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

IVAN S AYALA

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1952345944
CMS profile
988693
Location
SAN JUAN, PR

General Payments · PY2018–2024

$4,687.07

  • Reported across 113 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$206.90

9 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 $206.90 9

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
PBG PUERTO RICO LLC $69.90 3
Janssen Pharmaceuticals, Inc $50.00 2
Merck Sharp & Dohme Corporation $40.00 2
E.R. Squibb & Sons, L.L.C. $25.00 1
Amgen Inc. $22.00 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $460.84 16
PY2019 $990.99 23
PY2020 $1,645.26 15
PY2021 $548.61 18
PY2022 $351.26 15
PY2023 $483.21 17
PY2024 $206.90 9

Payment records · PY2024 (9)

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
Amgen Inc. $22.00 03/22/2024 Food and Beverage Undisputed 01/23/2026 1111521059 CMS
E.R. Squibb & Sons, L.L.C. $25.00 06/28/2024 Food and Beverage Undisputed 01/23/2026 1101307565 CMS
Janssen Pharmaceuticals, Inc $25.00 05/17/2024 Food and Beverage Undisputed 01/23/2026 1078171801 CMS
Janssen Pharmaceuticals, Inc $25.00 10/04/2024 Food and Beverage Undisputed 01/23/2026 1078171483 CMS
Merck Sharp & Dohme LLC $20.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1141974080 CMS
Merck Sharp & Dohme LLC $20.00 09/05/2024 Food and Beverage Undisputed 01/23/2026 1141711793 CMS
PBG PUERTO RICO LLC $24.90 02/16/2024 Food and Beverage Undisputed 01/23/2026 1131607395 CMS
PBG PUERTO RICO LLC $25.00 05/31/2024 Food and Beverage Undisputed 01/23/2026 1131607398 CMS
PBG PUERTO RICO LLC $20.00 10/18/2024 Food and Beverage Undisputed 01/23/2026 1131607402 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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