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

KAREN A JULIEN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1134355324
CMS profile
10953236
Location
LOS ANGELES, CA

General Payments · PY2021–2025

$3,712.36

  • Reported across 121 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,375.05

42 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 $1,375.05 42

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $293.75 9
PY2022 $516.66 15
PY2023 $505.77 25
PY2024 $1,021.13 30
PY2025 $1,375.05 42

Payment records · PY2025 (42)

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

Program year 2025 2021202220232024 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
Alexion Pharmaceuticals, Inc. $21.60 01/07/2025 Food and Beverage Undisputed 06/30/2026 1202952652 CMS
Astellas Pharma US Inc $125.64 03/19/2025 Food and Beverage Undisputed 06/30/2026 1238704260 CMS
AstraZeneca Pharmaceuticals LP $23.00 02/05/2025 Food and Beverage Undisputed 06/30/2026 1206459713 CMS
AstraZeneca Pharmaceuticals LP $24.55 03/04/2025 Food and Beverage Undisputed 06/30/2026 1207262703 CMS
AstraZeneca Pharmaceuticals LP $9.93 05/20/2025 Food and Beverage Undisputed 06/30/2026 1206148171 CMS
AstraZeneca Pharmaceuticals LP $21.46 06/17/2025 Food and Beverage Undisputed 06/30/2026 1206179576 CMS
AstraZeneca Pharmaceuticals LP $22.24 07/16/2025 Food and Beverage Undisputed 06/30/2026 1206626994 CMS
AstraZeneca Pharmaceuticals LP $19.48 08/19/2025 Food and Beverage Undisputed 06/30/2026 1206227744 CMS
AstraZeneca Pharmaceuticals LP $19.95 09/09/2025 Food and Beverage Undisputed 06/30/2026 1206446545 CMS
AstraZeneca Pharmaceuticals LP $24.98 10/13/2025 Food and Beverage Undisputed 06/30/2026 1206766482 CMS
AstraZeneca Pharmaceuticals LP $23.46 11/04/2025 Food and Beverage Undisputed 06/30/2026 1206708323 CMS
AstraZeneca Pharmaceuticals LP $24.52 12/03/2025 Food and Beverage Undisputed 06/30/2026 1206626122 CMS
BeiGene USA, Inc. $19.04 02/18/2025 Food and Beverage Undisputed 06/30/2026 1202881022 CMS
BeOne Medicines USA, Inc. $21.17 03/25/2025 Food and Beverage Undisputed 06/30/2026 1202897744 CMS
BeOne Medicines USA, Inc. $23.12 12/02/2025 Food and Beverage Undisputed 06/30/2026 1202897746 CMS
Caris MPI, Inc. $23.55 06/10/2025 Food and Beverage Undisputed 06/30/2026 1234293645 CMS
Daiichi Sankyo Inc. $22.61 08/19/2025 Food and Beverage Undisputed 06/30/2026 1197084713 CMS
Daiichi Sankyo Inc. $28.19 11/04/2025 Food and Beverage Undisputed 06/30/2026 1197009539 CMS
E.R. Squibb & Sons, L.L.C. $26.43 05/13/2025 Food and Beverage Undisputed 06/30/2026 1184838547 CMS
Eisai Inc. $7.14 06/18/2025 Food and Beverage Undisputed 06/30/2026 1244537375 CMS
Eisai Inc. $6.17 06/18/2025 Food and Beverage Undisputed 06/30/2026 1244537377 CMS
Eisai Inc. $117.94 08/05/2025 Food and Beverage Undisputed 06/30/2026 1244537383 CMS
Eisai Inc. $3.31 10/15/2025 Food and Beverage Undisputed 06/30/2026 1244537379 CMS
Eisai Inc. $8.00 10/30/2025 Food and Beverage Undisputed 06/30/2026 1244537381 CMS
GENZYME CORPORATION $38.22 11/11/2025 Food and Beverage Undisputed 06/30/2026 1233392526 CMS
GENZYME CORPORATION $30.30 12/09/2025 Food and Beverage Undisputed 06/30/2026 1233392534 CMS
GENZYME CORPORATION $24.49 12/16/2025 Food and Beverage Undisputed 06/30/2026 1233392540 CMS
Gilead Sciences, Inc. $16.73 04/02/2025 Food and Beverage Undisputed 06/30/2026 1234560061 CMS
Gilead Sciences, Inc. $54.71 08/23/2025 Food and Beverage Undisputed 06/30/2026 1234413160 CMS
Gilead Sciences, Inc. $21.81 12/02/2025 Food and Beverage Undisputed 06/30/2026 1234507445 CMS
Incyte Corporation $1.09 08/12/2025 Food and Beverage Undisputed 06/30/2026 1226040964 CMS
Incyte Corporation $28.14 08/12/2025 Food and Beverage Undisputed 06/30/2026 1226041184 CMS
Incyte Corporation $120.48 11/06/2025 Food and Beverage Undisputed 06/30/2026 1225971641 CMS
JAZZ PHARMACEUTICALS INC. $63.46 08/24/2025 Food and Beverage Undisputed 06/30/2026 1234905869 CMS
Merck Sharp & Dohme LLC $23.12 03/18/2025 Food and Beverage Undisputed 06/30/2026 1238254063 CMS
SOBI, INC $30.19 06/25/2025 Food and Beverage Undisputed 06/30/2026 1240233166 CMS
SOBI, INC $33.05 07/30/2025 Food and Beverage Undisputed 06/30/2026 1240233170 CMS
SOBI, INC $42.59 10/28/2025 Food and Beverage Undisputed 06/30/2026 1240233174 CMS
Syndax Pharmaceuticals, Inc. $102.91 02/21/2025 Food and Beverage Undisputed 06/30/2026 1238999094 CMS
TAIHO ONCOLOGY, INC. $32.71 10/22/2025 Food and Beverage Undisputed 06/30/2026 1211413692 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.43 01/06/2025 Food and Beverage Undisputed 06/30/2026 1224031191 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.14 02/26/2025 Food and Beverage Undisputed 06/30/2026 1224037512 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
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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