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

RALPH J LAGUARDIA

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1902805781
CMS profile
130931
Location
MANSFIELD CENTER, CT

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 · PY2020 · Entire year

$2,354.45

182 records · 0 disputed

Summary and payment records

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

“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

PY2020 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,354.45 182

By paying entity

PY2020 · entire year · sorted by reported total

Page 2 of 4; records 51–100 of 182 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

RALPH J LAGUARDIA

NPI 1902805781 · CMS profile ID 130931

Allopathic & Osteopathic Physicians / Internal Medicine

MANSFIELD CENTER, CT

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, PY2020; 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 2 of 4; records 51–100 of 182 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1902805781?year=2020&recipient=provider&page=2#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/a08c4b30-5cf3-4948-ad40-36f404619019

Cite these filtered records

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

Plain
RALPH J LAGUARDIA, NPI 1902805781, CMS profile ID 130931. General Payments, PY2020; 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 2 of 4; records 51–100 of 182 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1902805781?year=2020&recipient=provider&page=2#records-h. Source: https://openpaymentsdata.cms.gov/dataset/a08c4b30-5cf3-4948-ad40-36f404619019.
APA 7
IndustryPayments. (2026). RALPH J LAGUARDIA, NPI 1902805781, CMS profile ID 130931. General Payments, PY2020; 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 2 of 4; records 51–100 of 182 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1902805781?year=2020&recipient=provider&page=2#records-h. Source: https://openpaymentsdata.cms.gov/dataset/a08c4b30-5cf3-4948-ad40-36f404619019.
Bluebook
RALPH J LAGUARDIA, NPI 1902805781, CMS profile ID 130931, IndustryPayments, General Payments, PY2020; 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 2 of 4; records 51–100 of 182 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/a08c4b30-5cf3-4948-ad40-36f404619019. https://industrypayments.org/provider/npi-1902805781?year=2020&recipient=provider&page=2#records-h.

Centers for Medicare & Medicaid Services, Open Payments

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

Payment records · PY2020

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

General Payments · PY2020 · Physicians and non-physician practitioners · CMS publication 2026-06-30

182 matching records · $2,354.45 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 182 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 51–100 of 182.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
AstraZeneca Pharmaceuticals LP $16.9710/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735874245 CMS
Merck Sharp & Dohme Corporation $20.3610/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747777069 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.9710/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246241 CMS
ARBOR PHARMACEUTICALS, INC. $4.1710/07/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735740423 CMS
Novo Nordisk Inc $7.2410/07/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745155277 CMS
Amgen Inc. $18.3810/06/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 741270167 CMS
Novo Nordisk Inc $3.7710/06/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745155273 CMS
Eisai Inc. $14.9310/05/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 751234235 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.4610/05/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246235 CMS
AstraZeneca Pharmaceuticals LP $9.8110/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736042683 CMS
Allergan, Inc. $4.7209/30/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 723270691 CMS
Allergan, Inc. $12.9509/29/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 723270689 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.1409/28/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246229 CMS
Allergan, Inc. $4.7709/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 723270687 CMS
Novo Nordisk Inc $14.2509/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745158463 CMS
Lilly USA, LLC $10.9709/21/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 728610325 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.7709/21/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246225 CMS
ARBOR PHARMACEUTICALS, INC. $24.7609/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735740399 CMS
Novo Nordisk Inc $5.3209/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745151755 CMS
AbbVie Inc. $23.8809/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 721969019 CMS
Allergan, Inc. $4.4009/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 723270685 CMS
Astellas Pharma US Inc $21.6009/15/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 718346319 CMS
GlaxoSmithKline, LLC. $20.7809/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 738769547 CMS
Kowa Pharmaceuticals America, Inc. $12.5009/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 716742685 CMS
Novo Nordisk Inc $8.4209/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745151633 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.0809/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246219 CMS
ARBOR PHARMACEUTICALS, INC. $5.0109/10/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735740401 CMS
AstraZeneca Pharmaceuticals LP $11.5509/10/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736164331 CMS
PFIZER INC. $24.4709/10/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 743414125 CMS
ARBOR PHARMACEUTICALS, INC. $8.5909/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735740403 CMS
Lilly USA, LLC $24.7409/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 728589243 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.6508/31/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246209 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.3408/31/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246213 CMS
Merck Sharp & Dohme Corporation $18.0408/27/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747741477 CMS
AstraZeneca Pharmaceuticals LP $17.4108/26/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 736162559 CMS
Janssen Pharmaceuticals, Inc $11.1108/26/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 719363859 CMS
Allergan, Inc. $15.3108/24/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 723270683 CMS
Alfasigma USA, Inc. $22.8408/20/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 723132441 CMS
Novo Nordisk Inc $8.8608/19/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745146035 CMS
SANOFI-AVENTIS U.S. LLC $16.7508/18/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 744101787 CMS
Novo Nordisk Inc $1.2108/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745146331 CMS
Novo Nordisk Inc $13.2208/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745146333 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.7908/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246205 CMS
Novo Nordisk Inc $9.0108/13/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 745146029 CMS
Astellas Pharma US Inc $16.8508/12/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 718346317 CMS
Allergan, Inc. $13.9308/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 723270681 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.3908/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 737560071 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.7308/07/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 747246199 CMS
ARBOR PHARMACEUTICALS, INC. $9.7308/05/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 735740387 CMS
Allergan, Inc. $10.7207/29/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 723270679 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $2,220.13 210
PY2020 $2,354.45 182
PY2021 $4,840.52 307
PY2022 $5,019.17 306
PY2023 $5,753.71 332
PY2024 $6,585.29 356
PY2025 $6,208.33 339

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

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.