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

MARYJANE COSE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1235677691
CMS profile
11085827
Location
WATERLOO, IA

General Payments · PY2021–2024

$1,297.86

  • Reported across 110 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$323.14

23 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 $323.14 23

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $208.95 21
PY2022 $372.04 32
PY2023 $393.73 34
PY2024 $323.14 23

Payment records · PY2024 (23)

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
ABBVIE INC. $8.39 01/26/2024 Food and Beverage Undisputed 01/23/2026 1106955417 CMS
ABBVIE INC. $9.69 02/22/2024 Food and Beverage Undisputed 01/23/2026 1106955419 CMS
ABBVIE INC. $10.64 04/16/2024 Food and Beverage Undisputed 01/23/2026 1106955421 CMS
ABBVIE INC. $5.91 05/13/2024 Food and Beverage Undisputed 01/23/2026 1106955423 CMS
ABBVIE INC. $10.41 06/25/2024 Food and Beverage Undisputed 01/23/2026 1106955425 CMS
ABBVIE INC. $12.58 08/13/2024 Food and Beverage Undisputed 01/23/2026 1106955427 CMS
ABBVIE INC. $16.46 09/26/2024 Food and Beverage Undisputed 01/23/2026 1106955429 CMS
ABBVIE INC. $12.27 10/04/2024 Food and Beverage Undisputed 01/23/2026 1106955431 CMS
ABBVIE INC. $8.81 10/22/2024 Food and Beverage Undisputed 01/23/2026 1106955433 CMS
ABBVIE INC. $23.44 11/05/2024 Food and Beverage Undisputed 01/23/2026 1106955435 CMS
ABBVIE INC. $9.07 12/04/2024 Food and Beverage Undisputed 01/23/2026 1106955437 CMS
ABBVIE INC. $6.94 12/11/2024 Food and Beverage Undisputed 01/23/2026 1106955439 CMS
Alkermes, Inc. $19.93 04/15/2024 Food and Beverage Undisputed 01/23/2026 1120483922 CMS
Axsome Therapeutics, Inc. $17.53 08/07/2024 Food and Beverage Undisputed 01/23/2026 1148390556 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.27 06/14/2024 Food and Beverage Undisputed 01/23/2026 1086304033 CMS
E.R. Squibb & Sons, L.L.C. $15.18 02/13/2024 Food and Beverage Undisputed 01/23/2026 1101625299 CMS
HARMONY BIOSCIENCES LLC $13.73 09/23/2024 Food and Beverage Undisputed 01/23/2026 1126065243 CMS
IDORSIA PHARMACEUTICALS US INC $15.42 02/29/2024 Food and Beverage Undisputed 01/23/2026 1146767560 CMS
Lilly USA, LLC $13.81 01/29/2024 Food and Beverage Undisputed 01/23/2026 1135811959 CMS
Lilly USA, LLC $15.61 09/19/2024 Food and Beverage Undisputed 01/23/2026 1135817600 CMS
Novo Nordisk Inc $21.60 05/09/2024 Food and Beverage Undisputed 01/23/2026 1100641268 CMS
PFIZER INC. $18.23 06/21/2024 Food and Beverage Undisputed 01/23/2026 1131621116 CMS
Phathom Pharmaceuticals, Inc. $19.22 10/11/2024 Food and Beverage Undisputed 01/23/2026 1151157437 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.