IndustryPayments
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

ANN R MANUEL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1225514524
CMS profile
10416300
Location
SHENANDOAH, TX

General Payments · PY2021–2024

$6,742.07

  • Reported across 314 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,328.85

76 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.

Related groups: Family TX All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,328.85 76

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
NOVARTIS PHARMACEUTICALS CORPORATION $515.37 29
Medtronic, Inc. $403.22 4
BOSTON SCIENTIFIC CORPORATION $372.67 9
ATRICURE, INC. $194.53 4
Kestra Medical Technology Services, Inc. $189.75 2
Actelion Pharmaceuticals US, Inc. $145.08 3
Amgen Inc. $92.01 5
Imperative Care, INc $67.31 1
E.R. Squibb & Sons, L.L.C. $67.23 3
Philips Electronics North America Corporation $48.44 3
Abbott Laboratories $38.98 2
CARDIVA MEDICAL, INC. $29.63 1
Edwards Lifesciences Corporation $28.02 1
CVRx Inc. $24.32 1
Boehringer Ingelheim Pharmaceuticals, Inc. $23.80 1
Janssen Pharmaceuticals, Inc $21.83 3
Merck Sharp & Dohme Corporation $18.91 1
Daiichi Sankyo Inc. $16.14 1
iRhythm Technologies, Inc. $16.08 1
BARD PERIPHERAL VASCULAR, INC. $15.53 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,109.84 70
PY2022 $1,469.68 74
PY2023 $1,833.70 94
PY2024 $2,328.85 76

Payment records · PY2024 (76)

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
Abbott Laboratories $20.29 05/14/2024 Food and Beverage Undisputed 01/23/2026 1124911320 CMS
Abbott Laboratories $18.69 09/14/2024 Food and Beverage Undisputed 01/23/2026 1124911322 CMS
Actelion Pharmaceuticals US, Inc. $118.74 05/22/2024 Food and Beverage Undisputed 01/23/2026 1078920069 CMS
Actelion Pharmaceuticals US, Inc. $21.91 06/14/2024 Food and Beverage Undisputed 01/23/2026 1078920067 CMS
Actelion Pharmaceuticals US, Inc. $4.43 06/14/2024 Food and Beverage Undisputed 01/23/2026 1078920073 CMS
Amgen Inc. $21.64 02/02/2024 Food and Beverage Undisputed 01/23/2026 1115901390 CMS
Amgen Inc. $14.05 05/16/2024 Food and Beverage Undisputed 01/23/2026 1115901396 CMS
Amgen Inc. $14.18 06/10/2024 Food and Beverage Undisputed 01/23/2026 1115901400 CMS
Amgen Inc. $22.45 07/26/2024 Food and Beverage Undisputed 01/23/2026 1117619402 CMS
Amgen Inc. $19.69 09/16/2024 Food and Beverage Undisputed 01/23/2026 1115901405 CMS
ATRICURE, INC. $61.36 08/26/2024 Food and Beverage Undisputed 01/23/2026 1132885665 CMS
ATRICURE, INC. $29.06 10/28/2024 Food and Beverage Undisputed 01/23/2026 1132891185 CMS
ATRICURE, INC. $58.37 11/06/2024 Food and Beverage Undisputed 01/23/2026 1132897188 CMS
ATRICURE, INC. $45.74 12/09/2024 Food and Beverage Undisputed 01/23/2026 1132886567 CMS
Bard Peripheral Vascular, Inc. $15.53 10/22/2024 Food and Beverage Undisputed 01/23/2026 1128478975 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.80 12/03/2024 Food and Beverage Undisputed 01/23/2026 1117924230 CMS
Boston Scientific Corporation $30.93 02/06/2024 Food and Beverage Undisputed 01/23/2026 1092626685 CMS
Boston Scientific Corporation $16.34 03/05/2024 Food and Beverage Undisputed 01/23/2026 1092626649 CMS
Boston Scientific Corporation $43.88 04/04/2024 Food and Beverage Undisputed 01/23/2026 1092626689 CMS
Boston Scientific Corporation $12.01 06/14/2024 Food and Beverage Undisputed 01/23/2026 1092626647 CMS
Boston Scientific Corporation $18.61 07/18/2024 Food and Beverage Undisputed 01/23/2026 1092626681 CMS
Boston Scientific Corporation $170.90 08/01/2024 Food and Beverage Undisputed 01/23/2026 1092626653 CMS
Boston Scientific Corporation $36.64 08/14/2024 Food and Beverage Undisputed 01/23/2026 1092626687 CMS
Boston Scientific Corporation $25.43 09/19/2024 Food and Beverage Undisputed 01/23/2026 1092626683 CMS
Boston Scientific Corporation $17.93 12/16/2024 Food and Beverage Undisputed 01/23/2026 1092626651 CMS
CARDIVA MEDICAL, INC. $29.63 08/28/2024 Food and Beverage Undisputed 01/23/2026 1143864919 CMS
CVRx, Inc. $24.32 04/22/2024 Food and Beverage Undisputed 01/23/2026 1133235648 CMS
Daiichi Sankyo Inc. $16.14 12/11/2024 Food and Beverage Undisputed 01/23/2026 1089452244 CMS
E.R. Squibb & Sons, L.L.C. $20.28 02/14/2024 Food and Beverage Undisputed 01/23/2026 1101470593 CMS
E.R. Squibb & Sons, L.L.C. $23.93 06/04/2024 Food and Beverage Undisputed 01/23/2026 1101470653 CMS
E.R. Squibb & Sons, L.L.C. $23.02 06/25/2024 Food and Beverage Undisputed 01/23/2026 1101470656 CMS
Edwards Lifesciences Corporation $28.02 09/04/2024 Food and Beverage Undisputed 01/23/2026 1138855394 CMS
Imperative Care, Inc $67.31 06/06/2024 Food and Beverage Undisputed 01/23/2026 1144211389 CMS
iRhythm Technologies, Inc. $16.08 11/12/2024 Food and Beverage Undisputed 01/23/2026 1154049075 CMS
Janssen Pharmaceuticals, Inc $4.18 03/19/2024 Food and Beverage Undisputed 01/23/2026 1078218165 CMS
Janssen Pharmaceuticals, Inc $12.38 05/15/2024 Food and Beverage Undisputed 01/23/2026 1078217995 CMS
Janssen Pharmaceuticals, Inc $5.27 06/18/2024 Food and Beverage Undisputed 01/23/2026 1078218129 CMS
Kestra Medical Technology Services, Inc. $117.14 08/08/2024 Food and Beverage Undisputed 01/23/2026 1152396667 CMS
Kestra Medical Technology Services, Inc. $72.61 12/18/2024 Food and Beverage Undisputed 01/23/2026 1152396665 CMS
Medtronic, Inc. $122.02 02/29/2024 Food and Beverage Undisputed 01/23/2026 1116920372 CMS
Medtronic, Inc. $148.36 06/26/2024 Food and Beverage Undisputed 01/23/2026 1116920374 CMS
Medtronic, Inc. $19.77 08/15/2024 Food and Beverage Undisputed 01/23/2026 1116920376 CMS
Medtronic, Inc. $113.07 09/20/2024 Food and Beverage Undisputed 01/23/2026 1116920378 CMS
Merck Sharp & Dohme LLC $18.91 08/20/2024 Food and Beverage Undisputed 01/23/2026 1141608791 CMS
Novartis Pharmaceuticals Corporation $19.13 01/09/2024 Food and Beverage Undisputed 01/23/2026 1087000572 CMS
Novartis Pharmaceuticals Corporation $6.13 01/12/2024 Food and Beverage Undisputed 01/23/2026 1087000582 CMS
Novartis Pharmaceuticals Corporation $2.94 02/02/2024 Food and Beverage Undisputed 01/23/2026 1087000574 CMS
Novartis Pharmaceuticals Corporation $24.24 02/13/2024 Food and Beverage Undisputed 01/23/2026 1087000576 CMS
Novartis Pharmaceuticals Corporation $3.48 02/21/2024 Food and Beverage Undisputed 01/23/2026 1087000588 CMS
Novartis Pharmaceuticals Corporation $19.89 03/12/2024 Food and Beverage Undisputed 01/23/2026 1087000586 CMS
Novartis Pharmaceuticals Corporation $22.68 03/22/2024 Food and Beverage Undisputed 01/23/2026 1087000590 CMS
Novartis Pharmaceuticals Corporation $26.93 04/05/2024 Food and Beverage Undisputed 01/23/2026 1087000592 CMS
Novartis Pharmaceuticals Corporation $20.27 04/09/2024 Food and Beverage Undisputed 01/23/2026 1087000584 CMS
Novartis Pharmaceuticals Corporation $18.12 04/29/2024 Food and Beverage Undisputed 01/23/2026 1087000594 CMS
Novartis Pharmaceuticals Corporation $21.71 05/03/2024 Food and Beverage Undisputed 01/23/2026 1087000616 CMS
Novartis Pharmaceuticals Corporation $11.88 05/08/2024 Food and Beverage Undisputed 01/23/2026 1087000596 CMS
Novartis Pharmaceuticals Corporation $21.15 05/14/2024 Food and Beverage Undisputed 01/23/2026 1087000598 CMS
Novartis Pharmaceuticals Corporation $20.08 05/17/2024 Food and Beverage Undisputed 01/23/2026 1087000618 CMS
Novartis Pharmaceuticals Corporation $14.78 05/24/2024 Food and Beverage Undisputed 01/23/2026 1087000620 CMS
Novartis Pharmaceuticals Corporation $21.03 05/31/2024 Food and Beverage Undisputed 01/23/2026 1087000606 CMS
Novartis Pharmaceuticals Corporation $22.14 06/11/2024 Food and Beverage Undisputed 01/23/2026 1087000600 CMS
Novartis Pharmaceuticals Corporation $4.58 06/28/2024 Food and Beverage Undisputed 01/23/2026 1087000612 CMS
Novartis Pharmaceuticals Corporation $26.65 06/28/2024 Food and Beverage Undisputed 01/23/2026 1087000614 CMS
Novartis Pharmaceuticals Corporation $15.14 07/18/2024 Food and Beverage Undisputed 01/23/2026 1087000634 CMS
Novartis Pharmaceuticals Corporation $25.29 07/30/2024 Food and Beverage Undisputed 01/23/2026 1087000628 CMS
Novartis Pharmaceuticals Corporation $22.06 08/09/2024 Food and Beverage Undisputed 01/23/2026 1087000630 CMS
Novartis Pharmaceuticals Corporation $15.98 08/09/2024 Food and Beverage Undisputed 01/23/2026 1087000636 CMS
Novartis Pharmaceuticals Corporation $23.01 08/13/2024 Food and Beverage Undisputed 01/23/2026 1087000632 CMS
Novartis Pharmaceuticals Corporation $13.04 08/23/2024 Food and Beverage Undisputed 01/23/2026 1087000642 CMS
Novartis Pharmaceuticals Corporation $27.22 08/30/2024 Food and Beverage Undisputed 01/23/2026 1087000644 CMS
Novartis Pharmaceuticals Corporation $7.73 08/30/2024 Food and Beverage Undisputed 01/23/2026 1087000646 CMS
Novartis Pharmaceuticals Corporation $11.09 09/04/2024 Food and Beverage Undisputed 01/23/2026 1087000648 CMS
Novartis Pharmaceuticals Corporation $27.00 09/10/2024 Food and Beverage Undisputed 01/23/2026 1087000650 CMS
Philips North America LLC $17.50 04/16/2024 Food and Beverage Undisputed 01/23/2026 1146882478 CMS
Philips North America LLC $17.50 04/16/2024 Food and Beverage Undisputed 01/23/2026 1146882480 CMS
Philips North America LLC $13.44 07/31/2024 Food and Beverage Undisputed 01/23/2026 1146882476 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.

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