Covered recipient · General Payments record

KAREN TINDER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1225442080
CMS profile: 10455858
Location: SAN RAMON, CA

General Payments · PY2021–2024

$11,178.64

Reported across 418 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,515.92

116 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	$3,515.92	116

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Amgen Inc.	$1,131.60	28
Lilly USA, LLC	$450.95	17
Boehringer Ingelheim Pharmaceuticals, Inc.	$253.62	7
Novo Nordisk AS	$221.10	15
Radius Health, Inc.	$154.00	3
Xeris Pharmaceuticals, Inc.	$150.21	4
Madrigal Pharmaceuticals	$143.34	1
Abbott Laboratories	$124.99	1
MannKind Corporation	$113.14	5
Currax Pharmaceuticals LLC	$93.91	6
PFIZER INC.	$74.13	3
Ascensia Diabetes Care US Inc.	$63.29	3
IBSA Pharma Inc.	$62.03	3
GlaxoSmithKline, LLC.	$60.39	2
DEXCOM, INC.	$54.75	2
Bayer HealthCare Pharmaceuticals Inc.	$51.45	2
Acerta Pharma LLC	$44.78	2
ABBVIE INC.	$33.67	1
Alexion Pharmaceuticals, Inc.	$33.06	1
Vanda Pharmaceuticals Inc.	$30.91	1
Averitas Pharma Inc.	$24.74	1
Kyowa Kirin, Inc.	$24.05	1
Insulet Corporation	$23.53	1
SANOFI-AVENTIS U.S. LLC	$19.15	1
OptiNose US, Inc.	$19.14	1
Antares Pharma, Inc.	$16.38	1
Bausch Health US, LLC	$16.23	1
Otsuka America Pharmaceutical, Inc.	$14.24	1
Lundbeck LLC	$13.14	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$2,958.35	106
PY2022	$2,440.58	98
PY2023	$2,263.79	98
PY2024	$3,515.92	116

Payment records · PY2024 (116)

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
Abbott Laboratories	$124.99	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1124910622	CMS
ABBVIE INC.	$33.67	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1108312345	CMS
Alexion Pharmaceuticals, Inc.	$33.06	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1093980432	CMS
Amgen Inc.	$21.68	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1117701602	CMS
Amgen Inc.	$25.21	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1117399136	CMS
Amgen Inc.	$9.64	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1117399140	CMS
Amgen Inc.	$21.39	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1117399138	CMS
Amgen Inc.	$5.65	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1117399168	CMS
Amgen Inc.	$21.74	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1117701604	CMS
Amgen Inc.	$20.47	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1117399142	CMS
Amgen Inc.	$72.81	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1117399170	CMS
Amgen Inc.	$121.83	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1117399158	CMS
Amgen Inc.	$34.21	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1117399144	CMS
Amgen Inc.	$21.18	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1117701606	CMS
Amgen Inc.	$31.40	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1117399146	CMS
Amgen Inc.	$28.38	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1117399162	CMS
Amgen Inc.	$121.83	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1117399164	CMS
Amgen Inc.	$24.66	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1117701608	CMS
Amgen Inc.	$33.40	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1117399172	CMS
Amgen Inc.	$5.45	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1117399174	CMS
Amgen Inc.	$17.13	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1117399176	CMS
Amgen Inc.	$31.73	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1117399166	CMS
Amgen Inc.	$31.81	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1117399150	CMS
Amgen Inc.	$21.07	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1117701610	CMS
Amgen Inc.	$24.44	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1117399148	CMS
Amgen Inc.	$131.10	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1117399160	CMS
Amgen Inc.	$32.48	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1117399152	CMS
Amgen Inc.	$29.22	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1117399178	CMS
Amgen Inc.	$12.01	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1117399154	CMS
Amgen Inc.	$29.69	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1117399156	CMS
Amgen Inc.	$149.99	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1117399180	CMS
Antares Pharma, Inc.	$16.38	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1146525432	CMS
Ascensia Diabetes Care Us Inc.	$23.27	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1089089978	CMS
Ascensia Diabetes Care Us Inc.	$20.75	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1089089976	CMS
Ascensia Diabetes Care Us Inc.	$19.27	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1089089974	CMS
AstraZeneca Pharmaceuticals LP	$21.08	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1104347646	CMS
AstraZeneca Pharmaceuticals LP	$23.70	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1104279809	CMS
Averitas Pharma Inc.	$24.74	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1133470856	CMS
Bausch Health US, LLC	$16.23	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1148030632	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.21	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1086359654	CMS
Bayer Healthcare Pharmaceuticals Inc.	$22.24	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1086337587	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.96	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1117923764	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$124.24	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1117923776	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.21	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1117923774	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.73	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1117923770	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$24.43	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1117923772	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.91	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1117923768	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.14	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1117923766	CMS
Currax Pharmaceuticals LLC	$14.36	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1089522564	CMS
Currax Pharmaceuticals LLC	$17.02	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1089522566	CMS
Currax Pharmaceuticals LLC	$15.96	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1089522568	CMS
Currax Pharmaceuticals LLC	$15.14	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1089522570	CMS
Currax Pharmaceuticals LLC	$17.54	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1089522572	CMS
Currax Pharmaceuticals LLC	$13.89	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1089522574	CMS
Dexcom, Inc.	$21.30	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1153369455	CMS
Dexcom, Inc.	$33.45	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1153369457	CMS
GlaxoSmithKline, LLC.	$27.20	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1116544354	CMS
GlaxoSmithKline, LLC.	$33.19	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1116463828	CMS
IBSA Pharma Inc.	$19.13	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1142985534	CMS
IBSA Pharma Inc.	$24.54	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1142975160	CMS
IBSA Pharma Inc.	$18.36	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1142975867	CMS
Insulet Corporation	$23.53	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1116824146	CMS
Kyowa Kirin, Inc.	$24.05	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1127051683	CMS
Lilly USA, LLC	$14.72	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1135732800	CMS
Lilly USA, LLC	$19.83	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1135648439	CMS
Lilly USA, LLC	$19.72	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1135726013	CMS
Lilly USA, LLC	$18.27	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1135707538	CMS
Lilly USA, LLC	$29.18	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1135707540	CMS
Lilly USA, LLC	$14.83	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1135732802	CMS
Lilly USA, LLC	$19.28	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1135648435	CMS
Lilly USA, LLC	$21.80	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1135724559	CMS
Lilly USA, LLC	$28.08	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1135726015	CMS
Lilly USA, LLC	$109.09	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1135707536	CMS
Lilly USA, LLC	$29.82	06/01/2024	Food and Beverage	Undisputed	01/23/2026	1135726017	CMS
Lilly USA, LLC	$21.59	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1135648441	CMS
Lilly USA, LLC	$13.83	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1135722081	CMS
Lilly USA, LLC	$27.63	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1135724561	CMS
Lilly USA, LLC	$17.08	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1135665153	CMS
Lilly USA, LLC	$30.87	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1135726011	CMS
Lilly USA, LLC	$15.33	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1135648437	CMS
Lundbeck LLC	$13.14	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1146099352	CMS
Madrigal Pharmaceuticals	$143.34	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1144199729	CMS
Mannkind Corporation	$16.64	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1145862706	CMS
Mannkind Corporation	$22.48	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1145862710	CMS
Mannkind Corporation	$24.80	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1145862715	CMS
Mannkind Corporation	$24.24	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1145862719	CMS
Mannkind Corporation	$24.98	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1145862723	CMS
Novo Nordisk Inc	$5.73	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1100450547	CMS
Novo Nordisk Inc	$19.09	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1100585036	CMS
Novo Nordisk Inc	$23.85	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1100417252	CMS
Novo Nordisk Inc	$17.04	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1100653877	CMS
Novo Nordisk Inc	$7.96	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1100385057	CMS
Novo Nordisk Inc	$7.57	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1100560023	CMS
Novo Nordisk Inc	$21.40	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1100577130	CMS
Novo Nordisk Inc	$16.55	09/21/2024	Food and Beverage	Undisputed	01/23/2026	1100586154	CMS
Novo Nordisk Inc	$8.02	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1100243721	CMS
Novo Nordisk Inc	$23.90	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1100622936	CMS
Novo Nordisk Inc	$6.44	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1100519135	CMS
Novo Nordisk Inc	$26.23	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1100421468	CMS
Novo Nordisk Inc	$5.84	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1100529535	CMS
Novo Nordisk Inc	$7.35	12/07/2024	Food and Beverage	Undisputed	01/23/2026	1100437621	CMS
Novo Nordisk Inc	$24.13	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1100500971	CMS
Optinose US, Inc.	$19.14	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1142182650	CMS
Otsuka America Pharmaceutical, Inc.	$14.24	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1119201294	CMS
PFIZER INC.	$34.53	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1131870338	CMS
PFIZER INC.	$19.32	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1131136910	CMS
PFIZER INC.	$20.28	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1131434274	CMS
Radius Health, Inc.	$37.04	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1090024966	CMS
Radius Health, Inc.	$98.71	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1090024979	CMS
Radius Health, Inc.	$18.25	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1090024974	CMS
SANOFI-AVENTIS U.S. LLC	$19.15	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1139693790	CMS
Vanda Pharmaceuticals Inc.	$30.91	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1133973480	CMS
Xeris Pharmaceuticals, Inc.	$121.83	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1144630465	CMS
Xeris Pharmaceuticals, Inc.	$14.04	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1144630469	CMS
Xeris Pharmaceuticals, Inc.	$7.23	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1144630467	CMS
Xeris Pharmaceuticals, Inc.	$7.11	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1144630471	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

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.