Covered recipient · General Payments record

AZEB M LEMMA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1235591975
CMS profile: 10810505
Location: RICHMOND, IN

General Payments · PY2021–2024

$3,432.21

Reported across 198 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,529.56

87 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	$1,214.64	83
Education	$314.92	4

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
NOVARTIS PHARMACEUTICALS CORPORATION	$206.37	24
Daiichi Sankyo Inc.	$187.61	9
Janssen Biotech, Inc.	$182.01	10
Gilead Sciences, Inc.	$139.11	6
Alexion Pharmaceuticals, Inc.	$90.95	1
Astellas Pharma US Inc	$79.38	3
PFIZER INC.	$78.73	4
Celgene Corporation	$77.85	5
Inari Medical, Inc.	$67.08	2
ABBVIE INC.	$62.33	3
Pharmacosmos Therapeutics Inc.	$47.96	3
EISAI INC.	$39.44	2
GENZYME CORPORATION	$38.91	2
Sumitomo Pharma America, Inc.	$30.49	2
JAZZ PHARMACEUTICALS INC.	$30.00	1
Exelixis Inc.	$29.46	2
E.R. Squibb & Sons, L.L.C.	$23.86	1
Takeda Pharmaceuticals U.S.A., Inc.	$22.91	1
Coherus Biosciences Inc.	$19.80	1
Acerta Pharma LLC	$16.99	1
Genmab U.S., Inc.	$16.09	1
Bayer HealthCare Pharmaceuticals Inc.	$15.89	1
Legend Biotech USA Inc.	$13.26	1
Adaptive Biotechnologies Corporation	$13.08	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$202.79	8
PY2022	$380.48	22
PY2023	$1,319.38	81
PY2024	$1,529.56	87

Payment records · PY2024 (87)

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
ABBVIE INC.	$25.10	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1107527809	CMS
ABBVIE INC.	$21.10	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1107527811	CMS
ABBVIE INC.	$16.13	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1107527813	CMS
Adaptive Biotechnologies Corporation	$13.08	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1150265855	CMS
Alexion Pharmaceuticals, Inc.	$90.95	05/07/2024	Education	Undisputed	01/23/2026	1093949819	CMS
Astellas Pharma US Inc	$14.55	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1139474126	CMS
Astellas Pharma US Inc	$49.99	08/27/2024	Education	Undisputed	01/23/2026	1139526738	CMS
Astellas Pharma US Inc	$14.84	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1139511853	CMS
AstraZeneca Pharmaceuticals LP	$16.99	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1105275738	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.89	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1086281906	CMS
Celgene Corporation	$15.19	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1101144609	CMS
Celgene Corporation	$14.64	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1101144617	CMS
Celgene Corporation	$14.59	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1101144621	CMS
Celgene Corporation	$18.06	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1101144633	CMS
Celgene Corporation	$15.37	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1101144643	CMS
Coherus Biosciences Inc.	$19.80	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1147275444	CMS
Daiichi Sankyo Inc.	$19.73	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1089448134	CMS
Daiichi Sankyo Inc.	$0.54	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1089448136	CMS
Daiichi Sankyo Inc.	$19.95	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1089448138	CMS
Daiichi Sankyo Inc.	$6.93	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1089448140	CMS
Daiichi Sankyo Inc.	$89.99	06/10/2024	Education	Undisputed	01/23/2026	1089448142	CMS
Daiichi Sankyo Inc.	$3.62	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1089448128	CMS
Daiichi Sankyo Inc.	$16.48	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1089448126	CMS
Daiichi Sankyo Inc.	$8.31	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1089448130	CMS
Daiichi Sankyo Inc.	$22.06	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1089448132	CMS
E.R. Squibb & Sons, L.L.C.	$23.86	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1101478525	CMS
Eisai Inc.	$21.20	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1110794951	CMS
Eisai Inc.	$18.24	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1110794953	CMS
Exelixis Inc.	$16.35	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1138568741	CMS
Exelixis Inc.	$13.11	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1138568743	CMS
Genmab U.S., Inc.	$16.09	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1126834376	CMS
GENZYME CORPORATION	$15.39	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1139856533	CMS
GENZYME CORPORATION	$23.52	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1139856547	CMS
Gilead Sciences, Inc.	$13.28	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1133685367	CMS
Gilead Sciences, Inc.	$16.42	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1133685369	CMS
Gilead Sciences, Inc.	$3.72	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1133685371	CMS
Gilead Sciences, Inc.	$83.99	05/16/2024	Education	Undisputed	01/23/2026	1133890783	CMS
Gilead Sciences, Inc.	$17.52	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1133685373	CMS
Gilead Sciences, Inc.	$4.18	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1133685375	CMS
Inari Medical, Inc.	$24.82	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1140186430	CMS
Inari Medical, Inc.	$42.26	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1140186432	CMS
Janssen Biotech, Inc.	$44.08	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1078632150	CMS
Janssen Biotech, Inc.	$17.03	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1078632160	CMS
Janssen Biotech, Inc.	$9.79	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1078632192	CMS
Janssen Biotech, Inc.	$6.32	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1078631982	CMS
Janssen Biotech, Inc.	$33.06	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1078632171	CMS
Janssen Biotech, Inc.	$5.08	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1078631986	CMS
Janssen Biotech, Inc.	$18.59	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1078632015	CMS
Janssen Biotech, Inc.	$21.74	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1078632061	CMS
Janssen Biotech, Inc.	$21.73	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1078632010	CMS
Janssen Biotech, Inc.	$4.59	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1078632045	CMS
JAZZ PHARMACEUTICALS INC.	$30.00	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1151299166	CMS
Legend Biotech USA Inc.	$13.26	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1131692948	CMS
Novartis Pharmaceuticals Corporation	$19.29	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1086968130	CMS
Novartis Pharmaceuticals Corporation	$8.92	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1086968124	CMS
Novartis Pharmaceuticals Corporation	$1.53	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1086968126	CMS
Novartis Pharmaceuticals Corporation	$1.88	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1086968128	CMS
Novartis Pharmaceuticals Corporation	$17.71	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1086968134	CMS
Novartis Pharmaceuticals Corporation	$7.78	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1086968132	CMS
Novartis Pharmaceuticals Corporation	$19.70	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1086968150	CMS
Novartis Pharmaceuticals Corporation	$8.65	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1086968148	CMS
Novartis Pharmaceuticals Corporation	$8.22	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1086968136	CMS
Novartis Pharmaceuticals Corporation	$3.23	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1086968138	CMS
Novartis Pharmaceuticals Corporation	$2.42	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1086968140	CMS
Novartis Pharmaceuticals Corporation	$1.95	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1086968142	CMS
Novartis Pharmaceuticals Corporation	$3.22	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1086968144	CMS
Novartis Pharmaceuticals Corporation	$15.81	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1086968146	CMS
Novartis Pharmaceuticals Corporation	$13.57	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1086968152	CMS
Novartis Pharmaceuticals Corporation	$8.11	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1086968168	CMS
Novartis Pharmaceuticals Corporation	$0.13	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1086968156	CMS
Novartis Pharmaceuticals Corporation	$2.12	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1086968158	CMS
Novartis Pharmaceuticals Corporation	$8.90	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1086968154	CMS
Novartis Pharmaceuticals Corporation	$20.73	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1086968160	CMS
Novartis Pharmaceuticals Corporation	$17.08	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1086968164	CMS
Novartis Pharmaceuticals Corporation	$1.46	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1086968166	CMS
Novartis Pharmaceuticals Corporation	$9.24	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1086968162	CMS
Novartis Pharmaceuticals Corporation	$4.72	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1086968170	CMS
PFIZER INC.	$16.14	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1131323617	CMS
PFIZER INC.	$20.07	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1131338131	CMS
PFIZER INC.	$20.50	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1131851433	CMS
PFIZER INC.	$22.02	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1130874279	CMS
Pharmacosmos Therapeutics Inc.	$14.51	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1154830624	CMS
Pharmacosmos Therapeutics Inc.	$17.90	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1154830626	CMS
Pharmacosmos Therapeutics Inc.	$15.55	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1154830628	CMS
Sumitomo Pharma America, Inc.	$15.96	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1148975172	CMS
Sumitomo Pharma America, Inc.	$14.53	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1148975174	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.91	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1144978898	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.