Covered recipient · General Payments record
MIRANDA ALEXANDER SHULER
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2022–2024
$2,321.83
- Reported across 23 records
- CMS publication 2026-01-23
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 |
|---|---|---|
| Travel and Lodging | $1,412.39 | 4 |
| Food and Beverage | $751.74 | 15 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Axonics Modulation Technologies, Inc. | $2,092.84 | 16 |
| Sumitomo Pharma America, Inc. | $26.32 | 1 |
| PFIZER INC. | $23.82 | 1 |
| Antares Pharma, Inc. | $21.15 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (19)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Antares Pharma, Inc. | $21.15 | 12/09/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1146522895 | CMS |
| Axonics, Inc. | $19.82 | 03/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387524 | CMS |
| Axonics, Inc. | $118.97 | 06/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387544 | CMS |
| Axonics, Inc. | $70.23 | 07/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387562 | CMS |
| Axonics, Inc. | $42.02 | 08/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387566 | CMS |
| Axonics, Inc. | $886.96 | 08/23/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1142387578 | CMS |
| Axonics, Inc. | $457.30 | 08/23/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1142387582 | CMS |
| Axonics, Inc. | $172.47 | 08/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387588 | CMS |
| Axonics, Inc. | $39.96 | 08/23/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1142387616 | CMS |
| Axonics, Inc. | $48.29 | 08/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387594 | CMS |
| Axonics, Inc. | $70.50 | 08/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387600 | CMS |
| Axonics, Inc. | $21.06 | 08/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387606 | CMS |
| Axonics, Inc. | $28.17 | 08/24/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1142387618 | CMS |
| Axonics, Inc. | $73.05 | 08/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387620 | CMS |
| Axonics, Inc. | $21.06 | 08/24/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387660 | CMS |
| Axonics, Inc. | $15.66 | 08/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387622 | CMS |
| Axonics, Inc. | $7.32 | 08/25/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1142387624 | CMS |
| PFIZER INC. | $23.82 | 10/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1131643744 | CMS |
| Sumitomo Pharma America, Inc. | $26.32 | 04/30/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1148994932 | 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
- 2022, 2023, 2024
- Source files
- Dataset page · Bulk file · 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.