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

ARLENE M ZWALD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1023128980
CMS profile
11135495
Location
ROUND ROCK, TX

General Payments · PY2022–2024

$2,248.83

  • Reported across 80 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,247.21

42 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 $1,247.21 42

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $170.85 5
PY2023 $830.77 33
PY2024 $1,247.21 42

Payment records · PY2024 (42)

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

Program year 2024 20222023 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. $20.13 01/19/2024 Food and Beverage Undisputed 01/23/2026 1108464896 CMS
ABBVIE INC. $24.47 04/18/2024 Food and Beverage Undisputed 01/23/2026 1108464898 CMS
ABBVIE INC. $26.10 08/26/2024 Food and Beverage Undisputed 01/23/2026 1108464900 CMS
Alkermes, Inc. $26.51 06/17/2024 Food and Beverage Undisputed 01/23/2026 1120625789 CMS
Axsome Therapeutics, Inc. $23.47 03/04/2024 Food and Beverage Undisputed 01/23/2026 1148338207 CMS
Axsome Therapeutics, Inc. $121.67 04/25/2024 Food and Beverage Undisputed 01/23/2026 1148338209 CMS
Axsome Therapeutics, Inc. $24.70 05/06/2024 Food and Beverage Undisputed 01/23/2026 1148338211 CMS
Axsome Therapeutics, Inc. $17.88 06/27/2024 Food and Beverage Undisputed 01/23/2026 1148338213 CMS
Indivior Inc. $13.49 01/24/2024 Food and Beverage Undisputed 01/23/2026 1144577296 CMS
Indivior Inc. $21.77 02/28/2024 Food and Beverage Undisputed 01/23/2026 1144577298 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.83 04/04/2024 Food and Beverage Undisputed 01/23/2026 1143633889 CMS
Janssen Pharmaceuticals, Inc $31.72 02/07/2024 Food and Beverage Undisputed 01/23/2026 1078211581 CMS
Janssen Pharmaceuticals, Inc $17.53 07/15/2024 Food and Beverage Undisputed 01/23/2026 1078211643 CMS
Janssen Pharmaceuticals, Inc $17.67 08/05/2024 Food and Beverage Undisputed 01/23/2026 1078211503 CMS
Janssen Pharmaceuticals, Inc $20.53 08/19/2024 Food and Beverage Undisputed 01/23/2026 1078211655 CMS
Neurocrine Biosciences, Inc. $30.19 04/15/2024 Food and Beverage Undisputed 01/23/2026 1150939073 CMS
Neurocrine Biosciences, Inc. $114.62 05/30/2024 Food and Beverage Undisputed 01/23/2026 1150924044 CMS
Neurocrine Biosciences, Inc. $31.09 09/09/2024 Food and Beverage Undisputed 01/23/2026 1150937438 CMS
Neurocrine Biosciences, Inc. $28.96 10/10/2024 Food and Beverage Undisputed 01/23/2026 1150942235 CMS
Noven Therapeutics, LLC $24.30 05/30/2024 Food and Beverage Undisputed 01/23/2026 1084828000 CMS
Otsuka America Pharmaceutical, Inc. $27.08 01/03/2024 Food and Beverage Undisputed 01/23/2026 1119221053 CMS
Otsuka America Pharmaceutical, Inc. $17.35 01/17/2024 Food and Beverage Undisputed 01/23/2026 1119221055 CMS
Otsuka America Pharmaceutical, Inc. $22.66 02/01/2024 Food and Beverage Undisputed 01/23/2026 1119221057 CMS
Otsuka America Pharmaceutical, Inc. $21.43 02/22/2024 Food and Beverage Undisputed 01/23/2026 1119221059 CMS
Otsuka America Pharmaceutical, Inc. $116.15 02/27/2024 Food and Beverage Undisputed 01/23/2026 1119221061 CMS
Otsuka America Pharmaceutical, Inc. $15.08 06/07/2024 Food and Beverage Undisputed 01/23/2026 1119221063 CMS
Otsuka America Pharmaceutical, Inc. $9.27 06/13/2024 Food and Beverage Undisputed 01/23/2026 1119221065 CMS
Otsuka America Pharmaceutical, Inc. $26.38 08/29/2024 Food and Beverage Undisputed 01/23/2026 1119221067 CMS
Otsuka America Pharmaceutical, Inc. $19.16 10/03/2024 Food and Beverage Undisputed 01/23/2026 1119221069 CMS
Otsuka America Pharmaceutical, Inc. $18.76 11/07/2024 Food and Beverage Undisputed 01/23/2026 1119221071 CMS
Otsuka America Pharmaceutical, Inc. $4.62 11/14/2024 Food and Beverage Undisputed 01/23/2026 1119221073 CMS
Otsuka America Pharmaceutical, Inc. $19.35 11/16/2024 Food and Beverage Undisputed 01/23/2026 1119221075 CMS
Supernus Pharmaceuticals, Inc. $17.65 06/03/2024 Food and Beverage Undisputed 01/23/2026 1147900618 CMS
Supernus Pharmaceuticals, Inc. $15.87 08/07/2024 Food and Beverage Undisputed 01/23/2026 1147865934 CMS
Supernus Pharmaceuticals, Inc. $15.86 10/04/2024 Food and Beverage Undisputed 01/23/2026 1147865932 CMS
Teva Pharmaceuticals USA, Inc. $13.41 01/11/2024 Food and Beverage Undisputed 01/23/2026 1151694353 CMS
Teva Pharmaceuticals USA, Inc. $19.81 02/15/2024 Food and Beverage Undisputed 01/23/2026 1151694372 CMS
Teva Pharmaceuticals USA, Inc. $13.05 05/13/2024 Food and Beverage Undisputed 01/23/2026 1151694460 CMS
Teva Pharmaceuticals USA, Inc. $22.96 06/13/2024 Food and Beverage Undisputed 01/23/2026 1151694482 CMS
Teva Pharmaceuticals USA, Inc. $116.15 06/28/2024 Food and Beverage Undisputed 01/23/2026 1151694500 CMS
Teva Pharmaceuticals USA, Inc. $14.18 09/16/2024 Food and Beverage Undisputed 01/23/2026 1151694556 CMS
Teva Pharmaceuticals USA, Inc. $22.35 12/02/2024 Food and Beverage Undisputed 01/23/2026 1151694578 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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