Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ESMERALDA HOWARD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1144428558
CMS profile
10585466
Location
DALLAS, TX

General Payments · PY2021–2024

$3,499.91

  • Reported across 163 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$794.80

32 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $794.80 32

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $968.20 52
PY2022 $1,085.78 50
PY2023 $651.13 29
PY2024 $794.80 32

Payment records · PY2024 (32)

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

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $14.13 03/26/2024 Food and Beverage Undisputed 01/23/2026 1107361135 CMS
ABBVIE INC. $23.67 07/24/2024 Food and Beverage Undisputed 01/23/2026 1107361137 CMS
ABBVIE INC. $24.58 08/21/2024 Food and Beverage Undisputed 01/23/2026 1107361139 CMS
ABBVIE INC. $24.03 09/25/2024 Food and Beverage Undisputed 01/23/2026 1107361141 CMS
ABBVIE INC. $23.69 10/23/2024 Food and Beverage Undisputed 01/23/2026 1107361143 CMS
ABBVIE INC. $18.37 11/13/2024 Food and Beverage Undisputed 01/23/2026 1107361145 CMS
ABBVIE INC. $21.35 12/04/2024 Food and Beverage Undisputed 01/23/2026 1107361147 CMS
Gilead Sciences, Inc. $22.87 01/31/2024 Food and Beverage Undisputed 01/23/2026 1133653968 CMS
Gilead Sciences, Inc. $21.68 02/07/2024 Food and Beverage Undisputed 01/23/2026 1133653970 CMS
Gilead Sciences, Inc. $27.42 02/21/2024 Food and Beverage Undisputed 01/23/2026 1133653972 CMS
Gilead Sciences, Inc. $23.63 04/03/2024 Food and Beverage Undisputed 01/23/2026 1133653974 CMS
Gilead Sciences, Inc. $22.16 08/07/2024 Food and Beverage Undisputed 01/23/2026 1133653976 CMS
Gilead Sciences, Inc. $23.23 08/13/2024 Food and Beverage Undisputed 01/23/2026 1133653978 CMS
Gilead Sciences, Inc. $129.67 08/16/2024 Food and Beverage Undisputed 01/23/2026 1133653980 CMS
Gilead Sciences, Inc. $24.44 09/04/2024 Food and Beverage Undisputed 01/23/2026 1133653982 CMS
Gilead Sciences, Inc. $22.60 10/03/2024 Food and Beverage Undisputed 01/23/2026 1133653984 CMS
Gilead Sciences, Inc. $15.93 10/08/2024 Food and Beverage Undisputed 01/23/2026 1133653986 CMS
Gilead Sciences, Inc. $23.89 11/21/2024 Food and Beverage Undisputed 01/23/2026 1133653988 CMS
Gilead Sciences, Inc. $23.18 12/03/2024 Food and Beverage Undisputed 01/23/2026 1133653990 CMS
Intercept Pharmaceuticals, Inc. $23.99 08/28/2024 Food and Beverage Undisputed 01/23/2026 1113648319 CMS
Ipsen Biopharmaceuticals, Inc $17.36 03/20/2024 Food and Beverage Undisputed 01/23/2026 1091955899 CMS
Ipsen Biopharmaceuticals, Inc $18.76 09/10/2024 Food and Beverage Undisputed 01/23/2026 1091955905 CMS
Ipsen Biopharmaceuticals, Inc $20.09 11/04/2024 Food and Beverage Undisputed 01/23/2026 1091955903 CMS
Ipsen Biopharmaceuticals, Inc $17.94 12/02/2024 Food and Beverage Undisputed 01/23/2026 1091955901 CMS
Madrigal Pharmaceuticals $23.69 10/03/2024 Food and Beverage Undisputed 01/23/2026 1144192697 CMS
Madrigal Pharmaceuticals $23.59 12/18/2024 Food and Beverage Undisputed 01/23/2026 1144192699 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.91 01/29/2024 Food and Beverage Undisputed 01/23/2026 1153426180 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.60 01/29/2024 Food and Beverage Undisputed 01/23/2026 1153756829 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.04 06/18/2024 Food and Beverage Undisputed 01/23/2026 1153688902 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.43 10/22/2024 Food and Beverage Undisputed 01/23/2026 1153532404 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.24 11/11/2024 Food and Beverage Undisputed 01/23/2026 1153579049 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.64 12/17/2024 Food and Beverage Undisputed 01/23/2026 1153681479 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
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.

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