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

KARLA DENISSE ARAGON ALEMAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134684350
CMS profile
11032289
Location
ROYAL PALM BEACH, FL

General Payments · PY2024–2025

$511.96

  • Reported across 23 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$325.01

14 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 $325.01 14

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Exact Sciences Corporation $125.03 4
Acerta Pharma LLC $59.42 3
Novo Nordisk AS $44.04 2
Lilly USA, LLC $38.70 2
SANOFI-AVENTIS U.S. LLC $25.26 1
Phadia US Inc. $18.22 1
GlaxoSmithKline, LLC. $14.34 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $186.95 9
PY2025 $325.01 14

Payment records · PY2025 (14)

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

Program year 2025 2024 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
AstraZeneca Pharmaceuticals LP $14.91 05/08/2025 Food and Beverage Undisputed 06/30/2026 1206639803 CMS
AstraZeneca Pharmaceuticals LP $20.22 08/28/2025 Food and Beverage Undisputed 06/30/2026 1206631807 CMS
AstraZeneca Pharmaceuticals LP $24.29 09/24/2025 Food and Beverage Undisputed 06/30/2026 1206794365 CMS
Exact Sciences Corporation $30.81 02/26/2025 Food and Beverage Undisputed 06/30/2026 1235266756 CMS
Exact Sciences Corporation $29.39 05/21/2025 Food and Beverage Undisputed 06/30/2026 1235266758 CMS
Exact Sciences Corporation $33.11 07/16/2025 Food and Beverage Undisputed 06/30/2026 1235266760 CMS
Exact Sciences Corporation $31.72 09/16/2025 Food and Beverage Undisputed 06/30/2026 1235266762 CMS
GlaxoSmithKline, LLC. $14.34 02/04/2025 Food and Beverage Undisputed 06/30/2026 1190750054 CMS
Lilly USA, LLC $21.34 04/21/2025 Food and Beverage Undisputed 06/30/2026 1187202237 CMS
Lilly USA, LLC $17.36 07/14/2025 Food and Beverage Undisputed 06/30/2026 1187191602 CMS
Novo Nordisk Inc $25.07 03/13/2025 Food and Beverage Undisputed 06/30/2026 1188402122 CMS
Novo Nordisk Inc $18.97 05/14/2025 Food and Beverage Undisputed 06/30/2026 1189076957 CMS
Phadia US Inc. $18.22 01/14/2025 Food and Beverage Undisputed 06/30/2026 1161490121 CMS
SANOFI-AVENTIS U.S. LLC $25.26 09/12/2025 Food and Beverage Undisputed 06/30/2026 1233700985 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
2024, 2025
Source files
Dataset page · Bulk file · PY2024 , PY2025
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.