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

Covered recipient · General Payments record

ALICIA L WACHAL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1073891628
CMS profile
10650202
Location
ELKHORN, NE

General Payments · PY2021–2025

$2,922.25

  • Reported across 135 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$643.09

25 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $543.10 24
Education $99.99 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $142.20 7
PY2022 $523.27 25
PY2023 $714.59 34
PY2024 $899.10 44
PY2025 $643.09 25

Payment records · PY2025 (25)

Sorted by paying entity, then date · as published by CMS

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $22.53 03/13/2025 Food and Beverage Undisputed 06/30/2026 1203970362 CMS
ABBVIE INC. $26.96 09/30/2025 Food and Beverage Undisputed 06/30/2026 1203970369 CMS
ABBVIE INC. $81.44 10/21/2025 Food and Beverage Undisputed 06/30/2026 1203970375 CMS
ABBVIE INC. $3.74 10/22/2025 Food and Beverage Undisputed 06/30/2026 1203970381 CMS
Astellas Pharma US Inc $16.86 02/05/2025 Food and Beverage Undisputed 06/30/2026 1238731898 CMS
Astellas Pharma US Inc $24.21 02/24/2025 Food and Beverage Undisputed 06/30/2026 1238741972 CMS
Astellas Pharma US Inc $18.70 03/11/2025 Food and Beverage Undisputed 06/30/2026 1238754388 CMS
Astellas Pharma US Inc $14.39 03/31/2025 Food and Beverage Undisputed 06/30/2026 1238763320 CMS
Astellas Pharma US Inc $16.08 05/20/2025 Food and Beverage Undisputed 06/30/2026 1238790343 CMS
Astellas Pharma US Inc $99.99 12/05/2025 Education Undisputed 06/30/2026 1238601546 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.60 12/02/2025 Food and Beverage Undisputed 06/30/2026 1225881411 CMS
Biogen, Inc. $20.38 01/08/2025 Food and Beverage Undisputed 06/30/2026 1208345425 CMS
CooperSurgical, Inc. $19.85 08/12/2025 Food and Beverage Undisputed 06/30/2026 1241734235 CMS
CooperSurgical, Inc. $25.30 11/04/2025 Food and Beverage Undisputed 06/30/2026 1241734253 CMS
Exeltis, USA Inc. $22.10 01/13/2025 Food and Beverage Undisputed 06/30/2026 1218223612 CMS
Exeltis, USA Inc. $20.63 06/10/2025 Food and Beverage Undisputed 06/30/2026 1218223614 CMS
Galderma Laboratories, L.P. $21.00 05/08/2025 Food and Beverage Undisputed 06/30/2026 1234837596 CMS
MAYNE PHARMA COMMERCIAL LLC $20.41 03/25/2025 Food and Beverage Undisputed 06/30/2026 1254284974 CMS
MAYNE PHARMA COMMERCIAL LLC $18.85 04/14/2025 Food and Beverage Undisputed 06/30/2026 1254283970 CMS
MAYNE PHARMA COMMERCIAL LLC $26.15 06/19/2025 Food and Beverage Undisputed 06/30/2026 1254284916 CMS
MAYNE PHARMA COMMERCIAL LLC $23.08 10/08/2025 Food and Beverage Undisputed 06/30/2026 1254285494 CMS
MAYNE PHARMA COMMERCIAL LLC $18.88 12/10/2025 Food and Beverage Undisputed 06/30/2026 1254284260 CMS
Pacira Pharmaceuticals Incorporated $23.11 04/24/2025 Food and Beverage Undisputed 06/30/2026 1250290233 CMS
Sumitomo Pharma America, Inc. $19.77 01/07/2025 Food and Beverage Undisputed 06/30/2026 1176809803 CMS
Sumitomo Pharma America, Inc. $18.08 02/18/2025 Food and Beverage Undisputed 06/30/2026 1176809805 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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.