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

MICHELLE GAMIO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1164820643
CMS profile
10875270
Location
SAN ANTONIO, TX

General Payments · PY2021–2024

$2,124.73

  • Reported across 122 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$448.56

24 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 $448.56 24

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $769.12 44
PY2022 $478.23 29
PY2023 $428.82 25
PY2024 $448.56 24

Payment records · PY2024 (24)

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
Abbott Laboratories $21.56 07/29/2024 Food and Beverage Undisputed 01/23/2026 1124879348 CMS
Abbott Laboratories $21.78 10/28/2024 Food and Beverage Undisputed 01/23/2026 1124879350 CMS
Abbott Laboratories $22.14 12/19/2024 Food and Beverage Undisputed 01/23/2026 1124879352 CMS
Amgen Inc. $20.56 08/12/2024 Food and Beverage Undisputed 01/23/2026 1117558747 CMS
Astellas Pharma US Inc $16.00 03/27/2024 Food and Beverage Undisputed 01/23/2026 1139477942 CMS
Exact Sciences Corporation $19.28 04/11/2024 Food and Beverage Undisputed 01/23/2026 1114667057 CMS
GlaxoSmithKline, LLC. $16.52 09/18/2024 Food and Beverage Undisputed 01/23/2026 1116273688 CMS
Lilly USA, LLC $24.22 04/23/2024 Food and Beverage Undisputed 01/23/2026 1135825957 CMS
Lilly USA, LLC $19.38 06/04/2024 Food and Beverage Undisputed 01/23/2026 1135758726 CMS
Lilly USA, LLC $25.29 06/20/2024 Food and Beverage Undisputed 01/23/2026 1135834400 CMS
Merck Sharp & Dohme LLC $21.88 10/28/2024 Food and Beverage Undisputed 01/23/2026 1141799093 CMS
Novo Nordisk Inc $17.15 01/22/2024 Food and Beverage Undisputed 01/23/2026 1100273834 CMS
Novo Nordisk Inc $6.00 02/06/2024 Food and Beverage Undisputed 01/23/2026 1100255172 CMS
Novo Nordisk Inc $17.93 04/03/2024 Food and Beverage Undisputed 01/23/2026 1100571610 CMS
Novo Nordisk Inc $17.51 04/30/2024 Food and Beverage Undisputed 01/23/2026 1100383777 CMS
Novo Nordisk Inc $18.00 06/11/2024 Food and Beverage Undisputed 01/23/2026 1100258194 CMS
Novo Nordisk Inc $23.90 08/08/2024 Food and Beverage Undisputed 01/23/2026 1100545224 CMS
Novo Nordisk Inc $22.32 09/09/2024 Food and Beverage Undisputed 01/23/2026 1100445439 CMS
Novo Nordisk Inc $17.92 11/12/2024 Food and Beverage Undisputed 01/23/2026 1100557499 CMS
Novo Nordisk Inc $18.00 12/10/2024 Food and Beverage Undisputed 01/23/2026 1100393326 CMS
PFIZER INC. $17.10 04/08/2024 Food and Beverage Undisputed 01/23/2026 1131320314 CMS
PFIZER INC. $14.71 04/19/2024 Food and Beverage Undisputed 01/23/2026 1131315781 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.94 02/14/2024 Food and Beverage Undisputed 01/23/2026 1153518656 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.47 10/16/2024 Food and Beverage Undisputed 01/23/2026 1153425907 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.

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.