Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record Methodology

Covered recipient · General Payments record

APRIL SUMMERFORD FRAHM

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care

NPI
1033090394
CMS profile
11926992
Location
DELAND, FL

General Payments · PY2025

$158.68

  • Reported across 8 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$158.68

8 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $158.68 8

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2025 $158.68 8

Payment records · PY2025 (8)

Ordering applied by this site (paying entity, then date) · record values are shown as CMS published them

Program year 2025
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $18.92 11/11/2025 Food and Beverage Undisputed 06/30/2026 1228751483 CMS
Amgen Inc. $16.83 12/17/2025 Food and Beverage Undisputed 06/30/2026 1228751479 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.66 10/15/2025 Food and Beverage Undisputed 06/30/2026 1225540271 CMS
Inspire Medical Systems, Inc. $26.13 10/07/2025 Food and Beverage Undisputed 06/30/2026 1251535003 CMS
Novartis Pharmaceuticals Corporation $16.15 12/02/2025 Food and Beverage Undisputed 06/30/2026 1200251290 CMS
Novo Nordisk Inc $20.61 11/05/2025 Food and Beverage Undisputed 06/30/2026 1188718096 CMS
Novo Nordisk Inc $17.10 11/21/2025 Food and Beverage Undisputed 06/30/2026 1188541481 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.28 12/21/2025 Food and Beverage Undisputed 06/30/2026 1232036937 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2025
Source files
Dataset page · Bulk file · PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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