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

RALPH MICHAEL WISNIEWSKI

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI
1992770309
CMS profile
135608
Location
LYNCHBURG, VA

General Payments · PY2018–2024

$5,817.49

  • Reported across 352 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$992.57

54 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 $992.57 54

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $757.49 41
PY2019 $922.83 49
PY2020 $389.31 20
PY2021 $952.33 63
PY2022 $935.37 66
PY2023 $867.59 59
PY2024 $992.57 54

Payment records · PY2024 (54)

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
ABBVIE INC. $0.24 01/12/2024 Food and Beverage Undisputed 01/23/2026 1106350346 CMS
ABBVIE INC. $25.14 01/12/2024 Food and Beverage Undisputed 01/23/2026 1106350348 CMS
ABBVIE INC. $1.51 01/29/2024 Food and Beverage Undisputed 01/23/2026 1106350350 CMS
ABBVIE INC. $9.03 01/30/2024 Food and Beverage Undisputed 01/23/2026 1106350352 CMS
ABBVIE INC. $0.27 01/30/2024 Food and Beverage Undisputed 01/23/2026 1106350354 CMS
ABBVIE INC. $15.25 02/13/2024 Food and Beverage Undisputed 01/23/2026 1106350356 CMS
ABBVIE INC. $11.93 02/24/2024 Food and Beverage Undisputed 01/23/2026 1106350358 CMS
ABBVIE INC. $13.97 02/27/2024 Food and Beverage Undisputed 01/23/2026 1106350360 CMS
ABBVIE INC. $0.54 02/29/2024 Food and Beverage Undisputed 01/23/2026 1106350362 CMS
ABBVIE INC. $0.30 02/29/2024 Food and Beverage Undisputed 01/23/2026 1106350364 CMS
ABBVIE INC. $15.96 03/01/2024 Food and Beverage Undisputed 01/23/2026 1106350366 CMS
ABBVIE INC. $14.55 03/20/2024 Food and Beverage Undisputed 01/23/2026 1106350368 CMS
ABBVIE INC. $14.28 04/15/2024 Food and Beverage Undisputed 01/23/2026 1106350370 CMS
ABBVIE INC. $0.30 04/15/2024 Food and Beverage Undisputed 01/23/2026 1106350372 CMS
ABBVIE INC. $1.53 04/15/2024 Food and Beverage Undisputed 01/23/2026 1106350374 CMS
ABBVIE INC. $13.64 04/29/2024 Food and Beverage Undisputed 01/23/2026 1106350376 CMS
ABBVIE INC. $21.32 05/30/2024 Food and Beverage Undisputed 01/23/2026 1106350378 CMS
ABBVIE INC. $1.67 06/21/2024 Food and Beverage Undisputed 01/23/2026 1106350380 CMS
ABBVIE INC. $22.33 06/21/2024 Food and Beverage Undisputed 01/23/2026 1106350382 CMS
ABBVIE INC. $18.42 07/03/2024 Food and Beverage Undisputed 01/23/2026 1106350384 CMS
ABBVIE INC. $0.39 07/03/2024 Food and Beverage Undisputed 01/23/2026 1106350386 CMS
ABBVIE INC. $20.06 07/18/2024 Food and Beverage Undisputed 01/23/2026 1106350388 CMS
ABBVIE INC. $3.67 08/30/2024 Food and Beverage Undisputed 01/23/2026 1106350390 CMS
ABBVIE INC. $14.06 09/03/2024 Food and Beverage Undisputed 01/23/2026 1106350392 CMS
ABBVIE INC. $22.28 09/27/2024 Food and Beverage Undisputed 01/23/2026 1106350394 CMS
ABBVIE INC. $2.40 12/10/2024 Food and Beverage Undisputed 01/23/2026 1106350396 CMS
ABBVIE INC. $13.34 12/13/2024 Food and Beverage Undisputed 01/23/2026 1106350398 CMS
AIMMUNE THERAPEUTICS, INC. $19.77 10/22/2024 Food and Beverage Undisputed 01/23/2026 1147012768 CMS
Ardelyx, Inc. $14.32 12/20/2024 Food and Beverage Undisputed 01/23/2026 1146714323 CMS
CapsoVision, Inc. $39.39 09/20/2024 Food and Beverage Undisputed 01/23/2026 1154309078 CMS
Intercept Pharmaceuticals, Inc. $14.61 02/20/2024 Food and Beverage Undisputed 01/23/2026 1113641165 CMS
Ipsen Biopharmaceuticals, Inc $16.53 04/17/2024 Food and Beverage Undisputed 01/23/2026 1091979122 CMS
IRONWOOD PHARMACEUTICALS, INC $24.16 02/28/2024 Food and Beverage Undisputed 01/23/2026 1153709485 CMS
IRONWOOD PHARMACEUTICALS, INC $25.29 03/26/2024 Food and Beverage Undisputed 01/23/2026 1153753666 CMS
IRONWOOD PHARMACEUTICALS, INC $25.78 06/07/2024 Food and Beverage Undisputed 01/23/2026 1153727145 CMS
IRONWOOD PHARMACEUTICALS, INC $22.64 06/26/2024 Food and Beverage Undisputed 01/23/2026 1153768303 CMS
IRONWOOD PHARMACEUTICALS, INC $23.61 07/30/2024 Food and Beverage Undisputed 01/23/2026 1153768301 CMS
IRONWOOD PHARMACEUTICALS, INC $28.84 08/30/2024 Food and Beverage Undisputed 01/23/2026 1153735897 CMS
Janssen Biotech, Inc. $14.56 05/02/2024 Food and Beverage Undisputed 01/23/2026 1078804406 CMS
Janssen Biotech, Inc. $27.56 07/09/2024 Food and Beverage Undisputed 01/23/2026 1078803618 CMS
Janssen Biotech, Inc. $22.77 11/25/2024 Food and Beverage Undisputed 01/23/2026 1078803610 CMS
Janssen Biotech, Inc. $115.85 12/18/2024 Food and Beverage Undisputed 01/23/2026 1078803847 CMS
Madrigal Pharmaceuticals $17.79 12/03/2024 Food and Beverage Undisputed 01/23/2026 1144185541 CMS
Medtronic, Inc. $21.89 10/02/2024 Food and Beverage Undisputed 01/23/2026 1119583107 CMS
Merck Sharp & Dohme LLC $24.99 03/18/2024 Food and Beverage Undisputed 01/23/2026 1141692094 CMS
PFIZER INC. $17.79 07/02/2024 Food and Beverage Undisputed 01/23/2026 1131770836 CMS
Phathom Pharmaceuticals, Inc. $20.69 03/05/2024 Food and Beverage Undisputed 01/23/2026 1151139997 CMS
Phathom Pharmaceuticals, Inc. $18.38 05/08/2024 Food and Beverage Undisputed 01/23/2026 1151139999 CMS
Phathom Pharmaceuticals, Inc. $19.38 08/12/2024 Food and Beverage Undisputed 01/23/2026 1151140001 CMS
QOL Medical, LLC $19.15 05/16/2024 Food and Beverage Undisputed 01/23/2026 1147727456 CMS
QOL Medical, LLC $27.70 12/16/2024 Food and Beverage Undisputed 01/23/2026 1147727458 CMS
Regeneron Healthcare Solutions, Inc. $22.14 05/24/2024 Food and Beverage Undisputed 01/23/2026 1114256384 CMS
Regeneron Healthcare Solutions, Inc. $51.92 08/02/2024 Food and Beverage Undisputed 01/23/2026 1114256386 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.69 02/26/2024 Food and Beverage Undisputed 01/23/2026 1137698708 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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