Covered recipient · General Payments record
RUBY LIBU VARKEY
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2024
$1,230.94
- Reported across 26 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
PY2024 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $719.65 | 16 |
| Education | $89.99 | 1 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Janssen Biotech, Inc. | $297.81 | 5 |
| Astellas Pharma US Inc | $210.85 | 5 |
| Kite Pharma, Inc. | $137.00 | 1 |
| PFIZER INC. | $60.90 | 2 |
| Merck Sharp & Dohme Corporation | $28.87 | 1 |
| ABBVIE INC. | $27.30 | 1 |
| SOBI, INC | $25.15 | 1 |
| Janssen Scientific Affairs, LLC | $21.76 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (17)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| ABBVIE INC. | $27.30 | 08/27/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1108350974 | CMS |
| Astellas Pharma US Inc | $23.54 | 08/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139534830 | CMS |
| Astellas Pharma US Inc | $33.80 | 09/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139538108 | CMS |
| Astellas Pharma US Inc | $89.99 | 10/30/2024 | Education | Undisputed | 01/23/2026 | 1139546291 | CMS |
| Astellas Pharma US Inc | $32.01 | 10/30/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139551385 | CMS |
| Astellas Pharma US Inc | $31.51 | 11/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139556099 | CMS |
| Janssen Biotech, Inc. | $81.80 | 01/09/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078729438 | CMS |
| Janssen Biotech, Inc. | $119.94 | 05/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078723555 | CMS |
| Janssen Biotech, Inc. | $33.06 | 05/29/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078731578 | CMS |
| Janssen Biotech, Inc. | $33.79 | 09/05/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078727312 | CMS |
| Janssen Biotech, Inc. | $29.22 | 11/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078731495 | CMS |
| Janssen Scientific Affairs, LLC | $21.76 | 08/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1078860223 | CMS |
| Kite Pharma, Inc. | $137.00 | 09/05/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1128613089 | CMS |
| Merck Sharp & Dohme LLC | $28.87 | 10/31/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1141942029 | CMS |
| PFIZER INC. | $24.68 | 02/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1131438315 | CMS |
| PFIZER INC. | $36.22 | 03/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1131528199 | CMS |
| SOBI, INC | $25.15 | 02/22/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1141416916 | 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
- 2021, 2023, 2024
- Source files
- Dataset page · Bulk file · PY2021 , PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_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.