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

LYDIA K MARSHAM

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1053655878
CMS profile
10965314
Location
LAKE MARY, FL

General Payments · PY2021–2024

$2,303.41

  • Reported across 93 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,211.28

33 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 $1,211.28 33

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $414.39 23
PY2022 $248.98 15
PY2023 $428.76 22
PY2024 $1,211.28 33

Payment records · PY2024 (33)

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 $14.96 01/02/2024 Food and Beverage Undisputed 01/23/2026 1124817101 CMS
Abbott Laboratories $19.72 03/26/2024 Food and Beverage Undisputed 01/23/2026 1124817103 CMS
Abbott Laboratories $16.57 06/13/2024 Food and Beverage Undisputed 01/23/2026 1124817105 CMS
Abbott Laboratories $19.83 11/18/2024 Food and Beverage Undisputed 01/23/2026 1124817107 CMS
ABBVIE INC. $27.77 09/04/2024 Food and Beverage Undisputed 01/23/2026 1107594609 CMS
ABBVIE INC. $22.27 12/12/2024 Food and Beverage Undisputed 01/23/2026 1107594611 CMS
Amgen Inc. $20.67 08/26/2024 Food and Beverage Undisputed 01/23/2026 1117319512 CMS
AstraZeneca Pharmaceuticals LP $111.42 02/13/2024 Food and Beverage Undisputed 01/23/2026 1105712070 CMS
AstraZeneca Pharmaceuticals LP $17.05 03/06/2024 Food and Beverage Undisputed 01/23/2026 1104281713 CMS
AstraZeneca Pharmaceuticals LP $13.30 04/08/2024 Food and Beverage Undisputed 01/23/2026 1104705355 CMS
AstraZeneca Pharmaceuticals LP $13.50 04/29/2024 Food and Beverage Undisputed 01/23/2026 1126678814 CMS
AstraZeneca Pharmaceuticals LP $107.95 09/10/2024 Food and Beverage Undisputed 01/23/2026 1105360343 CMS
AstraZeneca Pharmaceuticals LP $22.08 10/30/2024 Food and Beverage Undisputed 01/23/2026 1104496096 CMS
Bayer Healthcare Pharmaceuticals Inc. $30.69 08/28/2024 Food and Beverage Undisputed 01/23/2026 1086292788 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.37 08/21/2024 Food and Beverage Undisputed 01/23/2026 1117854833 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.41 11/04/2024 Food and Beverage Undisputed 01/23/2026 1117854835 CMS
Exact Sciences Corporation $31.57 03/21/2024 Food and Beverage Undisputed 01/23/2026 1114483540 CMS
Exact Sciences Corporation $28.23 08/13/2024 Food and Beverage Undisputed 01/23/2026 1114483546 CMS
GlaxoSmithKline, LLC. $21.49 03/13/2024 Food and Beverage Undisputed 01/23/2026 1116540816 CMS
GlaxoSmithKline, LLC. $20.72 07/17/2024 Food and Beverage Undisputed 01/23/2026 1116698003 CMS
Lilly USA, LLC $111.37 01/31/2024 Food and Beverage Undisputed 01/23/2026 1135805104 CMS
Lilly USA, LLC $15.59 05/02/2024 Food and Beverage Undisputed 01/23/2026 1135741976 CMS
Lilly USA, LLC $20.24 05/21/2024 Food and Beverage Undisputed 01/23/2026 1135805102 CMS
Lilly USA, LLC $17.60 08/12/2024 Food and Beverage Undisputed 01/23/2026 1135827451 CMS
Medtronic, Inc. $157.10 06/19/2024 Food and Beverage Undisputed 01/23/2026 1116898805 CMS
Medtronic, Inc. $158.07 08/07/2024 Food and Beverage Undisputed 01/23/2026 1116898803 CMS
Novo Nordisk Inc $14.84 08/15/2024 Food and Beverage Undisputed 01/23/2026 1100558547 CMS
Novo Nordisk Inc $24.10 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100281666 CMS
PFIZER INC. $20.80 02/14/2024 Food and Beverage Undisputed 01/23/2026 1132019549 CMS
PFIZER INC. $20.61 06/05/2024 Food and Beverage Undisputed 01/23/2026 1131735094 CMS
PFIZER INC. $19.25 07/24/2024 Food and Beverage Undisputed 01/23/2026 1131752290 CMS
PFIZER INC. $21.98 08/19/2024 Food and Beverage Undisputed 01/23/2026 1130886782 CMS
PFIZER INC. $14.16 12/03/2024 Food and Beverage Undisputed 01/23/2026 1131011989 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.