Covered recipient · General Payments record
APRIL WINKLER
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2025
$2,289.31
- Reported across 130 records
- CMS publication 2026-06-30
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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $766.22 | 38 |
| Education | $11.56 | 1 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| ABBVIE INC. | $264.20 | 15 |
| Acerta Pharma LLC | $171.92 | 5 |
| ITI, Inc. | $81.04 | 4 |
| VERTEX PHARMACEUTICALS INCORPORATED | $52.08 | 2 |
| Collegium Pharmaceutical, Inc. | $31.18 | 2 |
| PFIZER INC. | $28.27 | 2 |
| Radius Health, Inc. | $22.19 | 1 |
| Abbott Laboratories | $19.14 | 1 |
| Otsuka America Pharmaceutical, Inc. | $17.94 | 1 |
| Lilly USA, LLC | $17.17 | 1 |
| GlaxoSmithKline, LLC. | $15.62 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $15.44 | 1 |
| Verona Pharma, Inc. | $13.91 | 1 |
| Merck Sharp & Dohme Corporation | $13.84 | 1 |
| Amgen Inc. | $13.84 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (39)
Sorted by paying entity, then date · as published by 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
- 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.