Covered recipient · General Payments record
ROBERT A REFF
Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry
General Payments · PY2018–2020
$1,070.83
- Reported across 74 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
PY2020 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $129.79 | 7 |
| Education | $40.00 | 1 |
By paying entity
PY2020 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Allergan Inc. | $62.73 | 3 |
| Otsuka America Pharmaceutical, Inc. | $40.57 | 2 |
| Alfasigma USA, Inc. | $34.90 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $31.59 | 2 |
By program year
All program years on this page · sorted by year
Payment records · PY2020 (8)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Alfasigma USA, Inc. | $34.90 | 01/22/2020 | Food and Beverage | Undisputed | 01/23/2026 | 723132493 | CMS |
| Allergan, Inc. | $11.28 | 07/14/2020 | Food and Beverage | Undisputed | 01/23/2026 | 723662679 | CMS |
| Allergan, Inc. | $11.45 | 07/28/2020 | Food and Beverage | Undisputed | 01/23/2026 | 723662681 | CMS |
| Allergan, Inc. | $40.00 | 09/09/2020 | Education | Undisputed | 01/23/2026 | 723662683 | CMS |
| Otsuka America Pharmaceutical, Inc. | $19.50 | 01/08/2020 | Food and Beverage | Undisputed | 01/23/2026 | 748779553 | CMS |
| Otsuka America Pharmaceutical, Inc. | $21.07 | 01/29/2020 | Food and Beverage | Undisputed | 01/23/2026 | 748779559 | CMS |
| Takeda Pharmaceuticals U.S.A., Inc. | $17.94 | 02/05/2020 | Food and Beverage | Undisputed | 01/23/2026 | 747287751 | CMS |
| Takeda Pharmaceuticals U.S.A., Inc. | $13.65 | 02/26/2020 | Food and Beverage | Undisputed | 01/23/2026 | 747287753 | 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
- Source files
- Dataset page · Bulk file · PY2018 , PY2019 , PY2020
- Generated from
- OP_DTL_GNRL_PGYR2020_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.