COURTNEY AVRA

Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant NACOGDOCHES, TX NPI 1194485375

General Payments — all program years on this page

$4,665.64

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 293
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,674.35 across 96 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $1,674.3596

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $44.122
2022 $1,115.2673
2023 $1,831.91122
2024 $1,674.3596

Records — PY2024 (96)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1086274238 Bayer Healthcare Pharmaceuticals Inc. $25.24 03/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086278508 Bayer Healthcare Pharmaceuticals Inc. $18.83 05/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086293764 Bayer Healthcare Pharmaceuticals Inc. $18.61 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086346011 Bayer Healthcare Pharmaceuticals Inc. $21.08 04/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086371635 Bayer Healthcare Pharmaceuticals Inc. $17.32 03/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086674013 Novartis Pharmaceuticals Corporation $14.98 02/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100275482 Novo Nordisk Inc $23.65 03/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100276002 Novo Nordisk Inc $16.78 10/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100280916 Novo Nordisk Inc $21.07 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100283548 Novo Nordisk Inc $14.02 07/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100358968 Novo Nordisk Inc $12.98 05/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100460626 Novo Nordisk Inc $16.71 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100487163 Novo Nordisk Inc $20.48 08/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100490547 Novo Nordisk Inc $1.14 01/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100512059 Novo Nordisk Inc $10.50 04/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100564998 Novo Nordisk Inc $2.38 01/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100580208 Novo Nordisk Inc $15.74 08/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104215687 AstraZeneca Pharmaceuticals LP $66.61 03/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104241405 AstraZeneca Pharmaceuticals LP $15.15 05/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104601498 AstraZeneca Pharmaceuticals LP $13.70 02/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104622104 AstraZeneca Pharmaceuticals LP $14.51 01/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104726415 AstraZeneca Pharmaceuticals LP $13.28 08/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105672075 AstraZeneca Pharmaceuticals LP $14.44 03/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105839123 AstraZeneca Pharmaceuticals LP $16.75 02/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105843505 AstraZeneca Pharmaceuticals LP $15.01 07/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463638 ABBVIE INC. $1.25 01/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463640 ABBVIE INC. $13.49 01/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463642 ABBVIE INC. $18.12 02/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463644 ABBVIE INC. $14.08 03/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463646 ABBVIE INC. $18.06 04/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463648 ABBVIE INC. $15.68 04/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463650 ABBVIE INC. $10.26 05/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463652 ABBVIE INC. $19.39 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463654 ABBVIE INC. $16.00 07/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463656 ABBVIE INC. $3.43 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463658 ABBVIE INC. $20.19 07/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463660 ABBVIE INC. $17.84 08/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463662 ABBVIE INC. $3.78 09/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106463664 ABBVIE INC. $11.55 09/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116294543 GlaxoSmithKline, LLC. $17.48 10/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117910814 Boehringer Ingelheim Pharmaceuticals, Inc. $13.45 02/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117910816 Boehringer Ingelheim Pharmaceuticals, Inc. $13.48 08/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117910818 Boehringer Ingelheim Pharmaceuticals, Inc. $13.52 01/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117910820 Boehringer Ingelheim Pharmaceuticals, Inc. $15.25 05/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117910822 Boehringer Ingelheim Pharmaceuticals, Inc. $15.62 03/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117910824 Boehringer Ingelheim Pharmaceuticals, Inc. $16.09 07/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119019090 Otsuka America Pharmaceutical, Inc. $22.58 02/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119019092 Otsuka America Pharmaceutical, Inc. $21.98 03/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119019094 Otsuka America Pharmaceutical, Inc. $22.90 04/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119019096 Otsuka America Pharmaceutical, Inc. $19.60 05/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119019098 Otsuka America Pharmaceutical, Inc. $19.03 08/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119019100 Otsuka America Pharmaceutical, Inc. $27.17 09/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119019102 Otsuka America Pharmaceutical, Inc. $24.28 10/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131021479 PFIZER INC. $111.13 01/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131620394 PFIZER INC. $27.86 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131719428 PFIZER INC. $7.83 03/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131725650 PFIZER INC. $7.78 05/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131732239 PFIZER INC. $1.91 06/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131949724 PFIZER INC. $6.42 09/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135593268 Lilly USA, LLC $16.52 05/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135594044 Lilly USA, LLC $19.31 04/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135601455 Lilly USA, LLC $22.16 01/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135601457 Lilly USA, LLC $15.61 10/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135608331 Lilly USA, LLC $19.11 07/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135608333 Lilly USA, LLC $15.58 08/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135608335 Lilly USA, LLC $13.47 08/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135618067 Lilly USA, LLC $15.40 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135629823 Lilly USA, LLC $10.25 04/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135629825 Lilly USA, LLC $14.97 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135629827 Lilly USA, LLC $11.53 06/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135629829 Lilly USA, LLC $0.83 07/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135629831 Lilly USA, LLC $17.62 09/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141698572 Merck Sharp & Dohme LLC $14.22 05/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1143364593 ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.56 01/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1143364597 ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.09 07/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1143364600 ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.95 08/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1143364604 ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.34 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148349974 Axsome Therapeutics, Inc. $32.43 02/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148349976 Axsome Therapeutics, Inc. $14.81 03/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148349978 Axsome Therapeutics, Inc. $21.00 04/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151717204 Teva Pharmaceuticals USA, Inc. $14.12 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151717214 Teva Pharmaceuticals USA, Inc. $16.09 07/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151717254 Teva Pharmaceuticals USA, Inc. $16.33 10/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153355582 Dexcom, Inc. $19.82 01/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153355584 Dexcom, Inc. $21.67 04/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153355586 Dexcom, Inc. $20.72 05/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153355588 Dexcom, Inc. $14.95 06/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153355590 Dexcom, Inc. $14.62 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153355592 Dexcom, Inc. $18.33 08/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153355594 Dexcom, Inc. $18.92 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153355596 Dexcom, Inc. $17.02 11/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153478574 Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.38 10/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153525629 Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.91 04/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153579607 Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.01 05/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153645520 Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.41 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1154811958 Enterra Medical, Inc. $16.85 08/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • 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.