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

MIREYA ADAME

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1083259766
CMS profile
10729438
Location
BASTROP, TX

General Payments · PY2021–2025

$2,080.38

  • Reported across 96 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,085.07

46 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 $1,006.57 44
Education $78.50 2

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $204.86 11
Lilly USA, LLC $137.75 4
Novo Nordisk AS $137.18 6
Otsuka America Pharmaceutical, Inc. $130.52 5
Axsome Therapeutics, Inc. $102.32 3
Exact Sciences Corporation $70.69 3
Lundbeck LLC $64.93 3
ABBVIE INC. $63.97 3
PFIZER INC. $43.75 2
Electromed, Inc. $39.36 2
Amgen Inc. $35.64 2
Viatris Specialty LLC $33.07 1
Supernus Pharmaceuticals, Inc. $21.03 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $14.00 1
PY2023 $301.17 11
PY2024 $680.14 38
PY2025 $1,085.07 46

Payment records · PY2025 (46)

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

Program year 2025 202120232024 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. $19.66 01/16/2025 Food and Beverage Undisputed 06/30/2026 1204886199 CMS
ABBVIE INC. $28.68 02/27/2025 Food and Beverage Undisputed 06/30/2026 1204886203 CMS
ABBVIE INC. $15.63 03/13/2025 Food and Beverage Undisputed 06/30/2026 1204886207 CMS
Amgen Inc. $18.52 09/24/2025 Food and Beverage Undisputed 06/30/2026 1228787876 CMS
Amgen Inc. $17.12 12/18/2025 Food and Beverage Undisputed 06/30/2026 1228787871 CMS
AstraZeneca Pharmaceuticals LP $20.19 01/23/2025 Food and Beverage Undisputed 06/30/2026 1207298316 CMS
AstraZeneca Pharmaceuticals LP $17.46 02/26/2025 Food and Beverage Undisputed 06/30/2026 1206189276 CMS
AstraZeneca Pharmaceuticals LP $11.91 03/19/2025 Food and Beverage Undisputed 06/30/2026 1207184192 CMS
AstraZeneca Pharmaceuticals LP $26.75 05/21/2025 Food and Beverage Undisputed 06/30/2026 1207286336 CMS
AstraZeneca Pharmaceuticals LP $19.56 06/04/2025 Food and Beverage Undisputed 06/30/2026 1206216482 CMS
AstraZeneca Pharmaceuticals LP $18.92 06/26/2025 Food and Beverage Undisputed 06/30/2026 1207108167 CMS
AstraZeneca Pharmaceuticals LP $21.47 07/24/2025 Food and Beverage Undisputed 06/30/2026 1206694418 CMS
AstraZeneca Pharmaceuticals LP $15.86 08/06/2025 Food and Beverage Undisputed 06/30/2026 1207284046 CMS
AstraZeneca Pharmaceuticals LP $15.83 09/11/2025 Food and Beverage Undisputed 06/30/2026 1206623156 CMS
AstraZeneca Pharmaceuticals LP $18.88 11/07/2025 Food and Beverage Undisputed 06/30/2026 1207308298 CMS
AstraZeneca Pharmaceuticals LP $18.03 11/19/2025 Food and Beverage Undisputed 06/30/2026 1207169025 CMS
Axsome Therapeutics, Inc. $23.82 12/17/2025 Food and Beverage Undisputed 06/30/2026 1235684794 CMS
Axsome Therapeutics, Inc. $35.00 12/18/2025 Education Undisputed 06/30/2026 1235749030 CMS
Axsome Therapeutics, Inc. $43.50 12/18/2025 Education Undisputed 06/30/2026 1235749032 CMS
Electromed, Inc. $11.22 04/25/2025 Food and Beverage Undisputed 06/30/2026 1224616595 CMS
Electromed, Inc. $28.14 06/12/2025 Food and Beverage Undisputed 06/30/2026 1224616598 CMS
Exact Sciences Corporation $26.66 03/18/2025 Food and Beverage Undisputed 06/30/2026 1235250217 CMS
Exact Sciences Corporation $24.91 10/16/2025 Food and Beverage Undisputed 06/30/2026 1235250222 CMS
Exact Sciences Corporation $19.12 12/04/2025 Food and Beverage Undisputed 06/30/2026 1235250226 CMS
Lilly USA, LLC $21.97 01/04/2025 Food and Beverage Undisputed 06/30/2026 1187232321 CMS
Lilly USA, LLC $23.81 05/20/2025 Food and Beverage Undisputed 06/30/2026 1187232317 CMS
Lilly USA, LLC $24.24 05/20/2025 Food and Beverage Undisputed 06/30/2026 1187232319 CMS
Lilly USA, LLC $67.73 09/16/2025 Food and Beverage Undisputed 06/30/2026 1187302293 CMS
Lundbeck LLC $18.56 01/27/2025 Food and Beverage Undisputed 06/30/2026 1251863672 CMS
Lundbeck LLC $23.76 02/17/2025 Food and Beverage Undisputed 06/30/2026 1251863674 CMS
Lundbeck LLC $22.61 03/06/2025 Food and Beverage Undisputed 06/30/2026 1251863676 CMS
Novo Nordisk Inc $16.60 02/20/2025 Food and Beverage Undisputed 06/30/2026 1188796604 CMS
Novo Nordisk Inc $23.64 04/24/2025 Food and Beverage Undisputed 06/30/2026 1188863191 CMS
Novo Nordisk Inc $28.47 06/11/2025 Food and Beverage Undisputed 06/30/2026 1188305960 CMS
Novo Nordisk Inc $23.41 09/18/2025 Food and Beverage Undisputed 06/30/2026 1188429057 CMS
Novo Nordisk Inc $20.05 10/01/2025 Food and Beverage Undisputed 06/30/2026 1188388771 CMS
Novo Nordisk Inc $25.01 11/05/2025 Food and Beverage Undisputed 06/30/2026 1188460099 CMS
Otsuka America Pharmaceutical, Inc. $22.51 01/13/2025 Food and Beverage Undisputed 06/30/2026 1227551938 CMS
Otsuka America Pharmaceutical, Inc. $25.93 02/21/2025 Food and Beverage Undisputed 06/30/2026 1227551942 CMS
Otsuka America Pharmaceutical, Inc. $28.91 06/05/2025 Food and Beverage Undisputed 06/30/2026 1227551947 CMS
Otsuka America Pharmaceutical, Inc. $24.04 08/07/2025 Food and Beverage Undisputed 06/30/2026 1227551951 CMS
Otsuka America Pharmaceutical, Inc. $29.13 10/09/2025 Food and Beverage Undisputed 06/30/2026 1227551954 CMS
PFIZER INC. $24.36 01/15/2025 Food and Beverage Undisputed 06/30/2026 1229863498 CMS
PFIZER INC. $19.39 10/20/2025 Food and Beverage Undisputed 06/30/2026 1230712043 CMS
Supernus Pharmaceuticals, Inc. $21.03 06/06/2025 Food and Beverage Undisputed 06/30/2026 1244956948 CMS
Viatris Specialty LLC $33.07 06/10/2025 Food and Beverage Undisputed 06/30/2026 1238482457 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, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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