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

RAFAEL CAMARENA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI
1992786792
CMS profile
10859771
Location
FRESNO, CA

General Payments · PY2021–2024

$5,470.29

  • Reported across 133 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,379.73

32 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 $1,379.73 32

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Bayer HealthCare Pharmaceuticals Inc. $246.87 2
Abbott Laboratories $192.94 10
Lilly USA, LLC $188.98 10
Amgen Inc. $148.99 3
Acerta Pharma LLC $139.82 2
Novo Nordisk AS $132.49 2
Madrigal Pharmaceuticals $123.86 1
OptiNose US, Inc. $118.04 1
Medtronic, Inc. $87.74 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,309.58 22
PY2022 $1,723.81 62
PY2023 $1,057.17 17
PY2024 $1,379.73 32

Payment records · PY2024 (32)

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

Program year 2024 202120222023 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 $7.59 02/01/2024 Food and Beverage Undisputed 01/23/2026 1125380020 CMS
Abbott Laboratories $9.55 02/28/2024 Food and Beverage Undisputed 01/23/2026 1125380022 CMS
Abbott Laboratories $8.02 04/08/2024 Food and Beverage Undisputed 01/23/2026 1125380024 CMS
Abbott Laboratories $8.56 04/08/2024 Food and Beverage Undisputed 01/23/2026 1125380026 CMS
Abbott Laboratories $4.67 07/23/2024 Food and Beverage Undisputed 01/23/2026 1125380028 CMS
Abbott Laboratories $10.84 09/05/2024 Food and Beverage Undisputed 01/23/2026 1125380030 CMS
Abbott Laboratories $12.03 10/16/2024 Food and Beverage Undisputed 01/23/2026 1125380032 CMS
Abbott Laboratories $11.03 11/11/2024 Food and Beverage Undisputed 01/23/2026 1125380034 CMS
Abbott Laboratories $111.60 11/13/2024 Food and Beverage Undisputed 01/23/2026 1125380036 CMS
Abbott Laboratories $9.05 12/30/2024 Food and Beverage Undisputed 01/23/2026 1125380038 CMS
Amgen Inc. $12.44 05/16/2024 Food and Beverage Undisputed 01/23/2026 1117519661 CMS
Amgen Inc. $11.55 08/15/2024 Food and Beverage Undisputed 01/23/2026 1117519663 CMS
Amgen Inc. $125.00 08/27/2024 Food and Beverage Undisputed 01/23/2026 1117519665 CMS
AstraZeneca Pharmaceuticals LP $123.53 06/12/2024 Food and Beverage Undisputed 01/23/2026 1104229165 CMS
AstraZeneca Pharmaceuticals LP $16.29 08/05/2024 Food and Beverage Undisputed 01/23/2026 1104676877 CMS
Bayer Healthcare Pharmaceuticals Inc. $125.04 06/20/2024 Food and Beverage Undisputed 01/23/2026 1086329986 CMS
Bayer Healthcare Pharmaceuticals Inc. $121.83 09/14/2024 Food and Beverage Undisputed 01/23/2026 1086291456 CMS
Lilly USA, LLC $7.20 01/05/2024 Food and Beverage Undisputed 01/23/2026 1135856202 CMS
Lilly USA, LLC $5.44 01/30/2024 Food and Beverage Undisputed 01/23/2026 1135899760 CMS
Lilly USA, LLC $6.00 02/15/2024 Food and Beverage Undisputed 01/23/2026 1135930256 CMS
Lilly USA, LLC $1.50 02/23/2024 Food and Beverage Undisputed 01/23/2026 1135930258 CMS
Lilly USA, LLC $8.47 02/23/2024 Food and Beverage Undisputed 01/23/2026 1135947053 CMS
Lilly USA, LLC $8.36 04/24/2024 Food and Beverage Undisputed 01/23/2026 1135899762 CMS
Lilly USA, LLC $124.99 05/22/2024 Food and Beverage Undisputed 01/23/2026 1135899758 CMS
Lilly USA, LLC $8.81 05/24/2024 Food and Beverage Undisputed 01/23/2026 1135924712 CMS
Lilly USA, LLC $8.83 06/21/2024 Food and Beverage Undisputed 01/23/2026 1135947055 CMS
Lilly USA, LLC $9.38 11/15/2024 Food and Beverage Undisputed 01/23/2026 1135924710 CMS
Madrigal Pharmaceuticals $123.86 10/17/2024 Food and Beverage Undisputed 01/23/2026 1144188390 CMS
Medtronic, Inc. $87.74 09/18/2024 Food and Beverage Undisputed 01/23/2026 1117020132 CMS
Novo Nordisk Inc $7.49 07/15/2024 Food and Beverage Undisputed 01/23/2026 1100535077 CMS
Novo Nordisk Inc $125.00 10/10/2024 Food and Beverage Undisputed 01/23/2026 1100428231 CMS
Optinose US, Inc. $118.04 04/24/2024 Food and Beverage Undisputed 01/23/2026 1142184803 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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