Covered recipient · General Payments record

JULIE ELIZABETH TWIDWELL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI: 1184300717
CMS profile: 11504462
Location: SIKESTON, MO

General Payments · PY2023–2024

$1,454.36

Reported across 105 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,082.93

88 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 payment	Amount	Records
Food and Beverage	$1,082.93	88

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Teva Pharmaceuticals USA, Inc.	$345.77	25
Alkermes, Inc.	$240.72	16
Neurocrine BioSciences, Inc.	$192.29	27
ABBVIE INC.	$161.50	13
Otsuka America Pharmaceutical, Inc.	$47.20	1
Takeda Pharmaceuticals U.S.A., Inc.	$36.62	2
Axsome Therapeutics, Inc.	$30.13	2
ITI, Inc.	$15.53	1
Janssen Pharmaceuticals, Inc	$13.17	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$371.43	17
PY2024	$1,082.93	88

Payment records · PY2024 (88)

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

Program year 2024 2023 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.	$6.94	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1108337405	CMS
ABBVIE INC.	$9.23	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1108337407	CMS
ABBVIE INC.	$49.17	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1108337409	CMS
ABBVIE INC.	$4.66	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1108337411	CMS
ABBVIE INC.	$22.68	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1108337413	CMS
ABBVIE INC.	$4.47	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1108337415	CMS
ABBVIE INC.	$9.23	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1108337417	CMS
ABBVIE INC.	$9.78	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1108337419	CMS
ABBVIE INC.	$9.09	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1108337421	CMS
ABBVIE INC.	$12.43	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1108337423	CMS
ABBVIE INC.	$5.52	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1108337425	CMS
ABBVIE INC.	$7.37	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1108337427	CMS
ABBVIE INC.	$10.93	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1108337429	CMS
Alkermes, Inc.	$14.53	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1120612011	CMS
Alkermes, Inc.	$11.42	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1120612013	CMS
Alkermes, Inc.	$10.45	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1120612015	CMS
Alkermes, Inc.	$12.82	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1120612017	CMS
Alkermes, Inc.	$14.13	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1120612019	CMS
Alkermes, Inc.	$12.06	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1120612021	CMS
Alkermes, Inc.	$13.80	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1120612023	CMS
Alkermes, Inc.	$15.53	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1120612025	CMS
Alkermes, Inc.	$19.43	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1120612027	CMS
Alkermes, Inc.	$13.22	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1120612029	CMS
Alkermes, Inc.	$14.54	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1120612031	CMS
Alkermes, Inc.	$12.81	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1120612033	CMS
Alkermes, Inc.	$19.38	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1120612035	CMS
Alkermes, Inc.	$17.48	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1120612037	CMS
Alkermes, Inc.	$16.52	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1120612039	CMS
Alkermes, Inc.	$22.60	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1120612041	CMS
Axsome Therapeutics, Inc.	$13.47	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1148373273	CMS
Axsome Therapeutics, Inc.	$16.66	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1148373275	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.53	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1143619677	CMS
Janssen Pharmaceuticals, Inc	$13.17	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1078061706	CMS
Neurocrine Biosciences, Inc.	$3.57	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1151025489	CMS
Neurocrine Biosciences, Inc.	$2.97	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1151026231	CMS
Neurocrine Biosciences, Inc.	$3.29	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1151025785	CMS
Neurocrine Biosciences, Inc.	$16.41	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1150997755	CMS
Neurocrine Biosciences, Inc.	$17.57	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1150992022	CMS
Neurocrine Biosciences, Inc.	$3.82	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1151025149	CMS
Neurocrine Biosciences, Inc.	$7.49	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1151018270	CMS
Neurocrine Biosciences, Inc.	$5.14	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1151023402	CMS
Neurocrine Biosciences, Inc.	$3.13	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1151026067	CMS
Neurocrine Biosciences, Inc.	$9.58	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1151015320	CMS
Neurocrine Biosciences, Inc.	$2.90	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1151026349	CMS
Neurocrine Biosciences, Inc.	$4.00	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1151024937	CMS
Neurocrine Biosciences, Inc.	$24.41	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1150957594	CMS
Neurocrine Biosciences, Inc.	$6.17	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1151021226	CMS
Neurocrine Biosciences, Inc.	$2.18	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1151027284	CMS
Neurocrine Biosciences, Inc.	$3.20	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1151025939	CMS
Neurocrine Biosciences, Inc.	$13.71	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1151008627	CMS
Neurocrine Biosciences, Inc.	$2.32	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1151027137	CMS
Neurocrine Biosciences, Inc.	$2.86	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1151026405	CMS
Neurocrine Biosciences, Inc.	$12.01	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1151012348	CMS
Neurocrine Biosciences, Inc.	$3.88	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1151025101	CMS
Neurocrine Biosciences, Inc.	$23.85	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1150959910	CMS
Neurocrine Biosciences, Inc.	$3.53	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1151025539	CMS
Neurocrine Biosciences, Inc.	$3.69	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1151025331	CMS
Neurocrine Biosciences, Inc.	$3.62	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1151025407	CMS
Neurocrine Biosciences, Inc.	$3.77	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1151025259	CMS
Neurocrine Biosciences, Inc.	$3.22	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1151025907	CMS
Otsuka America Pharmaceutical, Inc.	$47.20	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1119204394	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.26	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1137836757	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.36	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1137836759	CMS
Teva Pharmaceuticals USA, Inc.	$7.89	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1151474305	CMS
Teva Pharmaceuticals USA, Inc.	$23.19	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1151474317	CMS
Teva Pharmaceuticals USA, Inc.	$5.92	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1151474319	CMS
Teva Pharmaceuticals USA, Inc.	$4.25	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1151474331	CMS
Teva Pharmaceuticals USA, Inc.	$2.60	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1151474333	CMS
Teva Pharmaceuticals USA, Inc.	$18.92	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1151474335	CMS
Teva Pharmaceuticals USA, Inc.	$4.77	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1151474337	CMS
Teva Pharmaceuticals USA, Inc.	$15.76	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1151474351	CMS
Teva Pharmaceuticals USA, Inc.	$22.73	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1151474353	CMS
Teva Pharmaceuticals USA, Inc.	$5.71	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1151474363	CMS
Teva Pharmaceuticals USA, Inc.	$18.97	05/18/2024	Food and Beverage	Undisputed	01/23/2026	1151474365	CMS
Teva Pharmaceuticals USA, Inc.	$18.27	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1151474367	CMS
Teva Pharmaceuticals USA, Inc.	$6.26	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1151474375	CMS
Teva Pharmaceuticals USA, Inc.	$21.36	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1151474377	CMS
Teva Pharmaceuticals USA, Inc.	$20.41	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1151474389	CMS
Teva Pharmaceuticals USA, Inc.	$12.40	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1151474407	CMS
Teva Pharmaceuticals USA, Inc.	$12.95	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1151474417	CMS
Teva Pharmaceuticals USA, Inc.	$10.06	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1151474419	CMS
Teva Pharmaceuticals USA, Inc.	$14.35	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1151474431	CMS
Teva Pharmaceuticals USA, Inc.	$16.34	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1151474441	CMS
Teva Pharmaceuticals USA, Inc.	$18.94	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1151474443	CMS
Teva Pharmaceuticals USA, Inc.	$13.27	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1151474445	CMS
Teva Pharmaceuticals USA, Inc.	$20.17	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1151474451	CMS
Teva Pharmaceuticals USA, Inc.	$8.53	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1151474453	CMS
Teva Pharmaceuticals USA, Inc.	$21.75	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1151474455	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: 2023, 2024
Source files: Dataset page · Bulk file · PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.