IndustryPayments
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

MEGAN KATHLEEN KESTER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1184209884
CMS profile
10560180
Location
KERRVILLE, TX

General Payments · PY2021–2024

$3,915.25

  • Reported across 217 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,338.43

71 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 TX All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,338.43 71

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
NOVARTIS PHARMACEUTICALS CORPORATION $404.77 40
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $355.85 5
Janssen Pharmaceuticals, Inc $153.81 6
SCPHARMACEUTICALS INC. $76.81 4
Actelion Pharmaceuticals US, Inc. $66.10 3
iRhythm Technologies, Inc. $40.38 1
ATRICURE, INC. $37.85 1
Amgen Inc. $34.53 2
Merck Sharp & Dohme Corporation $34.09 2
PFIZER INC. $33.92 2
Boehringer Ingelheim Pharmaceuticals, Inc. $30.87 1
Inspire Medical Systems, Inc. $22.42 1
Kiniksa Pharmaceuticals International, plc $18.15 1
Lexicon Pharmaceuticals, Inc. $15.37 1
Esperion Therapeutics, Inc. $13.51 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $530.26 28
PY2022 $507.41 36
PY2023 $1,539.15 82
PY2024 $1,338.43 71

Payment records · PY2024 (71)

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
Actelion Pharmaceuticals US, Inc. $31.94 03/19/2024 Food and Beverage Undisputed 01/23/2026 1078918041 CMS
Actelion Pharmaceuticals US, Inc. $12.06 07/30/2024 Food and Beverage Undisputed 01/23/2026 1078918035 CMS
Actelion Pharmaceuticals US, Inc. $22.10 07/30/2024 Food and Beverage Undisputed 01/23/2026 1078918037 CMS
Amgen Inc. $14.67 02/05/2024 Food and Beverage Undisputed 01/23/2026 1117295596 CMS
Amgen Inc. $19.86 09/10/2024 Food and Beverage Undisputed 01/23/2026 1117295598 CMS
ATRICURE, INC. $37.85 09/26/2024 Food and Beverage Undisputed 01/23/2026 1132891679 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $30.87 06/05/2024 Food and Beverage Undisputed 01/23/2026 1117905594 CMS
Esperion Therapeutics, Inc. $13.51 07/08/2024 Food and Beverage Undisputed 01/23/2026 1129469964 CMS
Inspire Medical Systems, Inc. $22.42 09/10/2024 Food and Beverage Undisputed 01/23/2026 1148158990 CMS
iRhythm Technologies, Inc. $40.38 02/21/2024 Food and Beverage Undisputed 01/23/2026 1154052735 CMS
Janssen Pharmaceuticals, Inc $22.01 01/09/2024 Food and Beverage Undisputed 01/23/2026 1078207209 CMS
Janssen Pharmaceuticals, Inc $24.93 02/12/2024 Food and Beverage Undisputed 01/23/2026 1078207199 CMS
Janssen Pharmaceuticals, Inc $35.05 04/11/2024 Food and Beverage Undisputed 01/23/2026 1078207219 CMS
Janssen Pharmaceuticals, Inc $21.63 06/12/2024 Food and Beverage Undisputed 01/23/2026 1078207205 CMS
Janssen Pharmaceuticals, Inc $24.95 07/08/2024 Food and Beverage Undisputed 01/23/2026 1078207211 CMS
Janssen Pharmaceuticals, Inc $25.24 08/07/2024 Food and Beverage Undisputed 01/23/2026 1078207217 CMS
Kiniksa Pharmaceuticals International, plc $18.15 02/05/2024 Food and Beverage Undisputed 01/23/2026 1154871825 CMS
Lexicon Pharmaceuticals, Inc. $15.37 07/03/2024 Food and Beverage Undisputed 01/23/2026 1081710727 CMS
Merck Sharp & Dohme LLC $14.75 10/23/2024 Food and Beverage Undisputed 01/23/2026 1141649316 CMS
Merck Sharp & Dohme LLC $19.34 11/20/2024 Food and Beverage Undisputed 01/23/2026 1141923272 CMS
Novartis Pharmaceuticals Corporation $16.66 01/29/2024 Food and Beverage Undisputed 01/23/2026 1087004370 CMS
Novartis Pharmaceuticals Corporation $4.11 01/29/2024 Food and Beverage Undisputed 01/23/2026 1087004372 CMS
Novartis Pharmaceuticals Corporation $18.67 02/01/2024 Food and Beverage Undisputed 01/23/2026 1087004374 CMS
Novartis Pharmaceuticals Corporation $15.94 02/09/2024 Food and Beverage Undisputed 01/23/2026 1087004376 CMS
Novartis Pharmaceuticals Corporation $4.29 02/09/2024 Food and Beverage Undisputed 01/23/2026 1087004378 CMS
Novartis Pharmaceuticals Corporation $17.31 02/15/2024 Food and Beverage Undisputed 01/23/2026 1087004380 CMS
Novartis Pharmaceuticals Corporation $4.11 02/15/2024 Food and Beverage Undisputed 01/23/2026 1087004382 CMS
Novartis Pharmaceuticals Corporation $14.28 03/05/2024 Food and Beverage Undisputed 01/23/2026 1087004384 CMS
Novartis Pharmaceuticals Corporation $4.78 03/05/2024 Food and Beverage Undisputed 01/23/2026 1087004386 CMS
Novartis Pharmaceuticals Corporation $14.40 03/06/2024 Food and Beverage Undisputed 01/23/2026 1087004390 CMS
Novartis Pharmaceuticals Corporation $16.05 03/28/2024 Food and Beverage Undisputed 01/23/2026 1087004394 CMS
Novartis Pharmaceuticals Corporation $4.04 03/28/2024 Food and Beverage Undisputed 01/23/2026 1087004396 CMS
Novartis Pharmaceuticals Corporation $2.59 04/04/2024 Food and Beverage Undisputed 01/23/2026 1087004388 CMS
Novartis Pharmaceuticals Corporation $6.21 04/10/2024 Food and Beverage Undisputed 01/23/2026 1087004398 CMS
Novartis Pharmaceuticals Corporation $3.28 04/18/2024 Food and Beverage Undisputed 01/23/2026 1087004400 CMS
Novartis Pharmaceuticals Corporation $2.53 04/24/2024 Food and Beverage Undisputed 01/23/2026 1087004392 CMS
Novartis Pharmaceuticals Corporation $16.62 05/13/2024 Food and Beverage Undisputed 01/23/2026 1087004402 CMS
Novartis Pharmaceuticals Corporation $3.53 05/13/2024 Food and Beverage Undisputed 01/23/2026 1087004404 CMS
Novartis Pharmaceuticals Corporation $16.15 05/28/2024 Food and Beverage Undisputed 01/23/2026 1087004408 CMS
Novartis Pharmaceuticals Corporation $5.02 05/28/2024 Food and Beverage Undisputed 01/23/2026 1087004410 CMS
Novartis Pharmaceuticals Corporation $24.03 06/06/2024 Food and Beverage Undisputed 01/23/2026 1087004412 CMS
Novartis Pharmaceuticals Corporation $2.99 06/24/2024 Food and Beverage Undisputed 01/23/2026 1087004414 CMS
Novartis Pharmaceuticals Corporation $5.87 06/24/2024 Food and Beverage Undisputed 01/23/2026 1087004416 CMS
Novartis Pharmaceuticals Corporation $20.41 07/09/2024 Food and Beverage Undisputed 01/23/2026 1087004418 CMS
Novartis Pharmaceuticals Corporation $17.17 07/17/2024 Food and Beverage Undisputed 01/23/2026 1087004420 CMS
Novartis Pharmaceuticals Corporation $18.93 07/18/2024 Food and Beverage Undisputed 01/23/2026 1087004422 CMS
Novartis Pharmaceuticals Corporation $9.47 07/30/2024 Food and Beverage Undisputed 01/23/2026 1087004424 CMS
Novartis Pharmaceuticals Corporation $5.59 08/22/2024 Food and Beverage Undisputed 01/23/2026 1087004428 CMS
Novartis Pharmaceuticals Corporation $8.79 09/03/2024 Food and Beverage Undisputed 01/23/2026 1087004430 CMS
Novartis Pharmaceuticals Corporation $5.92 09/09/2024 Food and Beverage Undisputed 01/23/2026 1087004432 CMS
Novartis Pharmaceuticals Corporation $16.40 09/19/2024 Food and Beverage Undisputed 01/23/2026 1087004434 CMS
Novartis Pharmaceuticals Corporation $6.90 09/24/2024 Food and Beverage Undisputed 01/23/2026 1087004436 CMS
Novartis Pharmaceuticals Corporation $3.08 09/24/2024 Food and Beverage Undisputed 01/23/2026 1087004438 CMS
Novartis Pharmaceuticals Corporation $15.94 10/03/2024 Food and Beverage Undisputed 01/23/2026 1087004440 CMS
Novartis Pharmaceuticals Corporation $2.75 10/15/2024 Food and Beverage Undisputed 01/23/2026 1087004442 CMS
Novartis Pharmaceuticals Corporation $6.83 10/30/2024 Food and Beverage Undisputed 01/23/2026 1087004444 CMS
Novartis Pharmaceuticals Corporation $15.84 10/30/2024 Food and Beverage Undisputed 01/23/2026 1087004446 CMS
Novartis Pharmaceuticals Corporation $16.09 11/14/2024 Food and Beverage Undisputed 01/23/2026 1087004448 CMS
Novartis Pharmaceuticals Corporation $7.13 12/04/2024 Food and Beverage Undisputed 01/23/2026 1087004450 CMS
Novartis Pharmaceuticals Corporation $4.07 12/04/2024 Food and Beverage Undisputed 01/23/2026 1087004452 CMS
PFIZER INC. $19.01 10/22/2024 Food and Beverage Undisputed 01/23/2026 1132117354 CMS
PFIZER INC. $14.91 11/06/2024 Food and Beverage Undisputed 01/23/2026 1131167793 CMS
SCPHARMACEUTICALS INC. $23.59 02/22/2024 Food and Beverage Undisputed 01/23/2026 1132254355 CMS
SCPHARMACEUTICALS INC. $15.58 04/04/2024 Food and Beverage Undisputed 01/23/2026 1132266028 CMS
SCPHARMACEUTICALS INC. $18.37 05/29/2024 Food and Beverage Undisputed 01/23/2026 1132278121 CMS
SCPHARMACEUTICALS INC. $19.27 11/12/2024 Food and Beverage Undisputed 01/23/2026 1132311066 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $94.60 01/14/2024 Food and Beverage Undisputed 01/23/2026 1080660155 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $55.78 02/10/2024 Food and Beverage Undisputed 01/23/2026 1080660213 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $33.80 02/19/2024 Food and Beverage Undisputed 01/23/2026 1080660221 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $71.70 02/28/2024 Food and Beverage Undisputed 01/23/2026 1080660245 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $99.97 03/08/2024 Food and Beverage Undisputed 01/23/2026 1080660265 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.