Covered recipient · General Payments record

RAFAEL O HERNANDEZ

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1982667812
CMS profile: 271346
Location: FREDERICKSBURG, VA

General Payments · PY2018–2024

$16,866.42

Reported across 1,218 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,624.93

155 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 payment	Amount	Records
Food and Beverage	$2,624.93	155

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Amgen Inc.	$358.77	9
Novo Nordisk AS	$347.45	17
ABBVIE INC.	$304.80	39
Acerta Pharma LLC	$227.21	14
PFIZER INC.	$208.73	17
Lilly USA, LLC	$150.46	7
Astellas Pharma US Inc	$94.28	5
ITI, Inc.	$92.78	6
Axsome Therapeutics, Inc.	$81.06	4
NOVARTIS PHARMACEUTICALS CORPORATION	$76.76	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$72.30	3
GlaxoSmithKline, LLC.	$71.84	4
Exact Sciences Corporation	$70.19	3
Sumitomo Pharma America, Inc.	$55.95	2
Abbott Laboratories	$54.02	3
Lundbeck LLC	$50.75	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$40.84	2
DEXCOM, INC.	$39.49	2
Philips Electronics North America Corporation	$37.61	2
E.R. Squibb & Sons, L.L.C.	$34.30	2
Bayer HealthCare Pharmaceuticals Inc.	$30.72	2
Daiichi Sankyo Inc.	$25.51	1
Janssen Pharmaceuticals, Inc	$21.51	1
Merck Sharp & Dohme Corporation	$17.53	1
Edwards Lifesciences Corporation	$17.13	1
TOLMAR, INC.	$15.31	1
Takeda Pharmaceuticals U.S.A., Inc.	$13.98	1
Ardelyx, Inc.	$13.65	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,450.86	222
PY2019	$2,106.79	154
PY2020	$1,821.96	133
PY2021	$2,737.67	193
PY2022	$2,735.74	198
PY2023	$2,388.47	163
PY2024	$2,624.93	155

Payment records · PY2024 (155)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
Abbott Laboratories	$19.03	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1125370600	CMS
Abbott Laboratories	$16.75	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1125370604	CMS
Abbott Laboratories	$18.24	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1125370608	CMS
ABBVIE INC.	$8.48	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1103910176	CMS
ABBVIE INC.	$7.04	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1103910178	CMS
ABBVIE INC.	$5.26	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1103910180	CMS
ABBVIE INC.	$8.32	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1103910182	CMS
ABBVIE INC.	$9.32	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1103910184	CMS
ABBVIE INC.	$9.62	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1103910186	CMS
ABBVIE INC.	$5.64	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1103910188	CMS
ABBVIE INC.	$6.27	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1103910190	CMS
ABBVIE INC.	$6.63	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1103910192	CMS
ABBVIE INC.	$4.29	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1103910194	CMS
ABBVIE INC.	$9.34	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1103910196	CMS
ABBVIE INC.	$13.78	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1103910198	CMS
ABBVIE INC.	$6.51	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1103910200	CMS
ABBVIE INC.	$0.69	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1103910202	CMS
ABBVIE INC.	$6.97	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1103910204	CMS
ABBVIE INC.	$7.06	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1103910206	CMS
ABBVIE INC.	$10.20	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1103910208	CMS
ABBVIE INC.	$5.76	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1103910210	CMS
ABBVIE INC.	$8.74	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1103910212	CMS
ABBVIE INC.	$3.24	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1103910214	CMS
ABBVIE INC.	$7.55	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1103910216	CMS
ABBVIE INC.	$11.25	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1103910218	CMS
ABBVIE INC.	$6.02	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1103910220	CMS
ABBVIE INC.	$8.56	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1103910222	CMS
ABBVIE INC.	$6.84	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1103910224	CMS
ABBVIE INC.	$7.74	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1103910226	CMS
ABBVIE INC.	$8.71	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1103910228	CMS
ABBVIE INC.	$7.95	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1103910230	CMS
ABBVIE INC.	$2.10	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1103910232	CMS
ABBVIE INC.	$6.54	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1103910234	CMS
ABBVIE INC.	$7.29	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1103910236	CMS
ABBVIE INC.	$7.95	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1103910238	CMS
ABBVIE INC.	$9.88	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1103910240	CMS
ABBVIE INC.	$5.42	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1103910242	CMS
ABBVIE INC.	$6.37	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1103910244	CMS
ABBVIE INC.	$8.17	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1103910246	CMS
ABBVIE INC.	$15.11	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1103910248	CMS
ABBVIE INC.	$6.74	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1103910250	CMS
ABBVIE INC.	$21.45	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1103910252	CMS
Amgen Inc.	$15.88	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1117577392	CMS
Amgen Inc.	$20.04	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1115717357	CMS
Amgen Inc.	$124.99	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1115717377	CMS
Amgen Inc.	$15.02	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1117577394	CMS
Amgen Inc.	$125.00	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1115717387	CMS
Amgen Inc.	$12.50	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1117577396	CMS
Amgen Inc.	$17.41	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1115717368	CMS
Amgen Inc.	$13.14	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1117577398	CMS
Amgen Inc.	$14.79	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1117577400	CMS
Ardelyx, Inc.	$13.65	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1146684852	CMS
Astellas Pharma US Inc	$16.61	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1139296436	CMS
Astellas Pharma US Inc	$17.76	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1139325440	CMS
Astellas Pharma US Inc	$19.13	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1139367797	CMS
Astellas Pharma US Inc	$19.13	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1139299162	CMS
Astellas Pharma US Inc	$21.65	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1139373403	CMS
AstraZeneca Pharmaceuticals LP	$13.74	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1104517378	CMS
AstraZeneca Pharmaceuticals LP	$24.99	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1105566564	CMS
AstraZeneca Pharmaceuticals LP	$15.76	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1104281759	CMS
AstraZeneca Pharmaceuticals LP	$22.66	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1105544047	CMS
AstraZeneca Pharmaceuticals LP	$13.94	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1105450145	CMS
AstraZeneca Pharmaceuticals LP	$17.69	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1104648055	CMS
AstraZeneca Pharmaceuticals LP	$14.77	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1104668589	CMS
AstraZeneca Pharmaceuticals LP	$14.26	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1105747299	CMS
AstraZeneca Pharmaceuticals LP	$13.51	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1105850680	CMS
AstraZeneca Pharmaceuticals LP	$15.76	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1105223850	CMS
AstraZeneca Pharmaceuticals LP	$14.26	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1104297864	CMS
AstraZeneca Pharmaceuticals LP	$13.27	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1104417817	CMS
AstraZeneca Pharmaceuticals LP	$16.90	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1104346248	CMS
AstraZeneca Pharmaceuticals LP	$15.70	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1104484116	CMS
Axsome Therapeutics, Inc.	$23.48	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1148312420	CMS
Axsome Therapeutics, Inc.	$21.29	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1148312422	CMS
Axsome Therapeutics, Inc.	$16.02	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1148312424	CMS
Axsome Therapeutics, Inc.	$20.27	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1148312426	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.36	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1086125470	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.36	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1086211819	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.28	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1118261371	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.06	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1118261373	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$28.96	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1118261375	CMS
Daiichi Sankyo Inc.	$25.51	03/16/2024	Food and Beverage	Undisputed	01/23/2026	1089433222	CMS
Dexcom, Inc.	$20.89	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1153329017	CMS
Dexcom, Inc.	$18.60	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1153329019	CMS
E.R. Squibb & Sons, L.L.C.	$16.62	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1101774702	CMS
E.R. Squibb & Sons, L.L.C.	$17.68	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1101774717	CMS
Edwards Lifesciences Corporation	$17.13	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1138865201	CMS
Exact Sciences Corporation	$22.60	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1114700552	CMS
Exact Sciences Corporation	$24.01	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1114700556	CMS
Exact Sciences Corporation	$23.58	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1114700562	CMS
GlaxoSmithKline, LLC.	$16.84	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1116689004	CMS
GlaxoSmithKline, LLC.	$14.67	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1116287706	CMS
GlaxoSmithKline, LLC.	$20.01	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1116452113	CMS
GlaxoSmithKline, LLC.	$20.32	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1116385536	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.08	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1143242445	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$14.64	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1143242449	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.19	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1143242452	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$13.35	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1143242456	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.02	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1143242460	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$14.50	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1143242463	CMS
Janssen Pharmaceuticals, Inc	$21.51	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1078239011	CMS
Lilly USA, LLC	$21.35	01/27/2024	Food and Beverage	Undisputed	01/23/2026	1135307049	CMS
Lilly USA, LLC	$22.85	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1135330129	CMS
Lilly USA, LLC	$22.72	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1135330134	CMS
Lilly USA, LLC	$19.27	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1135307053	CMS
Lilly USA, LLC	$23.13	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1135295102	CMS
Lilly USA, LLC	$24.76	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1135201640	CMS
Lilly USA, LLC	$16.38	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1135295106	CMS
Lundbeck LLC	$24.31	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1145924682	CMS
Lundbeck LLC	$26.44	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1145924684	CMS
Merck Sharp & Dohme LLC	$17.53	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1141637652	CMS
Novartis Pharmaceuticals Corporation	$25.75	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1086911689	CMS
Novartis Pharmaceuticals Corporation	$26.96	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1086911713	CMS
Novartis Pharmaceuticals Corporation	$24.05	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1086911725	CMS
Novo Nordisk Inc	$19.75	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1097062138	CMS
Novo Nordisk Inc	$21.32	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1097713285	CMS
Novo Nordisk Inc	$15.55	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1097777771	CMS
Novo Nordisk Inc	$20.91	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1097820168	CMS
Novo Nordisk Inc	$21.25	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1097148127	CMS
Novo Nordisk Inc	$15.93	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1096629114	CMS
Novo Nordisk Inc	$21.78	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1097431475	CMS
Novo Nordisk Inc	$23.16	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1097022465	CMS
Novo Nordisk Inc	$23.76	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1097549270	CMS
Novo Nordisk Inc	$16.59	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1097509980	CMS
Novo Nordisk Inc	$22.26	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1097325355	CMS
Novo Nordisk Inc	$26.99	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1097076899	CMS
Novo Nordisk Inc	$22.81	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1096990779	CMS
Novo Nordisk Inc	$23.91	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1096613674	CMS
Novo Nordisk Inc	$16.73	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1096624466	CMS
Novo Nordisk Inc	$12.71	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1097539339	CMS
Novo Nordisk Inc	$22.04	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1096933323	CMS
PFIZER INC.	$13.99	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1131532322	CMS
PFIZER INC.	$5.72	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1131908379	CMS
PFIZER INC.	$5.84	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1131921381	CMS
PFIZER INC.	$5.35	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1131991689	CMS
PFIZER INC.	$14.49	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1131662806	CMS
PFIZER INC.	$5.81	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1130882896	CMS
PFIZER INC.	$5.66	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131990535	CMS
PFIZER INC.	$11.87	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1131945880	CMS
PFIZER INC.	$5.65	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1131984117	CMS
PFIZER INC.	$19.48	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1131886317	CMS
PFIZER INC.	$14.55	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1131881531	CMS
PFIZER INC.	$17.10	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1131863545	CMS
PFIZER INC.	$23.17	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1131975707	CMS
PFIZER INC.	$14.79	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1131956363	CMS
PFIZER INC.	$5.52	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1131081643	CMS
PFIZER INC.	$14.79	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1132080632	CMS
PFIZER INC.	$24.95	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1131109738	CMS
Philips North America LLC	$19.20	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1146853091	CMS
Philips North America LLC	$18.41	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1146853089	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.85	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1153435731	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.99	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1153717864	CMS
Sumitomo Pharma America, Inc.	$27.36	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1148863975	CMS
Sumitomo Pharma America, Inc.	$28.59	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1148863977	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.98	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1137575286	CMS
Tolmar, Inc.	$15.31	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1138714718	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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