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

THAVALINH MARK SPHABMIXAY

Allopathic & Osteopathic Physicians Family Medicine

NPI
1841445277
CMS profile
1269456
Location
ATWATER, CA

General Payments · PY2018–2024

$2,782.44

  • Reported across 165 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$495.93

28 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 paymentAmountRecords
Food and Beverage $495.93 28

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Bayer HealthCare Pharmaceuticals Inc. $86.31 5
GlaxoSmithKline, LLC. $71.17 4
Lilly USA, LLC $61.98 4
Amgen Inc. $61.98 3
Acerta Pharma LLC $52.83 3
Hologic Sales and Service, LLC $49.19 2
PFIZER INC. $47.76 3
Novo Nordisk AS $47.42 3
ABBVIE INC. $17.29 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $308.68 19
PY2019 $563.15 37
PY2020 $104.10 5
PY2021 $413.04 25
PY2022 $421.44 24
PY2023 $476.10 27
PY2024 $495.93 28

Payment records · PY2024 (28)

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
ABBVIE INC. $17.29 08/13/2024 Food and Beverage Undisputed 01/23/2026 1106146927 CMS
Amgen Inc. $23.41 03/13/2024 Food and Beverage Undisputed 01/23/2026 1116145813 CMS
Amgen Inc. $17.84 03/22/2024 Food and Beverage Undisputed 01/23/2026 1117690658 CMS
Amgen Inc. $20.73 05/10/2024 Food and Beverage Undisputed 01/23/2026 1117690660 CMS
AstraZeneca Pharmaceuticals LP $26.39 03/26/2024 Food and Beverage Undisputed 01/23/2026 1104743283 CMS
AstraZeneca Pharmaceuticals LP $13.08 07/31/2024 Food and Beverage Undisputed 01/23/2026 1104593708 CMS
AstraZeneca Pharmaceuticals LP $13.36 10/22/2024 Food and Beverage Undisputed 01/23/2026 1104266531 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.86 05/04/2024 Food and Beverage Undisputed 01/23/2026 1086150393 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.11 06/14/2024 Food and Beverage Undisputed 01/23/2026 1086182447 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.54 08/03/2024 Food and Beverage Undisputed 01/23/2026 1086200662 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.51 10/04/2024 Food and Beverage Undisputed 01/23/2026 1086112284 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.29 12/13/2024 Food and Beverage Undisputed 01/23/2026 1086163502 CMS
GlaxoSmithKline, LLC. $15.81 07/10/2024 Food and Beverage Undisputed 01/23/2026 1116491297 CMS
GlaxoSmithKline, LLC. $14.75 09/05/2024 Food and Beverage Undisputed 01/23/2026 1115782505 CMS
GlaxoSmithKline, LLC. $16.75 10/08/2024 Food and Beverage Undisputed 01/23/2026 1116590153 CMS
GlaxoSmithKline, LLC. $23.86 11/06/2024 Food and Beverage Undisputed 01/23/2026 1116430243 CMS
Hologic Sales and Service, LLC $30.92 02/29/2024 Food and Beverage Undisputed 01/23/2026 1084877900 CMS
Hologic Sales and Service, LLC $18.27 08/06/2024 Food and Beverage Undisputed 01/23/2026 1084877980 CMS
Lilly USA, LLC $13.23 03/20/2024 Food and Beverage Undisputed 01/23/2026 1135449149 CMS
Lilly USA, LLC $14.34 03/29/2024 Food and Beverage Undisputed 01/23/2026 1135456359 CMS
Lilly USA, LLC $18.83 06/11/2024 Food and Beverage Undisputed 01/23/2026 1135490654 CMS
Lilly USA, LLC $15.58 08/15/2024 Food and Beverage Undisputed 01/23/2026 1135449151 CMS
Novo Nordisk Inc $13.48 02/07/2024 Food and Beverage Undisputed 01/23/2026 1097479887 CMS
Novo Nordisk Inc $17.40 04/02/2024 Food and Beverage Undisputed 01/23/2026 1096910113 CMS
Novo Nordisk Inc $16.54 09/17/2024 Food and Beverage Undisputed 01/23/2026 1097026802 CMS
PFIZER INC. $16.54 01/09/2024 Food and Beverage Undisputed 01/23/2026 1131154276 CMS
PFIZER INC. $14.99 05/15/2024 Food and Beverage Undisputed 01/23/2026 1131512030 CMS
PFIZER INC. $16.23 09/09/2024 Food and Beverage Undisputed 01/23/2026 1131939149 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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