MICHELLE O TWITO

Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant STATEN ISLAND, NY NPI 1235472986

General Payments — all program years on this page

$5,270.35

Category: General Payments
Program years: PY2021–2024
Record count: 230
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,216.84 across 97 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 payment	Amount	Records
Food and Beverage	$2,216.84	97

By paying entity

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

Paying entity	Amount	Records
ABBVIE INC.	$615.73	22
ACADIA Pharmaceuticals Inc	$189.66	7
Lundbeck LLC	$131.48	6
Genentech USA, Inc.	$117.14	6
Takeda Pharmaceuticals U.S.A., Inc.	$108.06	5
Otsuka America Pharmaceutical, Inc.	$93.93	4
Teva Pharmaceuticals USA, Inc.	$87.89	4
Acorda Therapeutics, Inc	$86.54	5
Grifols USA, LLC	$79.72	4
NOVARTIS PHARMACEUTICALS CORPORATION	$77.34	4
SK Life Science, Inc.	$72.40	4
Lilly USA, LLC	$72.21	4
EISAI INC.	$69.18	3
MDD US Operations, LLC	$64.27	4
Medtronic, Inc.	$60.00	2
Octapharma USA, Inc.	$46.51	2
Amneal Pharmaceuticals LLC	$42.42	2
Alexion Pharmaceuticals, Inc.	$37.33	2
Biogen, Inc.	$37.01	2
Neurelis, Inc.	$35.79	1
Neurocrine BioSciences, Inc.	$32.16	1
PFIZER INC.	$23.03	1
UCB, Inc.	$19.77	1
Vanda Pharmaceuticals Inc.	$17.27	1

By program year

Program year	Amount	Records
2021	$192.26	10
2022	$701.23	39
2023	$2,160.02	84
2024	$2,216.84	97

Records — PY2024 (97)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1087353646	Novartis Pharmaceuticals Corporation	$22.83	01/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087353648	Novartis Pharmaceuticals Corporation	$16.46	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087353650	Novartis Pharmaceuticals Corporation	$17.63	03/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1087353652	Novartis Pharmaceuticals Corporation	$20.42	06/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093962282	Alexion Pharmaceuticals, Inc.	$19.19	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093964807	Alexion Pharmaceuticals, Inc.	$18.14	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104840346	Biogen, Inc.	$14.15	08/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104876624	Biogen, Inc.	$22.86	10/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337481	ABBVIE INC.	$34.28	01/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337483	ABBVIE INC.	$24.30	02/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337485	ABBVIE INC.	$26.40	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337487	ABBVIE INC.	$20.38	03/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337489	ABBVIE INC.	$12.26	03/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337491	ABBVIE INC.	$149.49	03/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337493	ABBVIE INC.	$8.71	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337495	ABBVIE INC.	$30.48	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337497	ABBVIE INC.	$33.31	05/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337499	ABBVIE INC.	$30.87	05/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337501	ABBVIE INC.	$32.26	05/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337503	ABBVIE INC.	$18.32	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337505	ABBVIE INC.	$21.31	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337507	ABBVIE INC.	$5.61	06/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337509	ABBVIE INC.	$18.94	07/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337511	ABBVIE INC.	$11.40	07/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337513	ABBVIE INC.	$16.50	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337515	ABBVIE INC.	$25.89	08/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337517	ABBVIE INC.	$19.19	09/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337519	ABBVIE INC.	$25.38	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337521	ABBVIE INC.	$30.01	10/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1108337523	ABBVIE INC.	$20.44	12/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1110815850	Eisai Inc.	$20.76	09/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1110815852	Eisai Inc.	$24.68	11/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1110815854	Eisai Inc.	$23.74	12/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116921298	Medtronic, Inc.	$28.09	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116921300	Medtronic, Inc.	$31.91	09/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119204402	Otsuka America Pharmaceutical, Inc.	$23.89	09/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119204404	Otsuka America Pharmaceutical, Inc.	$16.87	10/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119204406	Otsuka America Pharmaceutical, Inc.	$29.12	11/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119204408	Otsuka America Pharmaceutical, Inc.	$24.05	12/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124743774	Grifols USA, LLC	$21.47	07/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124743776	Grifols USA, LLC	$18.85	08/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124743778	Grifols USA, LLC	$17.88	03/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124743780	Grifols USA, LLC	$21.52	12/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131279555	PFIZER INC.	$23.03	04/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133177165	Genentech USA, Inc.	$22.89	06/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133177169	Genentech USA, Inc.	$16.79	08/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133177173	Genentech USA, Inc.	$16.00	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133177176	Genentech USA, Inc.	$20.66	07/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133177180	Genentech USA, Inc.	$19.45	09/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133177184	Genentech USA, Inc.	$21.35	10/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133974240	Vanda Pharmaceuticals Inc.	$17.27	10/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135836574	Lilly USA, LLC	$18.45	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135836578	Lilly USA, LLC	$17.28	08/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135847377	Lilly USA, LLC	$18.31	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135905921	Lilly USA, LLC	$18.17	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137836771	Takeda Pharmaceuticals U.S.A., Inc.	$21.86	06/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137836773	Takeda Pharmaceuticals U.S.A., Inc.	$18.61	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137836775	Takeda Pharmaceuticals U.S.A., Inc.	$18.78	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137836777	Takeda Pharmaceuticals U.S.A., Inc.	$19.75	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137836779	Takeda Pharmaceuticals U.S.A., Inc.	$29.06	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139217808	Amneal Pharmaceuticals LLC	$20.18	02/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139217810	Amneal Pharmaceuticals LLC	$22.24	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142323887	Octapharma USA, Inc.	$22.48	05/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142323889	Octapharma USA, Inc.	$24.03	10/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142351170	Acorda Therapeutics, Inc	$17.09	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142351172	Acorda Therapeutics, Inc	$18.98	02/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142351174	Acorda Therapeutics, Inc	$16.69	04/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142351176	Acorda Therapeutics, Inc	$16.59	05/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142351178	Acorda Therapeutics, Inc	$17.19	06/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143257866	UCB, Inc.	$19.77	04/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145671728	Neurelis, Inc.	$35.79	12/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146101365	Lundbeck LLC	$31.65	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146101367	Lundbeck LLC	$17.54	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146101369	Lundbeck LLC	$16.10	08/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146101371	Lundbeck LLC	$20.37	09/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146101373	Lundbeck LLC	$28.38	10/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146101375	Lundbeck LLC	$17.44	11/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147754233	MDD US Operations, LLC	$15.17	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147758018	MDD US Operations, LLC	$14.09	08/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147758020	MDD US Operations, LLC	$16.06	02/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147758022	MDD US Operations, LLC	$18.95	08/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148015338	ACADIA Pharmaceuticals Inc	$24.91	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148015340	ACADIA Pharmaceuticals Inc	$31.21	04/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148015342	ACADIA Pharmaceuticals Inc	$31.22	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148015344	ACADIA Pharmaceuticals Inc	$28.98	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148015346	ACADIA Pharmaceuticals Inc	$26.74	07/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148015348	ACADIA Pharmaceuticals Inc	$23.07	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148015350	ACADIA Pharmaceuticals Inc	$23.53	11/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150935620	Neurocrine Biosciences, Inc.	$32.16	12/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151716642	Teva Pharmaceuticals USA, Inc.	$23.59	01/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151716692	Teva Pharmaceuticals USA, Inc.	$17.45	04/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151716730	Teva Pharmaceuticals USA, Inc.	$25.77	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151716782	Teva Pharmaceuticals USA, Inc.	$21.08	12/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154124623	SK Life Science, Inc.	$20.34	01/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154124663	SK Life Science, Inc.	$14.13	04/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154124677	SK Life Science, Inc.	$16.73	05/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154124729	SK Life Science, Inc.	$21.20	11/06/2024	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

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.