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

AVIE A GRUNSPAN

Allopathic & Osteopathic Physicians Internal Medicine Sleep Medicine

NPI
1881695542
CMS profile
220918
Location
SAN ANTONIO, TX

General Payments · PY2018–2024

$3,117.66

  • Reported across 136 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$686.92

26 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 $686.92 26

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $200.46 7
PY2019 $562.15 22
PY2020 $130.32 7
PY2021 $184.29 9
PY2022 $524.64 20
PY2023 $828.88 45
PY2024 $686.92 26

Payment records · PY2024 (26)

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
Avadel CNS Pharmaceuticals, LLC $19.54 01/17/2024 Food and Beverage Undisputed 01/23/2026 1123381856 CMS
Avadel CNS Pharmaceuticals, LLC $19.34 02/13/2024 Food and Beverage Undisputed 01/23/2026 1123381858 CMS
Avadel CNS Pharmaceuticals, LLC $21.86 03/20/2024 Food and Beverage Undisputed 01/23/2026 1123381860 CMS
Avadel CNS Pharmaceuticals, LLC $21.07 04/24/2024 Food and Beverage Undisputed 01/23/2026 1123381862 CMS
Avadel CNS Pharmaceuticals, LLC $19.39 05/29/2024 Food and Beverage Undisputed 01/23/2026 1123381864 CMS
Axsome Therapeutics, Inc. $22.83 02/07/2024 Food and Beverage Undisputed 01/23/2026 1148266329 CMS
Axsome Therapeutics, Inc. $15.19 05/22/2024 Food and Beverage Undisputed 01/23/2026 1148266331 CMS
Azurity Pharmaceuticals, Inc. $13.17 08/07/2024 Food and Beverage Undisputed 01/23/2026 1134006477 CMS
Fisher & Paykel Healthcare Inc $35.83 06/13/2024 Food and Beverage Undisputed 01/23/2026 1143838154 CMS
Fisher & Paykel Healthcare Inc $41.06 10/23/2024 Food and Beverage Undisputed 01/23/2026 1143844296 CMS
HARMONY BIOSCIENCES LLC $20.16 01/10/2024 Food and Beverage Undisputed 01/23/2026 1126092014 CMS
HARMONY BIOSCIENCES LLC $4.55 01/10/2024 Food and Beverage Undisputed 01/23/2026 1126092018 CMS
HARMONY BIOSCIENCES LLC $26.64 02/07/2024 Food and Beverage Undisputed 01/23/2026 1126092010 CMS
HARMONY BIOSCIENCES LLC $31.09 03/06/2024 Food and Beverage Undisputed 01/23/2026 1126092006 CMS
HARMONY BIOSCIENCES LLC $21.36 04/03/2024 Food and Beverage Undisputed 01/23/2026 1126092012 CMS
HARMONY BIOSCIENCES LLC $27.92 05/01/2024 Food and Beverage Undisputed 01/23/2026 1126092008 CMS
HARMONY BIOSCIENCES LLC $16.66 07/31/2024 Food and Beverage Undisputed 01/23/2026 1126092016 CMS
HARMONY BIOSCIENCES LLC $124.99 11/21/2024 Food and Beverage Undisputed 01/23/2026 1126092004 CMS
IDORSIA PHARMACEUTICALS US INC $19.56 06/26/2024 Food and Beverage Undisputed 01/23/2026 1146759422 CMS
IDORSIA PHARMACEUTICALS US INC $22.36 08/21/2024 Food and Beverage Undisputed 01/23/2026 1146790995 CMS
IDORSIA PHARMACEUTICALS US INC $14.36 09/25/2024 Food and Beverage Undisputed 01/23/2026 1146781572 CMS
JAZZ PHARMACEUTICALS INC. $28.79 07/03/2024 Food and Beverage Undisputed 01/23/2026 1150236644 CMS
JAZZ PHARMACEUTICALS INC. $22.30 08/14/2024 Food and Beverage Undisputed 01/23/2026 1150236648 CMS
JAZZ PHARMACEUTICALS INC. $26.86 10/02/2024 Food and Beverage Undisputed 01/23/2026 1150236650 CMS
JAZZ PHARMACEUTICALS INC. $25.14 10/16/2024 Food and Beverage Undisputed 01/23/2026 1150236646 CMS
Vanda Pharmaceuticals Inc. $24.90 01/24/2024 Food and Beverage Undisputed 01/23/2026 1133904405 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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