NESS RELLS

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family EL CAJON, CA NPI 1114646973

General Payments — all program years on this page

$5,606.31

Category: General Payments
Program years: PY2022–2024
Record count: 229
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,578.79 across 107 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$2,553.79	106
Education	$25.00	1

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
Edwards Lifesciences Corporation	$437.50	3
CARDIVA MEDICAL, INC.	$372.51	27
Alnylam Pharmaceuticals Inc.	$231.95	8
ShockWave Medical, Inc	$182.57	2
Lexicon Pharmaceuticals, Inc.	$116.16	5
Bayer HealthCare Pharmaceuticals Inc.	$107.05	5
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$103.44	5
Novo Nordisk AS	$91.02	4
Amgen Inc.	$87.75	5
Kiniksa Pharmaceuticals International, plc	$83.64	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$80.79	4
Merck Sharp & Dohme Corporation	$80.72	4
HEARTFLOW, INC.	$80.41	2
Acerta Pharma LLC	$74.93	4
NOVARTIS PHARMACEUTICALS CORPORATION	$73.29	5
SCPHARMACEUTICALS INC.	$71.60	3
BOSTON SCIENTIFIC CORPORATION	$64.30	3
Janssen Pharmaceuticals, Inc	$57.32	3
CVRx Inc.	$52.58	5
E.R. Squibb & Sons, L.L.C.	$25.00	1
DAVOL INC.	$24.47	1
iRhythm Technologies, Inc.	$22.99	1
PFIZER INC.	$21.09	1
CHIESI USA, INC.	$19.64	1
Esperion Therapeutics, Inc.	$16.07	1

By program year

Program year	Amount	Records
2022	$1,000.45	28
2023	$2,027.07	94
2024	$2,578.79	107

Records — PY2024 (107)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1077923177	Janssen Pharmaceuticals, Inc	$16.64	05/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077923205	Janssen Pharmaceuticals, Inc	$24.41	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077923233	Janssen Pharmaceuticals, Inc	$16.27	08/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1080672200	ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$24.41	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1080672204	ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$18.24	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1080672208	ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$25.17	08/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1080672212	ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$20.94	09/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1080672216	ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$14.68	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1081716014	Lexicon Pharmaceuticals, Inc.	$16.67	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1081716016	Lexicon Pharmaceuticals, Inc.	$19.60	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1081716018	Lexicon Pharmaceuticals, Inc.	$24.67	06/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1081716020	Lexicon Pharmaceuticals, Inc.	$24.73	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1081716022	Lexicon Pharmaceuticals, Inc.	$30.49	04/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086295682	Bayer Healthcare Pharmaceuticals Inc.	$21.73	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086325946	Bayer Healthcare Pharmaceuticals Inc.	$24.61	10/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086328235	Bayer Healthcare Pharmaceuticals Inc.	$20.01	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086350057	Bayer Healthcare Pharmaceuticals Inc.	$22.05	08/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086356558	Bayer Healthcare Pharmaceuticals Inc.	$18.65	09/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087164449	Novartis Pharmaceuticals Corporation	$14.14	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087164451	Novartis Pharmaceuticals Corporation	$15.10	04/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087164453	Novartis Pharmaceuticals Corporation	$14.35	04/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087164465	Novartis Pharmaceuticals Corporation	$14.73	06/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087164467	Novartis Pharmaceuticals Corporation	$14.97	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1092708502	Boston Scientific Corporation	$20.00	06/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1092708504	Boston Scientific Corporation	$20.40	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1092708506	Boston Scientific Corporation	$23.90	01/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100392396	Novo Nordisk Inc	$24.53	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100447231	Novo Nordisk Inc	$22.71	01/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100618132	Novo Nordisk Inc	$20.91	07/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1100644305	Novo Nordisk Inc	$22.87	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101481030	E.R. Squibb & Sons, L.L.C.	$25.00	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104316372	AstraZeneca Pharmaceuticals LP	$19.61	04/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104633469	AstraZeneca Pharmaceuticals LP	$19.61	06/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105420976	AstraZeneca Pharmaceuticals LP	$17.97	03/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105834343	AstraZeneca Pharmaceuticals LP	$17.74	08/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117363013	Amgen Inc.	$15.67	01/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117363015	Amgen Inc.	$16.62	04/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117363017	Amgen Inc.	$21.06	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117363019	Amgen Inc.	$17.29	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117363021	Amgen Inc.	$17.11	08/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117878541	Boehringer Ingelheim Pharmaceuticals, Inc.	$16.96	04/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117878543	Boehringer Ingelheim Pharmaceuticals, Inc.	$17.78	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117878545	Boehringer Ingelheim Pharmaceuticals, Inc.	$21.06	10/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117878547	Boehringer Ingelheim Pharmaceuticals, Inc.	$24.99	05/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125843697	Alnylam Pharmaceuticals Inc.	$22.03	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125843713	Alnylam Pharmaceuticals Inc.	$18.10	04/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125843725	Alnylam Pharmaceuticals Inc.	$7.25	05/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125843735	Alnylam Pharmaceuticals Inc.	$6.83	06/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125843749	Alnylam Pharmaceuticals Inc.	$122.84	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125843753	Alnylam Pharmaceuticals Inc.	$14.41	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125843777	Alnylam Pharmaceuticals Inc.	$17.65	09/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1125843791	Alnylam Pharmaceuticals Inc.	$22.84	11/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1127651869	Davol Inc.	$24.47	07/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1129474898	Esperion Therapeutics, Inc.	$16.07	05/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131688664	PFIZER INC.	$21.09	06/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132277920	SCPHARMACEUTICALS INC.	$22.65	05/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132284755	SCPHARMACEUTICALS INC.	$24.47	06/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132287618	SCPHARMACEUTICALS INC.	$24.48	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1138420034	CVRx, Inc.	$6.32	01/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1138420036	CVRx, Inc.	$15.78	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1138420038	CVRx, Inc.	$6.93	05/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1138420040	CVRx, Inc.	$6.41	06/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1138420042	CVRx, Inc.	$17.14	09/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1138877133	Edwards Lifesciences Corporation	$58.44	02/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1138877165	Edwards Lifesciences Corporation	$155.15	09/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1138877175	Edwards Lifesciences Corporation	$223.91	12/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141747073	Merck Sharp & Dohme LLC	$21.58	05/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141747075	Merck Sharp & Dohme LLC	$18.53	07/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141747077	Merck Sharp & Dohme LLC	$20.05	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141883322	Merck Sharp & Dohme LLC	$20.56	03/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865409	CARDIVA MEDICAL, INC.	$17.55	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865411	CARDIVA MEDICAL, INC.	$3.56	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865413	CARDIVA MEDICAL, INC.	$12.63	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865415	CARDIVA MEDICAL, INC.	$9.24	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865417	CARDIVA MEDICAL, INC.	$2.75	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865419	CARDIVA MEDICAL, INC.	$10.16	02/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865421	CARDIVA MEDICAL, INC.	$18.81	03/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865423	CARDIVA MEDICAL, INC.	$13.79	03/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865425	CARDIVA MEDICAL, INC.	$15.88	04/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865427	CARDIVA MEDICAL, INC.	$9.36	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865429	CARDIVA MEDICAL, INC.	$19.00	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865431	CARDIVA MEDICAL, INC.	$5.50	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865433	CARDIVA MEDICAL, INC.	$22.74	05/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865435	CARDIVA MEDICAL, INC.	$3.84	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865437	CARDIVA MEDICAL, INC.	$20.11	07/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865439	CARDIVA MEDICAL, INC.	$2.77	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865441	CARDIVA MEDICAL, INC.	$21.33	07/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865443	CARDIVA MEDICAL, INC.	$1.83	08/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865445	CARDIVA MEDICAL, INC.	$21.22	09/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865447	CARDIVA MEDICAL, INC.	$58.38	09/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865449	CARDIVA MEDICAL, INC.	$3.15	10/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865451	CARDIVA MEDICAL, INC.	$12.11	10/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865453	CARDIVA MEDICAL, INC.	$21.33	10/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865455	CARDIVA MEDICAL, INC.	$2.76	11/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865457	CARDIVA MEDICAL, INC.	$4.96	12/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865459	CARDIVA MEDICAL, INC.	$18.96	12/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143865461	CARDIVA MEDICAL, INC.	$18.79	12/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151838114	Chiesi USA, Inc.	$19.64	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153008956	ShockWave Medical, Inc	$157.57	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1153010781	ShockWave Medical, Inc	$25.00	07/30/2024	Education	Undisputed	01/23/2026	View at CMS
1154057060	iRhythm Technologies, Inc.	$22.99	09/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154178090	HEARTFLOW, INC.	$35.98	02/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154178460	HEARTFLOW, INC.	$44.43	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154860372	Kiniksa Pharmaceuticals International, plc	$21.41	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154860402	Kiniksa Pharmaceuticals International, plc	$18.04	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154860436	Kiniksa Pharmaceuticals International, plc	$21.26	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154860470	Kiniksa Pharmaceuticals International, plc	$22.93	08/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
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.