Covered recipient · General Payments record

ANN T HOLMES

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1225267966
CMS profile: 825123
Location: FRESNO, CA

General Payments · PY2018–2024

$11,386.64

Reported across 594 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,394.85

129 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	$2,394.85	129

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$423.32	15
Amgen Inc.	$349.35	34
ABBVIE INC.	$316.97	20
Axsome Therapeutics, Inc.	$205.20	6
Lilly USA, LLC	$152.62	8
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$106.08	5
Ardelyx, Inc.	$86.00	5
Astellas Pharma US Inc	$75.70	4
BIOTRONIK NRO, Inc.	$72.47	2
PFIZER INC.	$70.50	4
Lundbeck LLC	$70.25	3
Phathom Pharmaceuticals, Inc.	$62.86	4
SHIELD THERAPEUTICS INC	$55.36	3
ABIOMED	$50.73	2
OptiNose US, Inc.	$44.25	2
Novo Nordisk AS	$35.07	2
Dynavax Technologies Corporation	$29.38	1
Tempus AI, Inc	$27.92	1
Hologic Sales and Service, LLC	$27.68	1
Merck Sharp & Dohme Corporation	$26.06	1
Exact Sciences Corporation	$24.49	1
Agile Therapeutics, Inc.	$20.99	1
Regeneron Healthcare Solutions, Inc.	$20.08	1
IRONWOOD PHARMACEUTICALS, INC	$14.66	1
Otsuka America Pharmaceutical, Inc.	$13.82	1
MAYNE PHARMA COMMERCIAL LLC	$13.04	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,192.71	53
PY2019	$1,450.75	70
PY2020	$1,399.19	60
PY2021	$1,445.08	86
PY2022	$1,520.56	89
PY2023	$1,983.50	107
PY2024	$2,394.85	129

Payment records · PY2024 (129)

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

Program year 2024 2018 2019 2020 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.	$14.99	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1103932702	CMS
ABBVIE INC.	$8.09	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1103932704	CMS
ABBVIE INC.	$20.71	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1103932706	CMS
ABBVIE INC.	$17.60	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1103932708	CMS
ABBVIE INC.	$24.22	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1103932710	CMS
ABBVIE INC.	$13.59	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1103932712	CMS
ABBVIE INC.	$2.87	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1103932714	CMS
ABBVIE INC.	$14.34	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1103932716	CMS
ABBVIE INC.	$17.38	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1103932718	CMS
ABBVIE INC.	$18.41	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1103932720	CMS
ABBVIE INC.	$27.51	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1103932722	CMS
ABBVIE INC.	$27.71	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1103932724	CMS
ABBVIE INC.	$5.27	06/22/2024	Food and Beverage	Undisputed	01/23/2026	1103932726	CMS
ABBVIE INC.	$22.75	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1103932728	CMS
ABBVIE INC.	$3.83	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1103932730	CMS
ABBVIE INC.	$27.71	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1103932732	CMS
ABBVIE INC.	$12.57	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1103932734	CMS
ABBVIE INC.	$16.12	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1103932736	CMS
ABBVIE INC.	$2.57	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1103932738	CMS
ABBVIE INC.	$18.73	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1103932740	CMS
ABIOMED	$23.34	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1142290803	CMS
ABIOMED	$27.39	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1142290867	CMS
Agile Therapeutics, Inc.	$20.99	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1154842855	CMS
Amgen Inc.	$8.88	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1117279908	CMS
Amgen Inc.	$10.06	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1117279910	CMS
Amgen Inc.	$9.71	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1117279912	CMS
Amgen Inc.	$8.92	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1117279914	CMS
Amgen Inc.	$11.24	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1117279920	CMS
Amgen Inc.	$14.36	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1117279916	CMS
Amgen Inc.	$6.59	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1117279918	CMS
Amgen Inc.	$20.10	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1111600884	CMS
Amgen Inc.	$9.08	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1117279922	CMS
Amgen Inc.	$8.00	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1117279924	CMS
Amgen Inc.	$9.80	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1117279926	CMS
Amgen Inc.	$8.12	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1117279928	CMS
Amgen Inc.	$8.09	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1117279930	CMS
Amgen Inc.	$10.95	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1117279932	CMS
Amgen Inc.	$9.29	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1117279934	CMS
Amgen Inc.	$10.08	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1117279936	CMS
Amgen Inc.	$11.09	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1117279938	CMS
Amgen Inc.	$8.48	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1117279940	CMS
Amgen Inc.	$8.04	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1117279944	CMS
Amgen Inc.	$8.74	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1117279942	CMS
Amgen Inc.	$8.32	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1117279946	CMS
Amgen Inc.	$10.75	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1117279948	CMS
Amgen Inc.	$9.96	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1117279950	CMS
Amgen Inc.	$10.45	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1117279952	CMS
Amgen Inc.	$10.46	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1117279954	CMS
Amgen Inc.	$9.40	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1117279956	CMS
Amgen Inc.	$11.77	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1117279958	CMS
Amgen Inc.	$10.31	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1117279960	CMS
Amgen Inc.	$8.35	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1117279962	CMS
Amgen Inc.	$10.53	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1117279964	CMS
Amgen Inc.	$8.11	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1117279966	CMS
Amgen Inc.	$8.65	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1117279968	CMS
Amgen Inc.	$9.05	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1117279970	CMS
Amgen Inc.	$23.62	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1117279972	CMS
Ardelyx, Inc.	$19.99	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1146685196	CMS
Ardelyx, Inc.	$19.62	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1146685198	CMS
Ardelyx, Inc.	$18.67	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1146685200	CMS
Ardelyx, Inc.	$13.26	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1146685202	CMS
Ardelyx, Inc.	$14.46	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1146685204	CMS
Astellas Pharma US Inc	$16.64	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1139360657	CMS
Astellas Pharma US Inc	$19.72	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1139380830	CMS
Astellas Pharma US Inc	$21.77	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1139427378	CMS
Astellas Pharma US Inc	$17.57	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1139440554	CMS
AstraZeneca Pharmaceuticals LP	$15.09	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1104705057	CMS
AstraZeneca Pharmaceuticals LP	$22.87	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1105572255	CMS
AstraZeneca Pharmaceuticals LP	$28.85	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105259013	CMS
AstraZeneca Pharmaceuticals LP	$121.83	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1105587074	CMS
AstraZeneca Pharmaceuticals LP	$13.39	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1104356102	CMS
AstraZeneca Pharmaceuticals LP	$20.78	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1105206453	CMS
AstraZeneca Pharmaceuticals LP	$21.62	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1105284744	CMS
AstraZeneca Pharmaceuticals LP	$22.16	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1104710023	CMS
AstraZeneca Pharmaceuticals LP	$23.17	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1104753074	CMS
AstraZeneca Pharmaceuticals LP	$27.30	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1105605855	CMS
AstraZeneca Pharmaceuticals LP	$20.82	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1105347579	CMS
AstraZeneca Pharmaceuticals LP	$21.30	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1104508814	CMS
AstraZeneca Pharmaceuticals LP	$21.24	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1105585620	CMS
AstraZeneca Pharmaceuticals LP	$22.54	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1104350544	CMS
AstraZeneca Pharmaceuticals LP	$20.36	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1104673207	CMS
Axsome Therapeutics, Inc.	$8.07	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1148264847	CMS
Axsome Therapeutics, Inc.	$16.99	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1148264849	CMS
Axsome Therapeutics, Inc.	$117.70	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1148264857	CMS
Axsome Therapeutics, Inc.	$22.79	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1148264851	CMS
Axsome Therapeutics, Inc.	$27.43	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1148264853	CMS
Axsome Therapeutics, Inc.	$12.22	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1148264855	CMS
BIOTRONIK NRO, Inc.	$39.67	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153858782	CMS
BIOTRONIK NRO, Inc.	$32.80	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1153858784	CMS
Dynavax Technologies Corporation	$29.38	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1082152673	CMS
Exact Sciences Corporation	$24.49	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1114706157	CMS
Hologic Sales and Service, LLC	$27.68	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1084910314	CMS
IRONWOOD PHARMACEUTICALS, INC	$14.66	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1153744028	CMS
Lilly USA, LLC	$18.18	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1136044774	CMS
Lilly USA, LLC	$23.73	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1136040688	CMS
Lilly USA, LLC	$13.20	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1136044776	CMS
Lilly USA, LLC	$16.44	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1136044220	CMS
Lilly USA, LLC	$18.52	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1136048353	CMS
Lilly USA, LLC	$16.47	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1135999539	CMS
Lilly USA, LLC	$23.00	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1136043946	CMS
Lilly USA, LLC	$23.08	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1136040690	CMS
Lundbeck LLC	$26.46	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1145925866	CMS
Lundbeck LLC	$24.70	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1145925868	CMS
Lundbeck LLC	$19.09	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1145925870	CMS
MAYNE PHARMA COMMERCIAL LLC	$13.04	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1154676075	CMS
Merck Sharp & Dohme LLC	$26.06	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1141935691	CMS
Novo Nordisk Inc	$17.47	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1097445213	CMS
Novo Nordisk Inc	$17.60	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1096569140	CMS
Optinose US, Inc.	$15.06	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1142191202	CMS
Optinose US, Inc.	$29.19	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1142191270	CMS
Otsuka America Pharmaceutical, Inc.	$13.82	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1118909705	CMS
PFIZER INC.	$20.37	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1131539619	CMS
PFIZER INC.	$14.68	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1131657143	CMS
PFIZER INC.	$16.20	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131670653	CMS
PFIZER INC.	$19.25	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1130890019	CMS
Phathom Pharmaceuticals, Inc.	$14.07	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1151073040	CMS
Phathom Pharmaceuticals, Inc.	$14.67	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1151073042	CMS
Phathom Pharmaceuticals, Inc.	$18.38	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1151073044	CMS
Phathom Pharmaceuticals, Inc.	$15.74	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1151073046	CMS
Regeneron Healthcare Solutions, Inc.	$20.08	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1114070907	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.68	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1153589078	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.41	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1153764357	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$21.72	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1153523175	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$23.62	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1153543652	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$24.65	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1153630203	CMS
SHIELD THERAPEUTICS INC	$18.56	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1150117771	CMS
SHIELD THERAPEUTICS INC	$20.09	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1150126777	CMS
SHIELD THERAPEUTICS INC	$16.71	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1150134721	CMS
Tempus AI, Inc	$27.92	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1150166396	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , 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.