Covered recipient · General Payments record
ZACHARY WOLFE COUSINS
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2024
$2,386.44
- Reported across 139 records
- CMS publication 2026-01-23
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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $322.37 | 20 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $138.48 | 9 |
| Acerta Pharma LLC | $66.00 | 4 |
| Lilly USA, LLC | $63.98 | 4 |
| GlaxoSmithKline, LLC. | $21.82 | 1 |
| ABBVIE INC. | $17.87 | 1 |
| Amgen Inc. | $14.22 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (20)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| ABBVIE INC. | $17.87 | 02/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1106958655 | CMS |
| Amgen Inc. | $14.22 | 02/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1117532532 | CMS |
| AstraZeneca Pharmaceuticals LP | $15.54 | 02/15/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1104402531 | CMS |
| AstraZeneca Pharmaceuticals LP | $16.70 | 03/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1104307534 | CMS |
| AstraZeneca Pharmaceuticals LP | $17.06 | 04/09/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1105698222 | CMS |
| AstraZeneca Pharmaceuticals LP | $16.70 | 05/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1105618475 | CMS |
| GlaxoSmithKline, LLC. | $21.82 | 10/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1116362533 | CMS |
| Lilly USA, LLC | $14.02 | 01/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135994074 | CMS |
| Lilly USA, LLC | $18.34 | 01/10/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135991896 | CMS |
| Lilly USA, LLC | $16.36 | 02/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135975192 | CMS |
| Lilly USA, LLC | $15.26 | 05/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135991894 | CMS |
| Novo Nordisk Inc | $17.11 | 02/27/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100572822 | CMS |
| Novo Nordisk Inc | $14.28 | 03/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100318130 | CMS |
| Novo Nordisk Inc | $15.68 | 04/04/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100223532 | CMS |
| Novo Nordisk Inc | $14.55 | 06/04/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100237434 | CMS |
| Novo Nordisk Inc | $17.00 | 06/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100636191 | CMS |
| Novo Nordisk Inc | $17.00 | 08/05/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100447183 | CMS |
| Novo Nordisk Inc | $12.15 | 08/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100311277 | CMS |
| Novo Nordisk Inc | $16.63 | 09/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100623364 | CMS |
| Novo Nordisk Inc | $14.08 | 12/10/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100535895 | 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
- 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.