Covered recipient · General Payments record
JOSEPH K FLUENCE
Allopathic & Osteopathic Physicians Anesthesiology Pain Medicine
General Payments · PY2018–2024
$1,477.50
- Reported across 52 records
- CMS publication 2026-01-23
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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $201.97 | 7 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Nevro Corp. | $107.93 | 4 |
| BIOTRONIK NRO, Inc. | $54.71 | 1 |
| Abbott Laboratories | $23.50 | 1 |
| BOSTON SCIENTIFIC CORPORATION | $15.83 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (7)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Abbott Laboratories | $23.50 | 02/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1125353028 | CMS |
| BIOTRONIK NRO, Inc. | $54.71 | 04/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1153859466 | CMS |
| Boston Scientific Corporation | $15.83 | 04/29/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1092736352 | CMS |
| Nevro Corp. | $24.93 | 05/10/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1130742600 | CMS |
| Nevro Corp. | $26.81 | 06/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1130742602 | CMS |
| Nevro Corp. | $23.36 | 08/15/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1130742598 | CMS |
| Nevro Corp. | $32.83 | 09/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1130742498 | 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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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.