Covered recipient · General Payments record

DALENA M CUSTER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1184706806
CMS profile: 10809748
Location: CHARLOTTE, NC

General Payments · PY2021–2024

$11,376.38

Reported across 594 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,157.76

145 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	$3,157.76	145

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Saluda Medical Americas, Inc.	$450.70	6
Lilly USA, LLC	$418.83	24
ABBVIE INC.	$350.10	17
Acerta Pharma LLC	$307.64	12
Novo Nordisk AS	$292.66	17
Amgen Inc.	$200.34	6
PFIZER INC.	$196.45	17
Astellas Pharma US Inc	$173.16	8
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$122.64	6
Daiichi Sankyo Inc.	$112.00	5
Otsuka America Pharmaceutical, Inc.	$108.99	5
Sumitomo Pharma America, Inc.	$99.41	5
Janssen Pharmaceuticals, Inc	$99.04	5
Bayer HealthCare Pharmaceuticals Inc.	$42.15	3
GlaxoSmithKline, LLC.	$38.29	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$36.74	2
Merck Sharp & Dohme Corporation	$28.72	1
Takeda Pharmaceuticals U.S.A., Inc.	$23.79	1
Exact Sciences Corporation	$20.85	1
Verity Pharmaceuticals Inc.	$20.33	1
IDORSIA PHARMACEUTICALS US INC	$14.93	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$2,928.46	163
PY2022	$2,561.65	148
PY2023	$2,728.51	138
PY2024	$3,157.76	145

Payment records · PY2024 (145)

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

Program year 2024 2021 2022 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.	$27.11	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1106976811	CMS
ABBVIE INC.	$19.79	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1106976813	CMS
ABBVIE INC.	$23.60	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1106976815	CMS
ABBVIE INC.	$17.43	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1106976817	CMS
ABBVIE INC.	$22.71	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1106976819	CMS
ABBVIE INC.	$19.77	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1106976821	CMS
ABBVIE INC.	$15.31	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1106976823	CMS
ABBVIE INC.	$31.60	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1106976825	CMS
ABBVIE INC.	$14.80	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1106976827	CMS
ABBVIE INC.	$32.10	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1106976829	CMS
ABBVIE INC.	$22.52	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1106976831	CMS
ABBVIE INC.	$13.24	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1106976833	CMS
ABBVIE INC.	$18.97	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1106976835	CMS
ABBVIE INC.	$13.64	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1106976837	CMS
ABBVIE INC.	$16.23	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1106976839	CMS
ABBVIE INC.	$14.27	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1106976841	CMS
ABBVIE INC.	$27.01	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1106976843	CMS
Amgen Inc.	$15.94	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1115544051	CMS
Amgen Inc.	$2.00	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1115544061	CMS
Amgen Inc.	$17.82	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1115544073	CMS
Amgen Inc.	$119.32	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1115544038	CMS
Amgen Inc.	$20.30	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1115544015	CMS
Amgen Inc.	$24.96	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1115544028	CMS
Astellas Pharma US Inc	$23.45	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1139477278	CMS
Astellas Pharma US Inc	$21.69	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1139477542	CMS
Astellas Pharma US Inc	$22.22	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1139479236	CMS
Astellas Pharma US Inc	$23.82	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1139493676	CMS
Astellas Pharma US Inc	$19.15	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1139501832	CMS
Astellas Pharma US Inc	$19.40	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1139471946	CMS
Astellas Pharma US Inc	$20.47	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1139533894	CMS
Astellas Pharma US Inc	$22.96	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1139546821	CMS
AstraZeneca Pharmaceuticals LP	$26.28	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1104530810	CMS
AstraZeneca Pharmaceuticals LP	$15.58	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1104257113	CMS
AstraZeneca Pharmaceuticals LP	$16.00	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1104548924	CMS
AstraZeneca Pharmaceuticals LP	$19.65	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1105521043	CMS
AstraZeneca Pharmaceuticals LP	$20.46	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1105738503	CMS
AstraZeneca Pharmaceuticals LP	$111.40	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1105820053	CMS
AstraZeneca Pharmaceuticals LP	$13.66	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1105757435	CMS
AstraZeneca Pharmaceuticals LP	$14.09	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1104743753	CMS
AstraZeneca Pharmaceuticals LP	$17.81	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1105525897	CMS
AstraZeneca Pharmaceuticals LP	$16.79	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1104224833	CMS
AstraZeneca Pharmaceuticals LP	$17.43	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1104304056	CMS
AstraZeneca Pharmaceuticals LP	$18.49	12/08/2024	Food and Beverage	Undisputed	01/23/2026	1104763872	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.97	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1086331818	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.06	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1086342795	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.12	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1086304307	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.60	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1117907842	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.14	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1117907840	CMS
Daiichi Sankyo Inc.	$22.56	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1089412366	CMS
Daiichi Sankyo Inc.	$27.48	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1089412370	CMS
Daiichi Sankyo Inc.	$17.16	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1089412368	CMS
Daiichi Sankyo Inc.	$19.96	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1089412372	CMS
Daiichi Sankyo Inc.	$24.84	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1089412364	CMS
Exact Sciences Corporation	$20.85	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1114516344	CMS
GlaxoSmithKline, LLC.	$21.00	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1116557291	CMS
GlaxoSmithKline, LLC.	$17.29	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1116101874	CMS
IDORSIA PHARMACEUTICALS US INC	$14.93	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1146776096	CMS
Janssen Pharmaceuticals, Inc	$14.68	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1078075666	CMS
Janssen Pharmaceuticals, Inc	$24.67	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1078075686	CMS
Janssen Pharmaceuticals, Inc	$20.17	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1078075542	CMS
Janssen Pharmaceuticals, Inc	$21.52	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1078075598	CMS
Janssen Pharmaceuticals, Inc	$18.00	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1078075694	CMS
Lilly USA, LLC	$17.56	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1135596697	CMS
Lilly USA, LLC	$19.07	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1135596699	CMS
Lilly USA, LLC	$15.38	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1135597497	CMS
Lilly USA, LLC	$9.57	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1135597499	CMS
Lilly USA, LLC	$17.98	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1135621577	CMS
Lilly USA, LLC	$16.93	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1135547219	CMS
Lilly USA, LLC	$20.15	04/13/2024	Food and Beverage	Undisputed	01/23/2026	1135605923	CMS
Lilly USA, LLC	$16.69	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1135611843	CMS
Lilly USA, LLC	$15.99	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1135611841	CMS
Lilly USA, LLC	$18.30	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1135605921	CMS
Lilly USA, LLC	$17.73	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1135631068	CMS
Lilly USA, LLC	$9.96	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1135561238	CMS
Lilly USA, LLC	$20.46	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1135605925	CMS
Lilly USA, LLC	$19.04	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1135631070	CMS
Lilly USA, LLC	$17.72	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1135596695	CMS
Lilly USA, LLC	$20.23	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1135605927	CMS
Lilly USA, LLC	$20.06	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1135605929	CMS
Lilly USA, LLC	$17.43	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1135561240	CMS
Lilly USA, LLC	$20.92	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1135631072	CMS
Lilly USA, LLC	$7.25	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1135621579	CMS
Lilly USA, LLC	$20.04	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1135597501	CMS
Lilly USA, LLC	$26.59	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1135605919	CMS
Lilly USA, LLC	$18.25	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1135611845	CMS
Lilly USA, LLC	$15.53	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1135621581	CMS
Merck Sharp & Dohme LLC	$28.72	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1141558529	CMS
Novo Nordisk Inc	$21.29	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1100297261	CMS
Novo Nordisk Inc	$7.80	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1100481331	CMS
Novo Nordisk Inc	$17.11	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1100575766	CMS
Novo Nordisk Inc	$17.90	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1100372256	CMS
Novo Nordisk Inc	$15.23	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1100406682	CMS
Novo Nordisk Inc	$20.56	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1100584422	CMS
Novo Nordisk Inc	$13.85	05/25/2024	Food and Beverage	Undisputed	01/23/2026	1100350310	CMS
Novo Nordisk Inc	$17.30	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1100374557	CMS
Novo Nordisk Inc	$4.28	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1100403795	CMS
Novo Nordisk Inc	$22.58	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1100449637	CMS
Novo Nordisk Inc	$21.24	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1100368017	CMS
Novo Nordisk Inc	$18.89	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1100231498	CMS
Novo Nordisk Inc	$18.73	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1100488737	CMS
Novo Nordisk Inc	$11.69	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1100572012	CMS
Novo Nordisk Inc	$23.32	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1100506525	CMS
Novo Nordisk Inc	$21.94	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1100453762	CMS
Novo Nordisk Inc	$18.95	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1100340898	CMS
Otsuka America Pharmaceutical, Inc.	$21.82	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1119053536	CMS
Otsuka America Pharmaceutical, Inc.	$20.26	03/09/2024	Food and Beverage	Undisputed	01/23/2026	1119053538	CMS
Otsuka America Pharmaceutical, Inc.	$17.36	04/20/2024	Food and Beverage	Undisputed	01/23/2026	1119053540	CMS
Otsuka America Pharmaceutical, Inc.	$20.11	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1119053542	CMS
Otsuka America Pharmaceutical, Inc.	$29.44	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1119053544	CMS
PFIZER INC.	$7.34	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1132002749	CMS
PFIZER INC.	$17.50	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1131130439	CMS
PFIZER INC.	$13.37	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1131212088	CMS
PFIZER INC.	$15.08	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1131338518	CMS
PFIZER INC.	$14.91	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1131494614	CMS
PFIZER INC.	$2.13	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1131818064	CMS
PFIZER INC.	$15.99	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1131688006	CMS
PFIZER INC.	$13.37	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1131652117	CMS
PFIZER INC.	$0.53	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1131885221	CMS
PFIZER INC.	$11.91	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1131890075	CMS
PFIZER INC.	$18.56	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1131756892	CMS
PFIZER INC.	$17.85	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1131839886	CMS
PFIZER INC.	$13.88	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1132096195	CMS
PFIZER INC.	$0.53	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1132101187	CMS
PFIZER INC.	$17.16	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1131002275	CMS
PFIZER INC.	$15.78	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1131013522	CMS
PFIZER INC.	$0.56	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1131204563	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.10	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1153443697	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$23.15	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1153579705	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.03	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1153556139	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.14	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1153506397	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$24.93	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1153497708	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.29	12/31/2024	Food and Beverage	Undisputed	01/23/2026	1153490569	CMS
Saluda Medical Americas, Inc.	$42.64	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1093674678	CMS
Saluda Medical Americas, Inc.	$77.45	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1093674688	CMS
Saluda Medical Americas, Inc.	$13.06	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1093674692	CMS
Saluda Medical Americas, Inc.	$189.31	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1093674718	CMS
Saluda Medical Americas, Inc.	$99.00	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1093674726	CMS
Saluda Medical Americas, Inc.	$29.24	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1144772065	CMS
Sumitomo Pharma America, Inc.	$18.62	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1148954056	CMS
Sumitomo Pharma America, Inc.	$16.51	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1148954058	CMS
Sumitomo Pharma America, Inc.	$20.12	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1148954060	CMS
Sumitomo Pharma America, Inc.	$18.23	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1148954062	CMS
Sumitomo Pharma America, Inc.	$25.93	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1148954064	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.79	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1137730812	CMS
Verity Pharmaceuticals Inc.	$20.33	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1080612164	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

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