GURSIMRANJIT TIWANA

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family FRESNO, CA NPI 1053898643

General Payments — all program years on this page

$3,772.72

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 192
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,424.79 across 73 records · disputed records: 0

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

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $1,424.7973

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $406.7525
2022 $537.3526
2023 $1,403.8368
2024 $1,424.7973

Records — PY2024 (73)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1104228155 AstraZeneca Pharmaceuticals LP $17.27 04/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104234245 AstraZeneca Pharmaceuticals LP $13.12 04/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104244311 AstraZeneca Pharmaceuticals LP $22.82 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104329324 AstraZeneca Pharmaceuticals LP $23.26 07/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104366669 AstraZeneca Pharmaceuticals LP $18.23 12/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104531398 AstraZeneca Pharmaceuticals LP $14.02 07/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104550906 AstraZeneca Pharmaceuticals LP $174.87 01/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104756164 AstraZeneca Pharmaceuticals LP $16.78 07/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105249694 AstraZeneca Pharmaceuticals LP $20.74 06/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105257667 AstraZeneca Pharmaceuticals LP $21.58 11/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105479639 AstraZeneca Pharmaceuticals LP $21.23 01/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105552778 AstraZeneca Pharmaceuticals LP $18.01 01/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105572677 AstraZeneca Pharmaceuticals LP $22.88 09/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105723425 AstraZeneca Pharmaceuticals LP $16.16 02/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105801597 AstraZeneca Pharmaceuticals LP $18.59 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105843929 AstraZeneca Pharmaceuticals LP $18.92 05/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105846067 AstraZeneca Pharmaceuticals LP $25.38 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105890039 AstraZeneca Pharmaceuticals LP $17.45 11/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1113934860 Paratek Pharmaceuticals, Inc. $19.51 08/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1113934862 Paratek Pharmaceuticals, Inc. $20.59 11/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114382178 Regeneron Healthcare Solutions, Inc. $14.70 06/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114382180 Regeneron Healthcare Solutions, Inc. $13.19 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114382182 Regeneron Healthcare Solutions, Inc. $17.37 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114382184 Regeneron Healthcare Solutions, Inc. $14.14 10/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115989746 GlaxoSmithKline, LLC. $9.40 10/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116001653 GlaxoSmithKline, LLC. $23.11 02/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116121014 GlaxoSmithKline, LLC. $16.96 02/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116171429 GlaxoSmithKline, LLC. $9.17 07/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116179432 Amgen Inc. $25.98 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116221316 GlaxoSmithKline, LLC. $4.82 03/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116237999 GlaxoSmithKline, LLC. $16.57 01/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116369401 GlaxoSmithKline, LLC. $11.28 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116372467 GlaxoSmithKline, LLC. $2.20 01/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116398046 GlaxoSmithKline, LLC. $9.96 12/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116410739 GlaxoSmithKline, LLC. $12.20 05/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116412181 GlaxoSmithKline, LLC. $9.33 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116450381 GlaxoSmithKline, LLC. $19.23 01/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116473127 GlaxoSmithKline, LLC. $12.29 04/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116481305 GlaxoSmithKline, LLC. $12.14 12/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116523946 GlaxoSmithKline, LLC. $9.93 08/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116605662 GlaxoSmithKline, LLC. $10.20 01/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116614666 GlaxoSmithKline, LLC. $11.62 01/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116669300 GlaxoSmithKline, LLC. $7.83 01/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116691151 GlaxoSmithKline, LLC. $17.88 08/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117701814 Amgen Inc. $14.03 07/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117701816 Amgen Inc. $15.73 10/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855829 Boehringer Ingelheim Pharmaceuticals, Inc. $8.32 12/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855831 Boehringer Ingelheim Pharmaceuticals, Inc. $9.39 07/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855833 Boehringer Ingelheim Pharmaceuticals, Inc. $10.67 02/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855835 Boehringer Ingelheim Pharmaceuticals, Inc. $11.10 02/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855837 Boehringer Ingelheim Pharmaceuticals, Inc. $13.33 08/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855839 Boehringer Ingelheim Pharmaceuticals, Inc. $14.30 05/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855841 Boehringer Ingelheim Pharmaceuticals, Inc. $17.95 11/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855843 Boehringer Ingelheim Pharmaceuticals, Inc. $21.16 08/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855845 Boehringer Ingelheim Pharmaceuticals, Inc. $22.47 03/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855847 Boehringer Ingelheim Pharmaceuticals, Inc. $22.87 08/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855849 Boehringer Ingelheim Pharmaceuticals, Inc. $23.60 01/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117855851 Boehringer Ingelheim Pharmaceuticals, Inc. $26.30 10/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118297672 Baxter Healthcare $21.46 05/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118297674 Baxter Healthcare $25.80 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118297676 Baxter Healthcare $21.98 05/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118297678 Baxter Healthcare $23.23 08/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139765636 GENZYME CORPORATION $16.45 07/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139765680 GENZYME CORPORATION $23.31 10/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139765708 GENZYME CORPORATION $28.88 12/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141721732 Merck Sharp & Dohme LLC $34.42 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1142167139 Optinose US, Inc. $23.71 06/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146871396 Philips North America LLC $17.49 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146871400 Philips North America LLC $16.24 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147328963 Mylan Specialty L.P. $17.75 03/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147368951 Mylan Specialty L.P. $23.89 11/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1149450375 United Therapeutics Corporation $32.54 01/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1149470024 United Therapeutics Corporation $13.51 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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