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

JULIE ANN ALVARADO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care

NPI
1003215260
CMS profile
10544535
Location
LANSING, MI

General Payments · PY2021–2024

$5,501.40

  • Reported across 345 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,135.60

63 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 $1,135.60 63

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,158.32 81
PY2022 $1,907.58 120
PY2023 $1,299.90 81
PY2024 $1,135.60 63

Payment records · PY2024 (63)

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 $17.77 06/19/2024 Food and Beverage Undisputed 01/23/2026 1124788031 CMS
Abbott Laboratories $16.83 08/21/2024 Food and Beverage Undisputed 01/23/2026 1124788033 CMS
ABBVIE INC. $19.63 01/29/2024 Food and Beverage Undisputed 01/23/2026 1106433174 CMS
ABBVIE INC. $16.55 02/22/2024 Food and Beverage Undisputed 01/23/2026 1106433176 CMS
ABBVIE INC. $20.64 03/13/2024 Food and Beverage Undisputed 01/23/2026 1106433178 CMS
ABBVIE INC. $19.04 03/18/2024 Food and Beverage Undisputed 01/23/2026 1106433180 CMS
ABBVIE INC. $2.67 03/28/2024 Food and Beverage Undisputed 01/23/2026 1106433182 CMS
ABBVIE INC. $16.99 05/07/2024 Food and Beverage Undisputed 01/23/2026 1106433184 CMS
ABBVIE INC. $2.42 05/13/2024 Food and Beverage Undisputed 01/23/2026 1106433186 CMS
ABBVIE INC. $11.25 05/28/2024 Food and Beverage Undisputed 01/23/2026 1106433188 CMS
ABBVIE INC. $4.69 06/03/2024 Food and Beverage Undisputed 01/23/2026 1106433190 CMS
ABBVIE INC. $18.96 06/10/2024 Food and Beverage Undisputed 01/23/2026 1106433192 CMS
ABBVIE INC. $21.89 06/19/2024 Food and Beverage Undisputed 01/23/2026 1106433194 CMS
ABBVIE INC. $17.34 09/05/2024 Food and Beverage Undisputed 01/23/2026 1106433196 CMS
ABBVIE INC. $16.36 09/26/2024 Food and Beverage Undisputed 01/23/2026 1106433198 CMS
ABBVIE INC. $13.94 12/02/2024 Food and Beverage Undisputed 01/23/2026 1106433200 CMS
ABBVIE INC. $21.54 12/09/2024 Food and Beverage Undisputed 01/23/2026 1106433202 CMS
AIMMUNE THERAPEUTICS, INC. $26.87 02/17/2024 Food and Beverage Undisputed 01/23/2026 1147013422 CMS
AIMMUNE THERAPEUTICS, INC. $22.66 04/13/2024 Food and Beverage Undisputed 01/23/2026 1146959783 CMS
AIMMUNE THERAPEUTICS, INC. $22.66 04/13/2024 Food and Beverage Undisputed 01/23/2026 1146962997 CMS
AIMMUNE THERAPEUTICS, INC. $21.96 07/03/2024 Food and Beverage Undisputed 01/23/2026 1146976398 CMS
Alvogen Inc $17.18 10/28/2024 Food and Beverage Undisputed 01/23/2026 1137626181 CMS
Amgen Inc. $18.34 01/22/2024 Food and Beverage Undisputed 01/23/2026 1117493562 CMS
Amgen Inc. $14.29 06/11/2024 Food and Beverage Undisputed 01/23/2026 1117493564 CMS
Amgen Inc. $16.80 09/30/2024 Food and Beverage Undisputed 01/23/2026 1117493566 CMS
AstraZeneca Pharmaceuticals LP $15.72 01/17/2024 Food and Beverage Undisputed 01/23/2026 1104401609 CMS
AstraZeneca Pharmaceuticals LP $3.55 01/30/2024 Food and Beverage Undisputed 01/23/2026 1105549573 CMS
AstraZeneca Pharmaceuticals LP $14.06 02/02/2024 Food and Beverage Undisputed 01/23/2026 1105654512 CMS
AstraZeneca Pharmaceuticals LP $109.58 02/05/2024 Food and Beverage Undisputed 01/23/2026 1105617973 CMS
AstraZeneca Pharmaceuticals LP $16.26 05/23/2024 Food and Beverage Undisputed 01/23/2026 1104597582 CMS
AstraZeneca Pharmaceuticals LP $21.36 09/10/2024 Food and Beverage Undisputed 01/23/2026 1105278502 CMS
Averitas Pharma Inc. $21.34 01/18/2024 Food and Beverage Undisputed 01/23/2026 1133452531 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.56 03/20/2024 Food and Beverage Undisputed 01/23/2026 1086276250 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.52 02/13/2024 Food and Beverage Undisputed 01/23/2026 1117831641 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.49 04/01/2024 Food and Beverage Undisputed 01/23/2026 1117831639 CMS
Boston Scientific Corporation $14.33 01/24/2024 Food and Beverage Undisputed 01/23/2026 1092529125 CMS
Exact Sciences Corporation $14.65 07/22/2024 Food and Beverage Undisputed 01/23/2026 1114422950 CMS
Exact Sciences Corporation $13.28 11/11/2024 Food and Beverage Undisputed 01/23/2026 1114422954 CMS
GlaxoSmithKline, LLC. $22.22 06/10/2024 Food and Beverage Undisputed 01/23/2026 1116353342 CMS
GlaxoSmithKline, LLC. $23.97 10/29/2024 Food and Beverage Undisputed 01/23/2026 1116499449 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.66 10/16/2024 Food and Beverage Undisputed 01/23/2026 1143357655 CMS
Lilly USA, LLC $15.35 01/31/2024 Food and Beverage Undisputed 01/23/2026 1135662017 CMS
Lilly USA, LLC $16.96 02/06/2024 Food and Beverage Undisputed 01/23/2026 1135729325 CMS
Lilly USA, LLC $15.23 06/18/2024 Food and Beverage Undisputed 01/23/2026 1135729327 CMS
Medtronic, Inc. $13.56 04/04/2024 Food and Beverage Undisputed 01/23/2026 1116891875 CMS
Medtronic, Inc. $22.14 10/24/2024 Food and Beverage Undisputed 01/23/2026 1116891877 CMS
Novo Nordisk Inc $9.06 01/04/2024 Food and Beverage Undisputed 01/23/2026 1100297717 CMS
Novo Nordisk Inc $13.55 01/09/2024 Food and Beverage Undisputed 01/23/2026 1100315594 CMS
Novo Nordisk Inc $19.43 01/25/2024 Food and Beverage Undisputed 01/23/2026 1100301203 CMS
Novo Nordisk Inc $22.02 04/08/2024 Food and Beverage Undisputed 01/23/2026 1100389005 CMS
Novo Nordisk Inc $15.90 04/16/2024 Food and Beverage Undisputed 01/23/2026 1100657796 CMS
Novo Nordisk Inc $13.95 04/17/2024 Food and Beverage Undisputed 01/23/2026 1100249534 CMS
Novo Nordisk Inc $17.05 06/03/2024 Food and Beverage Undisputed 01/23/2026 1100276636 CMS
Novo Nordisk Inc $20.22 08/12/2024 Food and Beverage Undisputed 01/23/2026 1100613301 CMS
Novo Nordisk Inc $5.75 08/15/2024 Food and Beverage Undisputed 01/23/2026 1100458488 CMS
Novo Nordisk Inc $7.40 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100520397 CMS
Novo Nordisk Inc $10.29 10/08/2024 Food and Beverage Undisputed 01/23/2026 1100381323 CMS
Novo Nordisk Inc $15.84 10/15/2024 Food and Beverage Undisputed 01/23/2026 1100380405 CMS
Novo Nordisk Inc $15.20 12/12/2024 Food and Beverage Undisputed 01/23/2026 1100389825 CMS
PFIZER INC. $18.01 01/24/2024 Food and Beverage Undisputed 01/23/2026 1131138254 CMS
PFIZER INC. $26.56 02/15/2024 Food and Beverage Undisputed 01/23/2026 1131632455 CMS
PFIZER INC. $14.81 05/29/2024 Food and Beverage Undisputed 01/23/2026 1131436051 CMS
PFIZER INC. $26.50 07/02/2024 Food and Beverage Undisputed 01/23/2026 1131633231 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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