IndustryPayments
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

FRANCESCA DESIRE

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1174269195
CMS profile
11361591
Location
SAN ANTONIO, TX

General Payments · PY2022–2025

$10,245.79

  • Reported across 427 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$3,354.57

151 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.

Related groups: Physician Assistant TX All categories

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,269.58 150
Education $84.99 1

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Janssen Biotech, Inc. $708.11 35
ABBVIE INC. $575.08 33
Phathom Pharmaceuticals, Inc. $252.52 5
Salix Pharmaceuticals, a division of Bausch Health US, LLC $227.48 14
Celltrion USA Inc. $220.71 12
Ardelyx, Inc. $183.87 6
AIMMUNE THERAPEUTICS, INC. $157.71 4
Lilly USA, LLC $153.00 8
GENZYME CORPORATION $135.21 2
Janssen Scientific Affairs, LLC $130.08 1
Takeda Pharmaceuticals U.S.A., Inc. $126.20 7
QOL Medical, LLC $111.17 4
PFIZER INC. $100.67 6
Madrigal Pharmaceuticals $89.97 5
Organon LLC $69.51 3
VIVUS LLC $36.30 2
Regeneron Healthcare Solutions, Inc. $22.39 1
Novo Nordisk AS $20.62 1
EVOKE PHARMA, INC. $19.33 1
Ipsen Biopharmaceuticals, Inc $14.64 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $1,257.65 64
PY2023 $2,403.28 91
PY2024 $3,230.29 121
PY2025 $3,354.57 151

Payment records · PY2025 (151)

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

Program year 2025 202220232024 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. $26.62 01/15/2025 Food and Beverage Undisputed 06/30/2026 1203522360 CMS
ABBVIE INC. $12.51 02/17/2025 Food and Beverage Undisputed 06/30/2026 1203522368 CMS
ABBVIE INC. $20.75 02/20/2025 Food and Beverage Undisputed 06/30/2026 1203522374 CMS
ABBVIE INC. $2.13 02/24/2025 Food and Beverage Undisputed 06/30/2026 1203522380 CMS
ABBVIE INC. $2.64 03/03/2025 Food and Beverage Undisputed 06/30/2026 1203522385 CMS
ABBVIE INC. $16.05 03/12/2025 Food and Beverage Undisputed 06/30/2026 1203522390 CMS
ABBVIE INC. $14.97 04/07/2025 Food and Beverage Undisputed 06/30/2026 1203522397 CMS
ABBVIE INC. $19.30 04/17/2025 Food and Beverage Undisputed 06/30/2026 1203522403 CMS
ABBVIE INC. $8.20 04/24/2025 Food and Beverage Undisputed 06/30/2026 1203522409 CMS
ABBVIE INC. $5.96 04/30/2025 Food and Beverage Undisputed 06/30/2026 1203522414 CMS
ABBVIE INC. $27.04 05/05/2025 Food and Beverage Undisputed 06/30/2026 1203522420 CMS
ABBVIE INC. $23.85 05/14/2025 Food and Beverage Undisputed 06/30/2026 1203522427 CMS
ABBVIE INC. $24.36 05/29/2025 Food and Beverage Undisputed 06/30/2026 1203522432 CMS
ABBVIE INC. $124.98 05/29/2025 Food and Beverage Undisputed 06/30/2026 1203522437 CMS
ABBVIE INC. $4.93 06/10/2025 Food and Beverage Undisputed 06/30/2026 1203522443 CMS
ABBVIE INC. $22.41 06/26/2025 Food and Beverage Undisputed 06/30/2026 1203522448 CMS
ABBVIE INC. $16.89 07/16/2025 Food and Beverage Undisputed 06/30/2026 1203522454 CMS
ABBVIE INC. $7.64 08/05/2025 Food and Beverage Undisputed 06/30/2026 1203522460 CMS
ABBVIE INC. $16.99 08/06/2025 Food and Beverage Undisputed 06/30/2026 1203522464 CMS
ABBVIE INC. $14.87 08/18/2025 Food and Beverage Undisputed 06/30/2026 1203522470 CMS
ABBVIE INC. $17.17 09/04/2025 Food and Beverage Undisputed 06/30/2026 1203522476 CMS
ABBVIE INC. $15.72 09/09/2025 Food and Beverage Undisputed 06/30/2026 1203522482 CMS
ABBVIE INC. $16.65 09/17/2025 Food and Beverage Undisputed 06/30/2026 1203522487 CMS
ABBVIE INC. $14.35 09/26/2025 Food and Beverage Undisputed 06/30/2026 1203522494 CMS
ABBVIE INC. $24.89 10/14/2025 Food and Beverage Undisputed 06/30/2026 1203522500 CMS
ABBVIE INC. $15.38 10/15/2025 Food and Beverage Undisputed 06/30/2026 1203522506 CMS
ABBVIE INC. $3.33 10/30/2025 Food and Beverage Undisputed 06/30/2026 1203522512 CMS
ABBVIE INC. $12.44 11/13/2025 Food and Beverage Undisputed 06/30/2026 1203522518 CMS
ABBVIE INC. $16.76 11/13/2025 Food and Beverage Undisputed 06/30/2026 1203522524 CMS
ABBVIE INC. $4.51 11/13/2025 Food and Beverage Undisputed 06/30/2026 1203522530 CMS
ABBVIE INC. $5.05 12/05/2025 Food and Beverage Undisputed 06/30/2026 1203522537 CMS
ABBVIE INC. $11.07 12/06/2025 Food and Beverage Undisputed 06/30/2026 1203522542 CMS
ABBVIE INC. $4.67 12/17/2025 Food and Beverage Undisputed 06/30/2026 1203522548 CMS
Aimmune Therapeutics, Inc. $122.53 03/13/2025 Food and Beverage Undisputed 06/30/2026 1249715731 CMS
Aimmune Therapeutics, Inc. $12.69 04/09/2025 Food and Beverage Undisputed 06/30/2026 1249715729 CMS
Aimmune Therapeutics, Inc. $11.54 06/30/2025 Food and Beverage Undisputed 06/30/2026 1249715727 CMS
Aimmune Therapeutics, Inc. $10.95 09/11/2025 Food and Beverage Undisputed 06/30/2026 1249715725 CMS
Ardelyx, Inc. $22.64 04/24/2025 Food and Beverage Undisputed 06/30/2026 1247908739 CMS
Ardelyx, Inc. $21.79 05/14/2025 Food and Beverage Undisputed 06/30/2026 1247908741 CMS
Ardelyx, Inc. $14.73 07/16/2025 Food and Beverage Undisputed 06/30/2026 1247908743 CMS
Ardelyx, Inc. $20.08 08/14/2025 Food and Beverage Undisputed 06/30/2026 1247908745 CMS
Ardelyx, Inc. $8.31 09/23/2025 Food and Beverage Undisputed 06/30/2026 1247908747 CMS
Ardelyx, Inc. $96.32 10/16/2025 Food and Beverage Undisputed 06/30/2026 1247908749 CMS
Celltrion USA Inc. $24.52 03/26/2025 Food and Beverage Undisputed 06/30/2026 1250838332 CMS
Celltrion USA Inc. $7.45 05/24/2025 Food and Beverage Undisputed 06/30/2026 1250838336 CMS
Celltrion USA Inc. $24.79 06/05/2025 Food and Beverage Undisputed 06/30/2026 1250838340 CMS
Celltrion USA Inc. $21.10 06/13/2025 Food and Beverage Undisputed 06/30/2026 1250838344 CMS
Celltrion USA Inc. $24.35 06/19/2025 Food and Beverage Undisputed 06/30/2026 1250838348 CMS
Celltrion USA Inc. $23.15 06/27/2025 Food and Beverage Undisputed 06/30/2026 1250838352 CMS
Celltrion USA Inc. $24.39 07/23/2025 Food and Beverage Undisputed 06/30/2026 1250838354 CMS
Celltrion USA Inc. $22.69 08/20/2025 Food and Beverage Undisputed 06/30/2026 1250838358 CMS
Celltrion USA Inc. $0.60 08/20/2025 Food and Beverage Undisputed 06/30/2026 1250838361 CMS
Celltrion USA Inc. $22.76 10/23/2025 Food and Beverage Undisputed 06/30/2026 1250838364 CMS
Celltrion USA Inc. $0.47 10/23/2025 Food and Beverage Undisputed 06/30/2026 1250838367 CMS
Celltrion USA Inc. $24.44 11/10/2025 Food and Beverage Undisputed 06/30/2026 1250838370 CMS
EVOKE PHARMA, INC. $19.33 06/30/2025 Food and Beverage Undisputed 06/30/2026 1243915217 CMS
GENZYME CORPORATION $115.42 09/18/2025 Food and Beverage Undisputed 06/30/2026 1233315664 CMS
GENZYME CORPORATION $19.79 09/23/2025 Food and Beverage Undisputed 06/30/2026 1233315644 CMS
Ipsen Biopharmaceuticals, Inc $14.64 06/11/2025 Food and Beverage Undisputed 06/30/2026 1208869993 CMS
Janssen Biotech, Inc. $17.05 01/06/2025 Food and Beverage Undisputed 06/30/2026 1175134434 CMS
Janssen Biotech, Inc. $16.64 01/17/2025 Food and Beverage Undisputed 06/30/2026 1175138266 CMS
Janssen Biotech, Inc. $14.89 01/30/2025 Food and Beverage Undisputed 06/30/2026 1175144274 CMS
Janssen Biotech, Inc. $21.48 02/03/2025 Food and Beverage Undisputed 06/30/2026 1175139127 CMS
Janssen Biotech, Inc. $14.99 02/25/2025 Food and Beverage Undisputed 06/30/2026 1175143954 CMS
Janssen Biotech, Inc. $7.45 03/03/2025 Food and Beverage Undisputed 06/30/2026 1175139032 CMS
Janssen Biotech, Inc. $7.43 03/05/2025 Food and Beverage Undisputed 06/30/2026 1175145017 CMS
Janssen Biotech, Inc. $23.61 03/07/2025 Food and Beverage Undisputed 06/30/2026 1175148230 CMS
Janssen Biotech, Inc. $8.34 03/27/2025 Food and Beverage Undisputed 06/30/2026 1175150388 CMS
Janssen Biotech, Inc. $12.04 04/03/2025 Food and Beverage Undisputed 06/30/2026 1175127764 CMS
Janssen Biotech, Inc. $31.94 04/17/2025 Food and Beverage Undisputed 06/30/2026 1175155279 CMS
Janssen Biotech, Inc. $5.86 04/24/2025 Food and Beverage Undisputed 06/30/2026 1175139812 CMS
Janssen Biotech, Inc. $2.49 05/06/2025 Food and Beverage Undisputed 06/30/2026 1175150402 CMS
Janssen Biotech, Inc. $2.05 05/07/2025 Food and Beverage Undisputed 06/30/2026 1175154073 CMS
Janssen Biotech, Inc. $22.43 05/16/2025 Food and Beverage Undisputed 06/30/2026 1175150992 CMS
Janssen Biotech, Inc. $84.99 05/16/2025 Education Undisputed 06/30/2026 1175153759 CMS
Janssen Biotech, Inc. $9.22 05/29/2025 Food and Beverage Undisputed 06/30/2026 1175144891 CMS
Janssen Biotech, Inc. $12.69 06/02/2025 Food and Beverage Undisputed 06/30/2026 1175135851 CMS
Janssen Biotech, Inc. $19.07 06/25/2025 Food and Beverage Undisputed 06/30/2026 1175140596 CMS
Janssen Biotech, Inc. $20.02 07/01/2025 Food and Beverage Undisputed 06/30/2026 1175126352 CMS
Janssen Biotech, Inc. $7.86 07/23/2025 Food and Beverage Undisputed 06/30/2026 1175149203 CMS
Janssen Biotech, Inc. $9.09 07/31/2025 Food and Beverage Undisputed 06/30/2026 1175151016 CMS
Janssen Biotech, Inc. $17.57 08/06/2025 Food and Beverage Undisputed 06/30/2026 1175137247 CMS
Janssen Biotech, Inc. $20.00 08/13/2025 Food and Beverage Undisputed 06/30/2026 1175150004 CMS
Janssen Biotech, Inc. $36.58 08/26/2025 Food and Beverage Undisputed 06/30/2026 1175130482 CMS
Janssen Biotech, Inc. $14.74 08/26/2025 Food and Beverage Undisputed 06/30/2026 1175153868 CMS
Janssen Biotech, Inc. $4.44 09/26/2025 Food and Beverage Undisputed 06/30/2026 1175127973 CMS
Janssen Biotech, Inc. $2.23 09/26/2025 Food and Beverage Undisputed 06/30/2026 1175152659 CMS
Janssen Biotech, Inc. $18.27 09/29/2025 Food and Beverage Undisputed 06/30/2026 1175142058 CMS
Janssen Biotech, Inc. $14.36 11/03/2025 Food and Beverage Undisputed 06/30/2026 1175128692 CMS
Janssen Biotech, Inc. $12.56 11/04/2025 Food and Beverage Undisputed 06/30/2026 1175125257 CMS
Janssen Biotech, Inc. $17.97 11/11/2025 Food and Beverage Undisputed 06/30/2026 1175140492 CMS
Janssen Biotech, Inc. $12.56 11/14/2025 Food and Beverage Undisputed 06/30/2026 1175151457 CMS
Janssen Biotech, Inc. $19.81 12/08/2025 Food and Beverage Undisputed 06/30/2026 1175141036 CMS
Janssen Biotech, Inc. $145.39 12/16/2025 Food and Beverage Undisputed 06/30/2026 1175141735 CMS
Janssen Scientific Affairs, LLC $130.08 10/01/2025 Food and Beverage Undisputed 06/30/2026 1174199952 CMS
Lilly USA, LLC $13.15 01/16/2025 Food and Beverage Undisputed 06/30/2026 1187129997 CMS
Lilly USA, LLC $19.07 03/03/2025 Food and Beverage Undisputed 06/30/2026 1187025042 CMS
Lilly USA, LLC $15.53 05/07/2025 Food and Beverage Undisputed 06/30/2026 1187025044 CMS
Lilly USA, LLC $21.96 05/13/2025 Food and Beverage Undisputed 06/30/2026 1187107753 CMS
Lilly USA, LLC $16.16 06/04/2025 Food and Beverage Undisputed 06/30/2026 1187119839 CMS
Lilly USA, LLC $20.45 08/01/2025 Food and Beverage Undisputed 06/30/2026 1187031019 CMS
Lilly USA, LLC $24.19 08/06/2025 Food and Beverage Undisputed 06/30/2026 1187083745 CMS
Lilly USA, LLC $22.49 08/07/2025 Food and Beverage Undisputed 06/30/2026 1187119841 CMS
Madrigal Pharmaceuticals $16.01 01/13/2025 Food and Beverage Undisputed 06/30/2026 1248339806 CMS
Madrigal Pharmaceuticals $23.54 03/04/2025 Food and Beverage Undisputed 06/30/2026 1248339808 CMS
Madrigal Pharmaceuticals $13.49 07/10/2025 Food and Beverage Undisputed 06/30/2026 1248339810 CMS
Madrigal Pharmaceuticals $18.20 07/28/2025 Food and Beverage Undisputed 06/30/2026 1248339812 CMS
Madrigal Pharmaceuticals $18.73 09/08/2025 Food and Beverage Undisputed 06/30/2026 1248339814 CMS
Novo Nordisk Inc $20.62 10/01/2025 Food and Beverage Undisputed 06/30/2026 1188278721 CMS
Organon LLC $23.72 02/11/2025 Food and Beverage Undisputed 06/30/2026 1237666008 CMS
Organon LLC $23.16 03/05/2025 Food and Beverage Undisputed 06/30/2026 1237666006 CMS
Organon LLC $22.63 03/24/2025 Food and Beverage Undisputed 06/30/2026 1237666004 CMS
PFIZER INC. $15.41 02/18/2025 Food and Beverage Undisputed 06/30/2026 1230065553 CMS
PFIZER INC. $15.43 03/18/2025 Food and Beverage Undisputed 06/30/2026 1230070531 CMS
PFIZER INC. $16.50 05/12/2025 Food and Beverage Undisputed 06/30/2026 1230056781 CMS
PFIZER INC. $16.48 07/09/2025 Food and Beverage Undisputed 06/30/2026 1230227367 CMS
PFIZER INC. $18.31 11/18/2025 Food and Beverage Undisputed 06/30/2026 1230713506 CMS
PFIZER INC. $18.54 12/17/2025 Food and Beverage Undisputed 06/30/2026 1231176184 CMS
Phathom Pharmaceuticals, Inc. $110.71 05/21/2025 Food and Beverage Undisputed 06/30/2026 1219234834 CMS
Phathom Pharmaceuticals, Inc. $5.80 08/29/2025 Food and Beverage Undisputed 06/30/2026 1219234840 CMS
Phathom Pharmaceuticals, Inc. $11.49 09/16/2025 Food and Beverage Undisputed 06/30/2026 1219234842 CMS
Phathom Pharmaceuticals, Inc. $111.51 10/09/2025 Food and Beverage Undisputed 06/30/2026 1219234836 CMS
Phathom Pharmaceuticals, Inc. $13.01 11/12/2025 Food and Beverage Undisputed 06/30/2026 1219234838 CMS
QOL Medical, LLC $20.54 02/13/2025 Food and Beverage Undisputed 06/30/2026 1185013672 CMS
QOL Medical, LLC $22.58 10/22/2025 Food and Beverage Undisputed 06/30/2026 1185013808 CMS
QOL Medical, LLC $31.34 11/06/2025 Food and Beverage Undisputed 06/30/2026 1185013818 CMS
QOL Medical, LLC $36.71 12/04/2025 Food and Beverage Undisputed 06/30/2026 1185013828 CMS
Regeneron Healthcare Solutions, Inc. $22.39 07/22/2025 Food and Beverage Undisputed 06/30/2026 1213114296 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $3.92 01/02/2025 Food and Beverage Undisputed 06/30/2026 1232067069 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $21.94 01/10/2025 Food and Beverage Undisputed 06/30/2026 1232067071 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $21.78 02/03/2025 Food and Beverage Undisputed 06/30/2026 1232067073 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.28 02/12/2025 Food and Beverage Undisputed 06/30/2026 1232067075 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.05 04/04/2025 Food and Beverage Undisputed 06/30/2026 1232067079 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.27 04/07/2025 Food and Beverage Undisputed 06/30/2026 1232067077 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.33 04/22/2025 Food and Beverage Undisputed 06/30/2026 1232067081 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.46 05/19/2025 Food and Beverage Undisputed 06/30/2026 1232067083 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $4.54 05/27/2025 Food and Beverage Undisputed 06/30/2026 1232067085 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.93 06/02/2025 Food and Beverage Undisputed 06/30/2026 1232067067 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $8.13 08/18/2025 Food and Beverage Undisputed 06/30/2026 1232067087 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $21.03 09/25/2025 Food and Beverage Undisputed 06/30/2026 1232067093 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.18 11/18/2025 Food and Beverage Undisputed 06/30/2026 1232067089 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.64 12/22/2025 Food and Beverage Undisputed 06/30/2026 1232067091 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.81 02/04/2025 Food and Beverage Undisputed 06/30/2026 1224016297 CMS
Takeda Pharmaceuticals U.S.A., Inc. $27.05 02/19/2025 Food and Beverage Undisputed 06/30/2026 1224069198 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.55 04/30/2025 Food and Beverage Undisputed 06/30/2026 1223976594 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.33 09/03/2025 Food and Beverage Undisputed 06/30/2026 1223983389 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.89 09/24/2025 Food and Beverage Undisputed 06/30/2026 1223988413 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.48 10/02/2025 Food and Beverage Undisputed 06/30/2026 1223976061 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.09 12/11/2025 Food and Beverage Undisputed 06/30/2026 1223972984 CMS
VIVUS LLC $19.57 07/23/2025 Food and Beverage Undisputed 06/30/2026 1188055732 CMS
VIVUS LLC $16.73 09/10/2025 Food and Beverage Undisputed 06/30/2026 1188055734 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
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , 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.