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

SUMMER AFANEH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1043782923
CMS profile
10440177
Location
CLEVELAND, OH

General Payments · PY2021–2024

$468.92

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

Latest program year · PY2024

$175.45

10 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 $175.45 10

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Otsuka America Pharmaceutical, Inc. $58.67 4
E.R. Squibb & Sons, L.L.C. $38.05 2
Exact Sciences Corporation $24.81 1
Amgen Inc. $20.00 1
PFIZER INC. $18.18 1
Lilly USA, LLC $15.74 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $38.72 3
PY2022 $112.94 2
PY2023 $141.81 8
PY2024 $175.45 10

Payment records · PY2024 (10)

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
Amgen Inc. $20.00 03/05/2024 Food and Beverage Undisputed 01/23/2026 1117489684 CMS
E.R. Squibb & Sons, L.L.C. $20.98 01/23/2024 Food and Beverage Undisputed 01/23/2026 1101651293 CMS
E.R. Squibb & Sons, L.L.C. $17.07 08/16/2024 Food and Beverage Undisputed 01/23/2026 1101651366 CMS
Exact Sciences Corporation $24.81 12/18/2024 Food and Beverage Undisputed 01/23/2026 1114570108 CMS
Lilly USA, LLC $15.74 01/23/2024 Food and Beverage Undisputed 01/23/2026 1135868851 CMS
Otsuka America Pharmaceutical, Inc. $14.91 03/05/2024 Food and Beverage Undisputed 01/23/2026 1119011943 CMS
Otsuka America Pharmaceutical, Inc. $15.26 04/22/2024 Food and Beverage Undisputed 01/23/2026 1119011945 CMS
Otsuka America Pharmaceutical, Inc. $13.10 06/04/2024 Food and Beverage Undisputed 01/23/2026 1119011947 CMS
Otsuka America Pharmaceutical, Inc. $15.40 08/17/2024 Food and Beverage Undisputed 01/23/2026 1119011949 CMS
PFIZER INC. $18.18 02/22/2024 Food and Beverage Undisputed 01/23/2026 1132016807 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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.