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

APRIL E PALMER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1184130056
CMS profile
5099735
Location
WYOMISSING, PA

General Payments · PY2020–2025

$5,363.73

  • Reported across 238 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$2,534.84

112 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: Family PA All categories

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,449.85 111
Education $84.99 1

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Janssen Biotech, Inc. $526.59 16
Madrigal Pharmaceuticals $407.15 7
ABBVIE INC. $308.10 24
GENZYME CORPORATION $220.52 6
Ardelyx, Inc. $179.67 8
PFIZER INC. $174.11 15
Takeda Pharmaceuticals U.S.A., Inc. $141.10 8
Regeneron Healthcare Solutions, Inc. $115.67 6
INTERCEPT PHARMACEUTICALS, INC. $84.69 4
Lilly USA, LLC $77.68 4
Celltrion USA Inc. $70.22 3
Salix Pharmaceuticals, a division of Bausch Health US, LLC $57.15 3
AIMMUNE THERAPEUTICS, INC. $42.10 2
Abbott Laboratories $34.05 1
Amgen Inc. $21.73 1
Phathom Pharmaceuticals, Inc. $21.71 1
Medtronic, Inc. $18.71 1
Organon LLC $17.03 1
Daiichi Sankyo Inc. $16.86 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2020 $11.70 1
PY2021 $410.70 17
PY2022 $431.24 19
PY2023 $689.95 27
PY2024 $1,285.30 62
PY2025 $2,534.84 112

Payment records · PY2025 (112)

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

Program year 2025 20202021202220232024 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
Abbott Laboratories $34.05 06/06/2025 Food and Beverage Undisputed 06/30/2026 1240851613 CMS
ABBVIE INC. $5.86 02/19/2025 Food and Beverage Undisputed 06/30/2026 1203440405 CMS
ABBVIE INC. $8.30 03/13/2025 Food and Beverage Undisputed 06/30/2026 1203440412 CMS
ABBVIE INC. $19.12 03/17/2025 Food and Beverage Undisputed 06/30/2026 1203440417 CMS
ABBVIE INC. $7.79 03/24/2025 Food and Beverage Undisputed 06/30/2026 1203440423 CMS
ABBVIE INC. $8.77 03/27/2025 Food and Beverage Undisputed 06/30/2026 1203440429 CMS
ABBVIE INC. $104.38 04/03/2025 Food and Beverage Undisputed 06/30/2026 1203440435 CMS
ABBVIE INC. $8.09 04/17/2025 Food and Beverage Undisputed 06/30/2026 1203440441 CMS
ABBVIE INC. $6.79 05/13/2025 Food and Beverage Undisputed 06/30/2026 1203440448 CMS
ABBVIE INC. $8.72 06/10/2025 Food and Beverage Undisputed 06/30/2026 1203440454 CMS
ABBVIE INC. $6.51 06/12/2025 Food and Beverage Undisputed 06/30/2026 1203440459 CMS
ABBVIE INC. $5.32 07/10/2025 Food and Beverage Undisputed 06/30/2026 1203440467 CMS
ABBVIE INC. $6.74 07/29/2025 Food and Beverage Undisputed 06/30/2026 1203440473 CMS
ABBVIE INC. $5.15 08/12/2025 Food and Beverage Undisputed 06/30/2026 1203440480 CMS
ABBVIE INC. $14.19 08/21/2025 Food and Beverage Undisputed 06/30/2026 1203440487 CMS
ABBVIE INC. $5.70 08/26/2025 Food and Beverage Undisputed 06/30/2026 1203440493 CMS
ABBVIE INC. $6.18 09/10/2025 Food and Beverage Undisputed 06/30/2026 1203440500 CMS
ABBVIE INC. $5.69 09/23/2025 Food and Beverage Undisputed 06/30/2026 1203440504 CMS
ABBVIE INC. $6.13 10/01/2025 Food and Beverage Undisputed 06/30/2026 1203440508 CMS
ABBVIE INC. $6.01 10/08/2025 Food and Beverage Undisputed 06/30/2026 1203440513 CMS
ABBVIE INC. $34.36 10/09/2025 Food and Beverage Undisputed 06/30/2026 1203440518 CMS
ABBVIE INC. $6.51 10/16/2025 Food and Beverage Undisputed 06/30/2026 1203440525 CMS
ABBVIE INC. $8.39 11/19/2025 Food and Beverage Undisputed 06/30/2026 1203440531 CMS
ABBVIE INC. $5.84 12/09/2025 Food and Beverage Undisputed 06/30/2026 1203440536 CMS
ABBVIE INC. $7.56 12/11/2025 Food and Beverage Undisputed 06/30/2026 1203440543 CMS
Aimmune Therapeutics, Inc. $22.07 08/14/2025 Food and Beverage Undisputed 06/30/2026 1249708305 CMS
Aimmune Therapeutics, Inc. $20.03 11/30/2025 Food and Beverage Undisputed 06/30/2026 1249708303 CMS
Amgen Inc. $21.73 08/18/2025 Food and Beverage Undisputed 06/30/2026 1228893763 CMS
Ardelyx, Inc. $23.60 02/07/2025 Food and Beverage Undisputed 06/30/2026 1247934852 CMS
Ardelyx, Inc. $19.98 03/10/2025 Food and Beverage Undisputed 06/30/2026 1247934854 CMS
Ardelyx, Inc. $24.12 04/04/2025 Food and Beverage Undisputed 06/30/2026 1247934856 CMS
Ardelyx, Inc. $31.02 05/01/2025 Food and Beverage Undisputed 06/30/2026 1247934858 CMS
Ardelyx, Inc. $17.92 07/02/2025 Food and Beverage Undisputed 06/30/2026 1247934860 CMS
Ardelyx, Inc. $30.22 08/25/2025 Food and Beverage Undisputed 06/30/2026 1247934862 CMS
Ardelyx, Inc. $11.74 09/29/2025 Food and Beverage Undisputed 06/30/2026 1247934864 CMS
Ardelyx, Inc. $21.07 10/20/2025 Food and Beverage Undisputed 06/30/2026 1247934866 CMS
Celltrion USA Inc. $24.35 03/11/2025 Food and Beverage Undisputed 06/30/2026 1250846911 CMS
Celltrion USA Inc. $21.71 04/18/2025 Food and Beverage Undisputed 06/30/2026 1250846913 CMS
Celltrion USA Inc. $24.16 05/19/2025 Food and Beverage Undisputed 06/30/2026 1250846915 CMS
Daiichi Sankyo Inc. $16.86 08/27/2025 Food and Beverage Undisputed 06/30/2026 1197013719 CMS
GENZYME CORPORATION $18.79 02/05/2025 Food and Beverage Undisputed 06/30/2026 1233349175 CMS
GENZYME CORPORATION $90.52 02/06/2025 Food and Beverage Undisputed 06/30/2026 1233349059 CMS
GENZYME CORPORATION $21.43 04/11/2025 Food and Beverage Undisputed 06/30/2026 1233349077 CMS
GENZYME CORPORATION $46.64 05/13/2025 Food and Beverage Undisputed 06/30/2026 1233349089 CMS
GENZYME CORPORATION $20.67 07/10/2025 Food and Beverage Undisputed 06/30/2026 1233349117 CMS
GENZYME CORPORATION $22.47 10/30/2025 Food and Beverage Undisputed 06/30/2026 1233349143 CMS
Intercept Pharmaceuticals, Inc. $20.80 03/07/2025 Food and Beverage Undisputed 06/30/2026 1249879742 CMS
Intercept Pharmaceuticals, Inc. $23.11 04/07/2025 Food and Beverage Undisputed 06/30/2026 1249879744 CMS
Intercept Pharmaceuticals, Inc. $20.39 05/29/2025 Food and Beverage Undisputed 06/30/2026 1249879746 CMS
Intercept Pharmaceuticals, Inc. $20.39 07/14/2025 Food and Beverage Undisputed 06/30/2026 1249879748 CMS
Janssen Biotech, Inc. $9.56 02/03/2025 Food and Beverage Undisputed 06/30/2026 1174688631 CMS
Janssen Biotech, Inc. $18.61 02/18/2025 Food and Beverage Undisputed 06/30/2026 1174690700 CMS
Janssen Biotech, Inc. $4.11 02/24/2025 Food and Beverage Undisputed 06/30/2026 1174690596 CMS
Janssen Biotech, Inc. $134.99 03/05/2025 Food and Beverage Undisputed 06/30/2026 1174689627 CMS
Janssen Biotech, Inc. $10.86 03/07/2025 Food and Beverage Undisputed 06/30/2026 1174691110 CMS
Janssen Biotech, Inc. $22.26 03/20/2025 Food and Beverage Undisputed 06/30/2026 1174689140 CMS
Janssen Biotech, Inc. $28.90 03/28/2025 Food and Beverage Undisputed 06/30/2026 1174689888 CMS
Janssen Biotech, Inc. $11.75 04/07/2025 Food and Beverage Undisputed 06/30/2026 1174690740 CMS
Janssen Biotech, Inc. $25.00 04/10/2025 Food and Beverage Undisputed 06/30/2026 1174691080 CMS
Janssen Biotech, Inc. $28.94 04/30/2025 Food and Beverage Undisputed 06/30/2026 1174691172 CMS
Janssen Biotech, Inc. $30.21 08/11/2025 Food and Beverage Undisputed 06/30/2026 1174689352 CMS
Janssen Biotech, Inc. $23.23 09/24/2025 Food and Beverage Undisputed 06/30/2026 1174691139 CMS
Janssen Biotech, Inc. $31.11 11/03/2025 Food and Beverage Undisputed 06/30/2026 1174689427 CMS
Janssen Biotech, Inc. $84.99 11/04/2025 Education Undisputed 06/30/2026 1174691219 CMS
Janssen Biotech, Inc. $35.22 11/06/2025 Food and Beverage Undisputed 06/30/2026 1174690415 CMS
Janssen Biotech, Inc. $26.85 11/17/2025 Food and Beverage Undisputed 06/30/2026 1174691321 CMS
Lilly USA, LLC $21.56 02/25/2025 Food and Beverage Undisputed 06/30/2026 1186970786 CMS
Lilly USA, LLC $22.81 04/16/2025 Food and Beverage Undisputed 06/30/2026 1186942821 CMS
Lilly USA, LLC $14.84 05/16/2025 Food and Beverage Undisputed 06/30/2026 1187069487 CMS
Lilly USA, LLC $18.47 07/23/2025 Food and Beverage Undisputed 06/30/2026 1186988404 CMS
Madrigal Pharmaceuticals $26.78 04/03/2025 Food and Beverage Undisputed 06/30/2026 1248371290 CMS
Madrigal Pharmaceuticals $33.84 06/19/2025 Food and Beverage Undisputed 06/30/2026 1248371292 CMS
Madrigal Pharmaceuticals $128.63 07/31/2025 Food and Beverage Undisputed 06/30/2026 1248371294 CMS
Madrigal Pharmaceuticals $11.94 08/14/2025 Food and Beverage Undisputed 06/30/2026 1248371296 CMS
Madrigal Pharmaceuticals $134.99 08/27/2025 Food and Beverage Undisputed 06/30/2026 1248371298 CMS
Madrigal Pharmaceuticals $33.55 10/08/2025 Food and Beverage Undisputed 06/30/2026 1248371300 CMS
Madrigal Pharmaceuticals $37.42 10/16/2025 Food and Beverage Undisputed 06/30/2026 1248371302 CMS
Medtronic, Inc. $18.71 02/04/2025 Food and Beverage Undisputed 06/30/2026 1219731844 CMS
Organon LLC $17.03 02/20/2025 Food and Beverage Undisputed 06/30/2026 1237667420 CMS
PFIZER INC. $0.59 02/13/2025 Food and Beverage Undisputed 06/30/2026 1230010115 CMS
PFIZER INC. $20.16 02/13/2025 Food and Beverage Undisputed 06/30/2026 1230026541 CMS
PFIZER INC. $0.47 03/04/2025 Food and Beverage Undisputed 06/30/2026 1230026820 CMS
PFIZER INC. $19.00 03/04/2025 Food and Beverage Undisputed 06/30/2026 1230028076 CMS
PFIZER INC. $0.48 04/15/2025 Food and Beverage Undisputed 06/30/2026 1230089992 CMS
PFIZER INC. $15.44 04/15/2025 Food and Beverage Undisputed 06/30/2026 1230095631 CMS
PFIZER INC. $0.50 05/05/2025 Food and Beverage Undisputed 06/30/2026 1230012433 CMS
PFIZER INC. $18.69 05/05/2025 Food and Beverage Undisputed 06/30/2026 1230095506 CMS
PFIZER INC. $0.24 06/04/2025 Food and Beverage Undisputed 06/30/2026 1230129946 CMS
PFIZER INC. $18.39 06/04/2025 Food and Beverage Undisputed 06/30/2026 1230135173 CMS
PFIZER INC. $18.84 08/13/2025 Food and Beverage Undisputed 06/30/2026 1230286539 CMS
PFIZER INC. $0.47 09/10/2025 Food and Beverage Undisputed 06/30/2026 1230348295 CMS
PFIZER INC. $16.98 09/10/2025 Food and Beverage Undisputed 06/30/2026 1230447953 CMS
PFIZER INC. $25.21 09/16/2025 Food and Beverage Undisputed 06/30/2026 1230395711 CMS
PFIZER INC. $18.65 10/15/2025 Food and Beverage Undisputed 06/30/2026 1230345989 CMS
Phathom Pharmaceuticals, Inc. $21.71 12/04/2025 Food and Beverage Undisputed 06/30/2026 1219278392 CMS
Regeneron Healthcare Solutions, Inc. $21.16 03/19/2025 Food and Beverage Undisputed 06/30/2026 1213184504 CMS
Regeneron Healthcare Solutions, Inc. $16.20 04/30/2025 Food and Beverage Undisputed 06/30/2026 1213184506 CMS
Regeneron Healthcare Solutions, Inc. $17.83 06/03/2025 Food and Beverage Undisputed 06/30/2026 1213184508 CMS
Regeneron Healthcare Solutions, Inc. $20.05 06/16/2025 Food and Beverage Undisputed 06/30/2026 1213184510 CMS
Regeneron Healthcare Solutions, Inc. $19.78 08/21/2025 Food and Beverage Undisputed 06/30/2026 1213184512 CMS
Regeneron Healthcare Solutions, Inc. $20.65 11/05/2025 Food and Beverage Undisputed 06/30/2026 1213184514 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $24.29 01/10/2025 Food and Beverage Undisputed 06/30/2026 1232036853 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.36 03/21/2025 Food and Beverage Undisputed 06/30/2026 1232036855 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.50 03/28/2025 Food and Beverage Undisputed 06/30/2026 1232036857 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.95 03/25/2025 Food and Beverage Undisputed 06/30/2026 1223998311 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.11 05/08/2025 Food and Beverage Undisputed 06/30/2026 1224037236 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.26 05/14/2025 Food and Beverage Undisputed 06/30/2026 1223953660 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.11 06/18/2025 Food and Beverage Undisputed 06/30/2026 1224037238 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.35 07/16/2025 Food and Beverage Undisputed 06/30/2026 1224030385 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.11 07/30/2025 Food and Beverage Undisputed 06/30/2026 1223954614 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.73 08/04/2025 Food and Beverage Undisputed 06/30/2026 1224033972 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.48 09/17/2025 Food and Beverage Undisputed 06/30/2026 1224003476 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
2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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