuticals Corporation	$16.33	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1087288193	CMS
Novartis Pharmaceuticals Corporation	$20.98	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1087288207	CMS
Novo Nordisk Inc	$15.54	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1096601559	CMS
Novo Nordisk Inc	$14.79	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1097469851	CMS
Novo Nordisk Inc	$12.84	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1097177240	CMS
Novo Nordisk Inc	$18.19	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1097510282	CMS
Novo Nordisk Inc	$17.37	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1096645938	CMS
Novo Nordisk Inc	$16.09	05/25/2024	Food and Beverage	Undisputed	01/23/2026	1096589502	CMS
Novo Nordisk Inc	$17.38	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1097271533	CMS
Novo Nordisk Inc	$14.10	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1097662556	CMS
Novo Nordisk Inc	$12.70	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1096918296	CMS
Novo Nordisk Inc	$15.88	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1097533031	CMS
Novo Nordisk Inc	$24.43	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1097058569	CMS
Novo Nordisk Inc	$17.48	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1097553197	CMS
Novo Nordisk Inc	$19.46	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1097748628	CMS
Novo Nordisk Inc	$15.72	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1097764951	CMS
PFIZER INC.	$14.90	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1130949300	CMS
PFIZER INC.	$14.31	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1131132391	CMS
PFIZER INC.	$14.63	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1131194399	CMS
PFIZER INC.	$18.43	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1131132394	CMS
PFIZER INC.	$6.67	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1132002397	CMS
PFIZER INC.	$10.82	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1132002079	CMS
PFIZER INC.	$14.68	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1131389987	CMS
PFIZER INC.	$18.70	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1131671218	CMS
PFIZER INC.	$17.97	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1131836926	CMS
PFIZER INC.	$7.98	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1132002399	CMS
PFIZER INC.	$13.62	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1132088827	CMS
PFIZER INC.	$0.72	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1131029321	CMS
PFIZER INC.	$17.31	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1131171361	CMS
PFIZER INC.	$15.86	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1131199631	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.73	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1153655803	CMS
SANOFI-AVENTIS U.S. LLC	$15.32	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1139802596	CMS
Sumitomo Pharma America, Inc.	$17.51	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1148910534	CMS
Teva Pharmaceuticals USA, Inc.	$20.34	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1151688971	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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