Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

AYHAM SHNEKER

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1871557454
CMS profile
175261
Location
SAN ANTONIO, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2019 · Entire year

$2,761.57

127 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

Other CMS categories — not shown on this page

Research Payments

CMS also publishes Research Payments as a separate dataset. This site does not currently mirror it, and no research figure is shown on this page. This provider appears in that dataset.

“If you are a physician who served as a principal investigator on a research study, you may see the payments associated with that research study listed under your name. This does not necessarily mean the payments are attributed to you. The dollar amount of the record corresponds to the total payment; the amounts are not attributed to each individual on the record.”

— Centers for Medicare & Medicaid Services, Open Payments Frequently Asked Questions, FAQ #12224

These records are published by CMS and can be viewed on this provider’s official CMS record. View this provider on CMS Open Payments ↗

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2019 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,886.40 124
Travel and Lodging $875.17 3

By paying entity

PY2019 · entire year · sorted by reported total

Page 1 of 3; records 1–50 of 127 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

AYHAM SHNEKER

NPI 1871557454 · CMS profile ID 175261

Allopathic & Osteopathic Physicians / Internal Medicine

SAN ANTONIO, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 3; records 1–50 of 127 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1871557454?year=2019&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
AYHAM SHNEKER, NPI 1871557454, CMS profile ID 175261. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 3; records 1–50 of 127 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1871557454?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
APA 7
IndustryPayments. (2026). AYHAM SHNEKER, NPI 1871557454, CMS profile ID 175261. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 3; records 1–50 of 127 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1871557454?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
Bluebook
AYHAM SHNEKER, NPI 1871557454, CMS profile ID 175261, IndustryPayments, General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 3; records 1–50 of 127 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e. https://industrypayments.org/provider/npi-1871557454?year=2019&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2019

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2019 · Physicians and non-physician practitioners · CMS publication 2026-06-30

127 matching records · $2,761.57 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 127 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 127.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Amgen Inc. $20.8512/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 662200449 CMS
Lilly USA, LLC $12.2312/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 657689909 CMS
Astellas Pharma US Inc $13.3512/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655760791 CMS
Amarin Pharma Inc. $14.0012/03/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 699269323 CMS
Amgen Inc. $22.1711/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 662200447 CMS
GlaxoSmithKline, LLC. $17.2111/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671220525 CMS
Currax Pharmaceuticals LLC $10.9011/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 705520853 CMS
Lilly USA, LLC $12.9111/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 657676009 CMS
Allergan Inc. $7.2411/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136679 CMS
AstraZeneca Pharmaceuticals LP $11.9511/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 688766767 CMS
Genentech USA, Inc. $19.1611/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 708841789 CMS
Novartis Pharmaceuticals Corporation $16.9710/31/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 659986995 CMS
Allergan Inc. $4.2210/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136677 CMS
AstraZeneca Pharmaceuticals LP $11.2010/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 688766059 CMS
Amgen Inc. $20.5210/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 662200445 CMS
SANOFI-AVENTIS U.S. LLC $19.6510/24/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 694186355 CMS
Lilly USA, LLC $11.2610/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 657700261 CMS
SANOFI-AVENTIS U.S. LLC $11.5510/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 694181459 CMS
Astellas Pharma US Inc $12.8710/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655760789 CMS
Allergan Inc. $5.2410/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136673 CMS
Regeneron Healthcare Solutions, Inc. $12.4910/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 673476205 CMS
Amgen Inc. $17.8510/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 662200465 CMS
Allergan Inc. $3.9210/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136671 CMS
Allergan Inc. $3.9510/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136667 CMS
AstraZeneca Pharmaceuticals LP $14.7110/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 688749259 CMS
Novo Nordisk Inc $4.3310/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 682860879 CMS
Allergan Inc. $1.9510/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136663 CMS
PFIZER INC. $12.6710/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 673132607 CMS
AstraZeneca Pharmaceuticals LP $16.2610/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 688769591 CMS
Janssen Pharmaceuticals, Inc $18.3909/30/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 659289497 CMS
Novo Nordisk Inc $13.4209/28/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 674576865 CMS
Allergan Inc. $4.2709/23/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136661 CMS
Allergan Inc. $18.0809/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136657 CMS
Amarin Pharma Inc. $15.6409/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 699222139 CMS
Lilly USA, LLC $12.2009/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 657693385 CMS
Amgen Inc. $18.8709/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 662200443 CMS
Allergan Inc. $8.1509/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136651 CMS
Allergan Inc. $3.4609/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136655 CMS
Novo Nordisk AS $156.5409/11/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 703543085 CMS
Novo Nordisk AS $552.4909/11/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 703543087 CMS
Novo Nordisk AS $166.1409/11/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 703543089 CMS
Novo Nordisk AS $222.6209/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 703544499 CMS
AbbVie, Inc. $18.6909/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 647806467 CMS
Janssen Pharmaceuticals, Inc $17.9809/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 659289495 CMS
Ironwood Pharmaceuticals, Inc $13.5309/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 709223577 CMS
Amgen Inc. $13.2509/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 662200463 CMS
PFIZER INC. $14.5909/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 672572717 CMS
Allergan Inc. $2.3108/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671136649 CMS
GlaxoSmithKline, LLC. $4.0508/27/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 670285445 CMS
Merck Sharp & Dohme Corporation $12.4108/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 695691711 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
PY2025 $826.24 49

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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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.