IndustryPayments
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

AYHAM SHNEKER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1871557454
CMS profile
175261
Location
SAN ANTONIO, TX

General Payments · PY2018–2024

$12,542.58

  • Reported across 731 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,209.00

68 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.

Related groups: Internal Medicine TX All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,209.00 68

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $263.65 12
Lilly USA, LLC $163.89 9
Novo Nordisk AS $110.88 14
Bayer HealthCare Pharmaceuticals Inc. $108.01 5
Esperion Therapeutics, Inc. $77.93 4
Salix Pharmaceuticals, a division of Bausch Health US, LLC $58.73 3
Astellas Pharma US Inc $47.86 2
Otsuka America Pharmaceutical, Inc. $43.91 2
Sumitomo Pharma America, Inc. $42.82 2
Ardelyx, Inc. $36.80 2
PFIZER INC. $34.12 2
DEXCOM, INC. $24.21 1
Amgen Inc. $23.00 1
Kowa Pharmaceuticals America, Inc. $23.00 1
Abbott Laboratories $22.73 1
SHIELD THERAPEUTICS INC $20.92 1
Takeda Pharmaceuticals U.S.A., Inc. $19.17 1
GlaxoSmithKline, LLC. $18.40 1
Exact Sciences Corporation $18.40 1
Phathom Pharmaceuticals, Inc. $18.04 1
Corcept Therapeutics $17.69 1
ANI Pharmaceuticals, Inc. $14.84 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,407.98 103
PY2019 $2,761.57 127
PY2020 $1,657.95 112
PY2021 $2,397.95 139
PY2022 $1,740.39 107
PY2023 $1,367.74 75
PY2024 $1,209.00 68

Payment records · PY2024 (68)

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
Abbott Laboratories $22.73 06/21/2024 Food and Beverage Undisputed 01/23/2026 1125314174 CMS
ABBVIE INC. $24.21 01/22/2024 Food and Beverage Undisputed 01/23/2026 1106090228 CMS
ABBVIE INC. $6.50 02/09/2024 Food and Beverage Undisputed 01/23/2026 1106090230 CMS
ABBVIE INC. $21.88 03/06/2024 Food and Beverage Undisputed 01/23/2026 1106090232 CMS
ABBVIE INC. $28.75 03/21/2024 Food and Beverage Undisputed 01/23/2026 1106090234 CMS
ABBVIE INC. $30.67 04/16/2024 Food and Beverage Undisputed 01/23/2026 1106090236 CMS
ABBVIE INC. $15.52 05/08/2024 Food and Beverage Undisputed 01/23/2026 1106090238 CMS
ABBVIE INC. $32.86 05/14/2024 Food and Beverage Undisputed 01/23/2026 1106090240 CMS
ABBVIE INC. $11.17 07/02/2024 Food and Beverage Undisputed 01/23/2026 1106090242 CMS
ABBVIE INC. $30.67 07/18/2024 Food and Beverage Undisputed 01/23/2026 1106090244 CMS
ABBVIE INC. $18.41 07/23/2024 Food and Beverage Undisputed 01/23/2026 1106090246 CMS
ABBVIE INC. $32.86 09/16/2024 Food and Beverage Undisputed 01/23/2026 1106090248 CMS
ABBVIE INC. $10.15 10/29/2024 Food and Beverage Undisputed 01/23/2026 1106090250 CMS
Amgen Inc. $23.00 03/04/2024 Food and Beverage Undisputed 01/23/2026 1117382002 CMS
ANI Pharmaceuticals, Inc. $14.84 12/20/2024 Food and Beverage Undisputed 01/23/2026 1091162194 CMS
Ardelyx, Inc. $18.40 06/10/2024 Food and Beverage Undisputed 01/23/2026 1146707834 CMS
Ardelyx, Inc. $18.40 07/22/2024 Food and Beverage Undisputed 01/23/2026 1146707836 CMS
Astellas Pharma US Inc $24.49 01/09/2024 Food and Beverage Undisputed 01/23/2026 1139263408 CMS
Astellas Pharma US Inc $23.37 04/01/2024 Food and Beverage Undisputed 01/23/2026 1139307728 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.04 07/18/2024 Food and Beverage Undisputed 01/23/2026 1086234802 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.40 08/28/2024 Food and Beverage Undisputed 01/23/2026 1086186586 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.91 10/18/2024 Food and Beverage Undisputed 01/23/2026 1086118608 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.91 10/18/2024 Food and Beverage Undisputed 01/23/2026 1086159004 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.75 12/18/2024 Food and Beverage Undisputed 01/23/2026 1086241380 CMS
Corcept Therapeutics $17.69 02/22/2024 Food and Beverage Undisputed 01/23/2026 1117759169 CMS
Dexcom, Inc. $24.21 04/04/2024 Food and Beverage Undisputed 01/23/2026 1153284337 CMS
Esperion Therapeutics, Inc. $18.40 01/12/2024 Food and Beverage Undisputed 01/23/2026 1129455310 CMS
Esperion Therapeutics, Inc. $20.00 05/21/2024 Food and Beverage Undisputed 01/23/2026 1129455312 CMS
Esperion Therapeutics, Inc. $20.00 06/18/2024 Food and Beverage Undisputed 01/23/2026 1129455314 CMS
Esperion Therapeutics, Inc. $19.53 08/19/2024 Food and Beverage Undisputed 01/23/2026 1129455316 CMS
Exact Sciences Corporation $18.40 04/29/2024 Food and Beverage Undisputed 01/23/2026 1114896180 CMS
GlaxoSmithKline, LLC. $18.40 10/03/2024 Food and Beverage Undisputed 01/23/2026 1116574008 CMS
Kowa Pharmaceuticals America, Inc. $23.00 12/09/2024 Food and Beverage Undisputed 01/23/2026 1113470561 CMS
Lilly USA, LLC $18.41 01/11/2024 Food and Beverage Undisputed 01/23/2026 1136060392 CMS
Lilly USA, LLC $18.41 03/09/2024 Food and Beverage Undisputed 01/23/2026 1136062778 CMS
Lilly USA, LLC $18.41 04/25/2024 Food and Beverage Undisputed 01/23/2026 1136054490 CMS
Lilly USA, LLC $18.41 05/17/2024 Food and Beverage Undisputed 01/23/2026 1136070647 CMS
Lilly USA, LLC $18.40 05/23/2024 Food and Beverage Undisputed 01/23/2026 1136058610 CMS
Lilly USA, LLC $18.41 09/18/2024 Food and Beverage Undisputed 01/23/2026 1136054492 CMS
Lilly USA, LLC $17.69 10/08/2024 Food and Beverage Undisputed 01/23/2026 1136059498 CMS
Lilly USA, LLC $14.84 11/11/2024 Food and Beverage Undisputed 01/23/2026 1136054488 CMS
Lilly USA, LLC $20.91 11/19/2024 Food and Beverage Undisputed 01/23/2026 1136059344 CMS
Novo Nordisk Inc $3.27 01/19/2024 Food and Beverage Undisputed 01/23/2026 1097078733 CMS
Novo Nordisk Inc $17.27 02/23/2024 Food and Beverage Undisputed 01/23/2026 1096981425 CMS
Novo Nordisk Inc $6.85 03/29/2024 Food and Beverage Undisputed 01/23/2026 1097679217 CMS
Novo Nordisk Inc $3.84 04/05/2024 Food and Beverage Undisputed 01/23/2026 1097517403 CMS
Novo Nordisk Inc $4.35 06/14/2024 Food and Beverage Undisputed 01/23/2026 1097679234 CMS
Novo Nordisk Inc $4.45 07/12/2024 Food and Beverage Undisputed 01/23/2026 1096833825 CMS
Novo Nordisk Inc $4.56 07/19/2024 Food and Beverage Undisputed 01/23/2026 1097078739 CMS
Novo Nordisk Inc $4.85 08/16/2024 Food and Beverage Undisputed 01/23/2026 1096833829 CMS
Novo Nordisk Inc $5.65 09/06/2024 Food and Beverage Undisputed 01/23/2026 1096833833 CMS
Novo Nordisk Inc $4.92 09/13/2024 Food and Beverage Undisputed 01/23/2026 1097327196 CMS
Novo Nordisk Inc $18.41 09/26/2024 Food and Beverage Undisputed 01/23/2026 1096577187 CMS
Novo Nordisk Inc $16.19 11/05/2024 Food and Beverage Undisputed 01/23/2026 1096886073 CMS
Novo Nordisk Inc $4.58 12/03/2024 Food and Beverage Undisputed 01/23/2026 1097327202 CMS
Novo Nordisk Inc $11.69 12/20/2024 Food and Beverage Undisputed 01/23/2026 1096902667 CMS
Otsuka America Pharmaceutical, Inc. $20.91 05/10/2024 Food and Beverage Undisputed 01/23/2026 1118982002 CMS
Otsuka America Pharmaceutical, Inc. $23.00 11/18/2024 Food and Beverage Undisputed 01/23/2026 1118982004 CMS
PFIZER INC. $16.43 07/16/2024 Food and Beverage Undisputed 01/23/2026 1131649421 CMS
PFIZER INC. $17.69 11/08/2024 Food and Beverage Undisputed 01/23/2026 1131180145 CMS
Phathom Pharmaceuticals, Inc. $18.04 08/15/2024 Food and Beverage Undisputed 01/23/2026 1151125787 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.56 02/14/2024 Food and Beverage Undisputed 01/23/2026 1153699487 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.00 03/28/2024 Food and Beverage Undisputed 01/23/2026 1153408601 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.17 11/20/2024 Food and Beverage Undisputed 01/23/2026 1153584553 CMS
SHIELD THERAPEUTICS INC $20.92 05/06/2024 Food and Beverage Undisputed 01/23/2026 1150129854 CMS
Sumitomo Pharma America, Inc. $21.91 10/29/2024 Food and Beverage Undisputed 01/23/2026 1148919687 CMS
Sumitomo Pharma America, Inc. $20.91 12/03/2024 Food and Beverage Undisputed 01/23/2026 1148919689 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.17 12/06/2024 Food and Beverage Undisputed 01/23/2026 1137675201 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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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