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

KHRISTEL A FONSECA-MILLER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1093364481
CMS profile
10663569
Location
LAND O LAKES, FL

General Payments · PY2021–2024

$16,234.17

  • Reported across 715 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,383.21

69 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 $2,383.21 69

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $3,043.47 178
PY2022 $5,163.02 239
PY2023 $5,644.47 229
PY2024 $2,383.21 69

Payment records · PY2024 (69)

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
ABBVIE INC. $17.34 01/06/2024 Food and Beverage Undisputed 01/23/2026 1107117112 CMS
ABBVIE INC. $27.43 01/10/2024 Food and Beverage Undisputed 01/23/2026 1107117114 CMS
ABBVIE INC. $28.41 02/19/2024 Food and Beverage Undisputed 01/23/2026 1107117116 CMS
ABBVIE INC. $23.77 05/13/2024 Food and Beverage Undisputed 01/23/2026 1107117118 CMS
ABBVIE INC. $131.35 05/16/2024 Food and Beverage Undisputed 01/23/2026 1107117120 CMS
ABBVIE INC. $27.80 05/21/2024 Food and Beverage Undisputed 01/23/2026 1107117122 CMS
ABBVIE INC. $17.62 06/13/2024 Food and Beverage Undisputed 01/23/2026 1107117124 CMS
ABBVIE INC. $100.13 06/17/2024 Food and Beverage Undisputed 01/23/2026 1107117126 CMS
ABBVIE INC. $21.47 07/08/2024 Food and Beverage Undisputed 01/23/2026 1107117128 CMS
ABBVIE INC. $30.66 07/15/2024 Food and Beverage Undisputed 01/23/2026 1107117130 CMS
ABBVIE INC. $118.62 07/18/2024 Food and Beverage Undisputed 01/23/2026 1107117132 CMS
ABBVIE INC. $24.21 07/22/2024 Food and Beverage Undisputed 01/23/2026 1107117134 CMS
ABBVIE INC. $23.20 08/06/2024 Food and Beverage Undisputed 01/23/2026 1107117136 CMS
ABBVIE INC. $24.10 09/30/2024 Food and Beverage Undisputed 01/23/2026 1107117138 CMS
ABBVIE INC. $24.75 10/14/2024 Food and Beverage Undisputed 01/23/2026 1107117140 CMS
ABBVIE INC. $5.43 10/14/2024 Food and Beverage Undisputed 01/23/2026 1107117142 CMS
ABBVIE INC. $33.69 10/21/2024 Food and Beverage Undisputed 01/23/2026 1107117144 CMS
ABBVIE INC. $124.63 10/24/2024 Food and Beverage Undisputed 01/23/2026 1107117146 CMS
ABBVIE INC. $26.67 10/28/2024 Food and Beverage Undisputed 01/23/2026 1107117148 CMS
ABBVIE INC. $32.02 11/25/2024 Food and Beverage Undisputed 01/23/2026 1107117150 CMS
ABBVIE INC. $28.55 12/03/2024 Food and Beverage Undisputed 01/23/2026 1107117152 CMS
ABBVIE INC. $29.56 12/16/2024 Food and Beverage Undisputed 01/23/2026 1107117154 CMS
Amgen Inc. $11.38 01/04/2024 Food and Beverage Undisputed 01/23/2026 1117252546 CMS
Amgen Inc. $7.94 01/12/2024 Food and Beverage Undisputed 01/23/2026 1117252548 CMS
Amgen Inc. $18.35 01/16/2024 Food and Beverage Undisputed 01/23/2026 1117554989 CMS
Amgen Inc. $17.91 01/18/2024 Food and Beverage Undisputed 01/23/2026 1117252550 CMS
Amgen Inc. $121.13 01/25/2024 Food and Beverage Undisputed 01/23/2026 1117554991 CMS
Amgen Inc. $121.13 01/25/2024 Food and Beverage Undisputed 01/23/2026 1117554993 CMS
Amgen Inc. $18.52 02/12/2024 Food and Beverage Undisputed 01/23/2026 1117252542 CMS
Amgen Inc. $12.89 04/01/2024 Food and Beverage Undisputed 01/23/2026 1117252552 CMS
Amgen Inc. $127.50 04/10/2024 Food and Beverage Undisputed 01/23/2026 1117252544 CMS
Amgen Inc. $21.91 08/26/2024 Food and Beverage Undisputed 01/23/2026 1117252554 CMS
AstraZeneca Pharmaceuticals LP $20.79 01/10/2024 Food and Beverage Undisputed 01/23/2026 1105763702 CMS
AstraZeneca Pharmaceuticals LP $21.89 02/05/2024 Food and Beverage Undisputed 01/23/2026 1104674851 CMS
Aurinia Pharma U.S., Inc. $29.86 08/19/2024 Food and Beverage Undisputed 01/23/2026 1150696784 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.31 01/19/2024 Food and Beverage Undisputed 01/23/2026 1117869636 CMS
Fresenius Kabi USA, LLC $17.94 06/10/2024 Food and Beverage Undisputed 01/23/2026 1146943546 CMS
Fresenius Kabi USA, LLC $23.28 09/09/2024 Food and Beverage Undisputed 01/23/2026 1146943550 CMS
Fresenius Kabi USA, LLC $21.09 11/04/2024 Food and Beverage Undisputed 01/23/2026 1146943548 CMS
GENZYME CORPORATION $134.02 08/13/2024 Food and Beverage Undisputed 01/23/2026 1139956917 CMS
GlaxoSmithKline, LLC. $27.01 01/27/2024 Food and Beverage Undisputed 01/23/2026 1116555131 CMS
Janssen Biotech, Inc. $28.37 01/08/2024 Food and Beverage Undisputed 01/23/2026 1078435566 CMS
Janssen Biotech, Inc. $31.43 02/26/2024 Food and Beverage Undisputed 01/23/2026 1078435488 CMS
Lilly USA, LLC $26.10 01/30/2024 Food and Beverage Undisputed 01/23/2026 1135771410 CMS
Mallinckrodt Hospital Products Inc. $19.85 01/26/2024 Food and Beverage Undisputed 01/23/2026 1145167636 CMS
Medtronic, Inc. $18.81 04/10/2024 Food and Beverage Undisputed 01/23/2026 1116903888 CMS
Medtronic, Inc. $17.14 04/11/2024 Food and Beverage Undisputed 01/23/2026 1116903886 CMS
Medtronic, Inc. $44.15 11/17/2024 Food and Beverage Undisputed 01/23/2026 1116903890 CMS
Novartis Pharmaceuticals Corporation $26.51 01/31/2024 Food and Beverage Undisputed 01/23/2026 1086838567 CMS
Novartis Pharmaceuticals Corporation $29.78 02/08/2024 Food and Beverage Undisputed 01/23/2026 1086838569 CMS
Novartis Pharmaceuticals Corporation $26.41 02/28/2024 Food and Beverage Undisputed 01/23/2026 1086838583 CMS
Novartis Pharmaceuticals Corporation $25.90 03/13/2024 Food and Beverage Undisputed 01/23/2026 1086838585 CMS
Novartis Pharmaceuticals Corporation $18.66 03/28/2024 Food and Beverage Undisputed 01/23/2026 1086838577 CMS
Novartis Pharmaceuticals Corporation $26.58 04/02/2024 Food and Beverage Undisputed 01/23/2026 1086838579 CMS
Novartis Pharmaceuticals Corporation $27.41 04/15/2024 Food and Beverage Undisputed 01/23/2026 1086838589 CMS
Novartis Pharmaceuticals Corporation $17.66 05/20/2024 Food and Beverage Undisputed 01/23/2026 1086838593 CMS
Novartis Pharmaceuticals Corporation $32.12 05/20/2024 Food and Beverage Undisputed 01/23/2026 1086838595 CMS
Novartis Pharmaceuticals Corporation $13.04 07/02/2024 Food and Beverage Undisputed 01/23/2026 1086838597 CMS
Novartis Pharmaceuticals Corporation $12.17 07/22/2024 Food and Beverage Undisputed 01/23/2026 1086838599 CMS
Novartis Pharmaceuticals Corporation $32.46 10/30/2024 Food and Beverage Undisputed 01/23/2026 1086838607 CMS
Novartis Pharmaceuticals Corporation $31.60 11/13/2024 Food and Beverage Undisputed 01/23/2026 1086838609 CMS
Novartis Pharmaceuticals Corporation $14.31 12/04/2024 Food and Beverage Undisputed 01/23/2026 1086838611 CMS
Novartis Pharmaceuticals Corporation $23.11 12/11/2024 Food and Beverage Undisputed 01/23/2026 1086838613 CMS
Organon Llc $11.89 02/05/2024 Food and Beverage Undisputed 01/23/2026 1136285643 CMS
PFIZER INC. $25.56 01/25/2024 Food and Beverage Undisputed 01/23/2026 1130982986 CMS
PFIZER INC. $23.86 04/08/2024 Food and Beverage Undisputed 01/23/2026 1131388206 CMS
PFIZER INC. $18.81 12/09/2024 Food and Beverage Undisputed 01/23/2026 1131140815 CMS
UCB, Inc. $22.98 01/03/2024 Food and Beverage Undisputed 01/23/2026 1143199109 CMS
UCB, Inc. $25.28 02/12/2024 Food and Beverage Undisputed 01/23/2026 1143218849 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

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