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

MARINE GRIGORIAN-AVAKIAN

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1205210309
CMS profile
10954164
Location
FRESNO, CA

General Payments · PY2021–2024

$3,669.28

  • Reported across 206 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$681.14

38 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 paymentAmountRecords
Food and Beverage $681.14 38

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,336.11 62
PY2022 $781.41 53
PY2023 $870.62 53
PY2024 $681.14 38

Payment records · PY2024 (38)

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
ABBVIE INC. $21.48 02/06/2024 Food and Beverage Undisputed 01/23/2026 1107256380 CMS
Agile Therapeutics, Inc. $18.36 04/25/2024 Food and Beverage Undisputed 01/23/2026 1154841897 CMS
Agile Therapeutics, Inc. $19.06 07/11/2024 Food and Beverage Undisputed 01/23/2026 1154843755 CMS
Astellas Pharma US Inc $15.39 09/12/2024 Food and Beverage Undisputed 01/23/2026 1139538400 CMS
Daiichi Sankyo Inc. $20.11 05/13/2024 Food and Beverage Undisputed 01/23/2026 1089428477 CMS
Evofem Biosciences, Inc. $20.51 06/04/2024 Food and Beverage Undisputed 01/23/2026 1091271407 CMS
Evofem Biosciences, Inc. $16.63 07/24/2024 Food and Beverage Undisputed 01/23/2026 1091271403 CMS
Evofem Biosciences, Inc. $15.44 09/10/2024 Food and Beverage Undisputed 01/23/2026 1091271399 CMS
Exeltis, USA Inc. $20.90 08/28/2024 Food and Beverage Undisputed 01/23/2026 1150013021 CMS
Exeltis, USA Inc. $23.56 10/10/2024 Food and Beverage Undisputed 01/23/2026 1150013023 CMS
Exeltis, USA Inc. $13.14 10/30/2024 Food and Beverage Undisputed 01/23/2026 1150013025 CMS
Hologic Sales and Service, LLC $31.39 01/11/2024 Food and Beverage Undisputed 01/23/2026 1084869071 CMS
Hologic Sales and Service, LLC $25.86 09/24/2024 Food and Beverage Undisputed 01/23/2026 1084869189 CMS
MAYNE PHARMA COMMERCIAL LLC $3.54 01/10/2024 Food and Beverage Undisputed 01/23/2026 1154677123 CMS
MAYNE PHARMA COMMERCIAL LLC $8.34 01/10/2024 Food and Beverage Undisputed 01/23/2026 1154677125 CMS
MAYNE PHARMA COMMERCIAL LLC $22.11 01/31/2024 Food and Beverage Undisputed 01/23/2026 1154677129 CMS
MAYNE PHARMA COMMERCIAL LLC $9.59 02/23/2024 Food and Beverage Undisputed 01/23/2026 1154677127 CMS
MAYNE PHARMA COMMERCIAL LLC $5.36 03/15/2024 Food and Beverage Undisputed 01/23/2026 1154677133 CMS
MAYNE PHARMA COMMERCIAL LLC $24.32 03/18/2024 Food and Beverage Undisputed 01/23/2026 1154677131 CMS
MAYNE PHARMA COMMERCIAL LLC $5.46 03/28/2024 Food and Beverage Undisputed 01/23/2026 1154677137 CMS
MAYNE PHARMA COMMERCIAL LLC $6.50 04/04/2024 Food and Beverage Undisputed 01/23/2026 1154677139 CMS
MAYNE PHARMA COMMERCIAL LLC $20.93 04/09/2024 Food and Beverage Undisputed 01/23/2026 1154677141 CMS
MAYNE PHARMA COMMERCIAL LLC $20.63 04/30/2024 Food and Beverage Undisputed 01/23/2026 1154677143 CMS
MAYNE PHARMA COMMERCIAL LLC $9.84 05/29/2024 Food and Beverage Undisputed 01/23/2026 1154677145 CMS
MAYNE PHARMA COMMERCIAL LLC $19.30 06/06/2024 Food and Beverage Undisputed 01/23/2026 1154677147 CMS
MAYNE PHARMA COMMERCIAL LLC $24.26 08/26/2024 Food and Beverage Undisputed 01/23/2026 1154677151 CMS
MAYNE PHARMA COMMERCIAL LLC $3.24 09/06/2024 Food and Beverage Undisputed 01/23/2026 1154677149 CMS
MILLICENT US INC $21.64 07/09/2024 Food and Beverage Undisputed 01/23/2026 1150915036 CMS
MILLICENT US INC $22.74 10/22/2024 Food and Beverage Undisputed 01/23/2026 1150915038 CMS
Organon Llc $27.37 04/17/2024 Food and Beverage Undisputed 01/23/2026 1136192121 CMS
Organon Llc $24.20 05/22/2024 Food and Beverage Undisputed 01/23/2026 1136192119 CMS
Organon Llc $25.28 08/06/2024 Food and Beverage Undisputed 01/23/2026 1136192123 CMS
PFIZER INC. $15.48 04/14/2024 Food and Beverage Undisputed 01/23/2026 1131344145 CMS
Sumitomo Pharma America, Inc. $20.03 01/10/2024 Food and Beverage Undisputed 01/23/2026 1148964104 CMS
Sumitomo Pharma America, Inc. $19.24 03/04/2024 Food and Beverage Undisputed 01/23/2026 1148964106 CMS
Sumitomo Pharma America, Inc. $21.72 05/18/2024 Food and Beverage Undisputed 01/23/2026 1148964108 CMS
Sumitomo Pharma America, Inc. $20.95 08/05/2024 Food and Beverage Undisputed 01/23/2026 1148964110 CMS
Sumitomo Pharma America, Inc. $17.24 09/26/2024 Food and Beverage Undisputed 01/23/2026 1148964112 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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