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

RAFAEL GONZALEZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1902265788
CMS profile
11068768
Location
HOUSTON, TX

General Payments · PY2021–2024

$2,581.74

  • Reported across 26 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$819.20

7 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 $819.20 7

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $671.06 6
Insmed, Inc. $148.14 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $870.42 9
PY2022 $464.42 5
PY2023 $427.70 5
PY2024 $819.20 7

Payment records · PY2024 (7)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 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
AstraZeneca Pharmaceuticals LP $100.04 03/08/2024 Food and Beverage Undisputed 01/23/2026 1104614478 CMS
AstraZeneca Pharmaceuticals LP $124.99 05/09/2024 Food and Beverage Undisputed 01/23/2026 1104481714 CMS
AstraZeneca Pharmaceuticals LP $125.01 05/16/2024 Food and Beverage Undisputed 01/23/2026 1104700533 CMS
AstraZeneca Pharmaceuticals LP $121.16 05/22/2024 Food and Beverage Undisputed 01/23/2026 1104486688 CMS
AstraZeneca Pharmaceuticals LP $103.67 05/24/2024 Food and Beverage Undisputed 01/23/2026 1104234417 CMS
AstraZeneca Pharmaceuticals LP $96.19 08/08/2024 Food and Beverage Undisputed 01/23/2026 1104571792 CMS
Insmed, Inc. $148.14 04/25/2024 Food and Beverage Undisputed 01/23/2026 1089574940 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, 2022, 2023, 2024
Source files
Dataset page · Bulk file · 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.

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.