Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record Methodology

Covered recipient · General Payments record

KRYSTAL DAWN LAYHER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134963275
CMS profile
11596256
Location
LUBBOCK, TX

General Payments · PY2024–2025

$657.30

  • Reported across 27 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$639.67

26 records · 0 disputed

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

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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 $639.67 26

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
MAYNE PHARMA COMMERCIAL LLC $226.07 16
DEXCOM, INC. $143.39 1
Enterra Medical, Inc. $101.21 1
Acerta Pharma LLC $88.25 4
Bayer HealthCare Pharmaceuticals Inc. $55.14 3
ABBVIE INC. $25.61 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $17.63 1
PY2025 $639.67 26

Payment records · PY2025 (26)

Ordering applied by this site (paying entity, then date) · record values are shown as CMS published them

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
ABBVIE INC. $25.61 09/22/2025 Food and Beverage Undisputed 06/30/2026 1204661756 CMS
AstraZeneca Pharmaceuticals LP $32.08 05/22/2025 Food and Beverage Undisputed 06/30/2026 1206221024 CMS
AstraZeneca Pharmaceuticals LP $14.97 07/10/2025 Food and Beverage Undisputed 06/30/2026 1206800211 CMS
AstraZeneca Pharmaceuticals LP $21.37 08/14/2025 Food and Beverage Undisputed 06/30/2026 1206910699 CMS
AstraZeneca Pharmaceuticals LP $19.83 09/11/2025 Food and Beverage Undisputed 06/30/2026 1206326994 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.09 04/03/2025 Food and Beverage Undisputed 06/30/2026 1225619926 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.68 07/29/2025 Food and Beverage Undisputed 06/30/2026 1225619924 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.37 11/18/2025 Food and Beverage Undisputed 06/30/2026 1225619928 CMS
Dexcom, Inc. $143.39 11/18/2025 Food and Beverage Undisputed 06/30/2026 1250568256 CMS
Enterra Medical, Inc. $101.21 02/18/2025 Food and Beverage Undisputed 06/30/2026 1253283113 CMS
MAYNE PHARMA COMMERCIAL LLC $3.09 01/02/2025 Food and Beverage Undisputed 06/30/2026 1254362032 CMS
MAYNE PHARMA COMMERCIAL LLC $1.72 01/29/2025 Food and Beverage Undisputed 06/30/2026 1254362072 CMS
MAYNE PHARMA COMMERCIAL LLC $3.72 02/24/2025 Food and Beverage Undisputed 06/30/2026 1254361910 CMS
MAYNE PHARMA COMMERCIAL LLC $25.12 03/19/2025 Food and Beverage Undisputed 06/30/2026 1254361962 CMS
MAYNE PHARMA COMMERCIAL LLC $5.70 03/27/2025 Food and Beverage Undisputed 06/30/2026 1254361934 CMS
MAYNE PHARMA COMMERCIAL LLC $16.38 04/08/2025 Food and Beverage Undisputed 06/30/2026 1254362174 CMS
MAYNE PHARMA COMMERCIAL LLC $13.09 04/29/2025 Food and Beverage Undisputed 06/30/2026 1254362202 CMS
MAYNE PHARMA COMMERCIAL LLC $2.36 05/13/2025 Food and Beverage Undisputed 06/30/2026 1254362252 CMS
MAYNE PHARMA COMMERCIAL LLC $14.56 06/12/2025 Food and Beverage Undisputed 06/30/2026 1254362340 CMS
MAYNE PHARMA COMMERCIAL LLC $95.58 06/25/2025 Food and Beverage Undisputed 06/30/2026 1254644901 CMS
MAYNE PHARMA COMMERCIAL LLC $5.64 07/10/2025 Food and Beverage Undisputed 06/30/2026 1254362490 CMS
MAYNE PHARMA COMMERCIAL LLC $8.93 08/05/2025 Food and Beverage Undisputed 06/30/2026 1254362578 CMS
MAYNE PHARMA COMMERCIAL LLC $2.21 08/08/2025 Food and Beverage Undisputed 06/30/2026 1254362576 CMS
MAYNE PHARMA COMMERCIAL LLC $9.10 09/04/2025 Food and Beverage Undisputed 06/30/2026 1254362610 CMS
MAYNE PHARMA COMMERCIAL LLC $8.62 09/24/2025 Food and Beverage Undisputed 06/30/2026 1254362660 CMS
MAYNE PHARMA COMMERCIAL LLC $10.25 10/28/2025 Food and Beverage Undisputed 06/30/2026 1254362106 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.