JAMES E PALEN

Allopathic & Osteopathic Physicians|Family Medicine CAPE GIRARDEAU, MO NPI 1114973161

General Payments — all program years on this page

$4,867.50

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 293
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $525.65 across 28 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 paymentAmountRecords
Food and Beverage $525.6528

By paying entity

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

By program year

Program yearAmountRecords
2018 $861.7058
2019 $461.0933
2020 $503.7733
2021 $941.1954
2022 $811.6246
2023 $762.4841
2024 $525.6528

Records — PY2024 (28)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1078056798 Janssen Pharmaceuticals, Inc $21.22 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1087225707 Novartis Pharmaceuticals Corporation $14.09 01/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096623178 Novo Nordisk Inc $22.34 05/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097216419 Novo Nordisk Inc $16.78 06/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105171662 ABBVIE INC. $20.00 01/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105171664 ABBVIE INC. $34.04 08/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105171666 ABBVIE INC. $17.88 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105171668 ABBVIE INC. $33.49 12/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105311522 AstraZeneca Pharmaceuticals LP $13.18 11/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105675169 AstraZeneca Pharmaceuticals LP $14.22 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105705702 AstraZeneca Pharmaceuticals LP $13.69 08/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105814169 AstraZeneca Pharmaceuticals LP $19.71 01/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117345806 Amgen Inc. $15.47 01/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117345808 Amgen Inc. $18.15 05/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117345810 Amgen Inc. $20.70 09/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118955788 Otsuka America Pharmaceutical, Inc. $26.16 11/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135019392 Lilly USA, LLC $17.72 04/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135019394 Lilly USA, LLC $17.58 06/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135038297 Lilly USA, LLC $15.54 06/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135038377 Lilly USA, LLC $15.54 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135043176 Lilly USA, LLC $17.43 02/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1137647624 Takeda Pharmaceuticals U.S.A., Inc. $22.24 01/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139421745 Astellas Pharma US Inc $13.99 10/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147556304 PROTEGA PHARMACEUTIALS INC $16.93 12/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151105639 Phathom Pharmaceuticals, Inc. $16.94 02/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151105641 Phathom Pharmaceuticals, Inc. $16.64 04/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151105643 Phathom Pharmaceuticals, Inc. $18.00 05/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151532078 Teva Pharmaceuticals USA, Inc. $15.98 03/09/2024 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.