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

SEVERIANO L MANUEL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1235540881
CMS profile
10797257
Location
KIRKLAND, WA

General Payments · PY2021–2024

$616.32

  • Reported across 19 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$292.49

12 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 $292.49 12

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
DEXCOM, INC. $94.20 2
Acerta Pharma LLC $48.32 3
Novo Nordisk AS $45.09 2
Merck Sharp & Dohme Corporation $34.15 2
ITI, Inc. $27.72 1
Otsuka America Pharmaceutical, Inc. $26.47 1
Exact Sciences Corporation $16.54 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $120.70 1
PY2023 $203.13 6
PY2024 $292.49 12

Payment records · PY2024 (12)

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

Program year 2024 20212023 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
AstraZeneca Pharmaceuticals LP $14.73 02/02/2024 Food and Beverage Undisputed 01/23/2026 1105811291 CMS
AstraZeneca Pharmaceuticals LP $17.69 06/13/2024 Food and Beverage Undisputed 01/23/2026 1104289458 CMS
AstraZeneca Pharmaceuticals LP $15.90 10/17/2024 Food and Beverage Undisputed 01/23/2026 1104596758 CMS
Dexcom, Inc. $75.23 11/13/2024 Food and Beverage Undisputed 01/23/2026 1153385924 CMS
Dexcom, Inc. $18.97 12/04/2024 Food and Beverage Undisputed 01/23/2026 1153385926 CMS
Exact Sciences Corporation $16.54 11/07/2024 Food and Beverage Undisputed 01/23/2026 1114496547 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $27.72 08/08/2024 Food and Beverage Undisputed 01/23/2026 1143540178 CMS
Merck Sharp & Dohme LLC $17.39 07/10/2024 Food and Beverage Undisputed 01/23/2026 1141657384 CMS
Merck Sharp & Dohme LLC $16.76 08/28/2024 Food and Beverage Undisputed 01/23/2026 1141975646 CMS
Novo Nordisk Inc $23.36 05/09/2024 Food and Beverage Undisputed 01/23/2026 1100380035 CMS
Novo Nordisk Inc $21.73 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100282974 CMS
Otsuka America Pharmaceutical, Inc. $26.47 04/23/2024 Food and Beverage Undisputed 01/23/2026 1119129272 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, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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