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

LEANN N MUNACO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1245616788
CMS profile
10429599
Location
SAINT CLAIR SHORES, MI

General Payments · PY2021–2024

$5,041.13

  • Reported across 267 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,498.92

82 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 $1,443.97 81
Education $54.95 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $726.09 38
PY2022 $1,454.61 76
PY2023 $1,361.51 71
PY2024 $1,498.92 82

Payment records · PY2024 (82)

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
Amgen Inc. $18.04 01/11/2024 Food and Beverage Undisputed 01/23/2026 1117334610 CMS
Amgen Inc. $8.79 01/17/2024 Food and Beverage Undisputed 01/23/2026 1117334606 CMS
Amgen Inc. $26.83 01/31/2024 Food and Beverage Undisputed 01/23/2026 1117334612 CMS
Amgen Inc. $27.00 02/16/2024 Food and Beverage Undisputed 01/23/2026 1117334608 CMS
Amgen Inc. $18.24 03/06/2024 Food and Beverage Undisputed 01/23/2026 1117334614 CMS
Amgen Inc. $10.40 03/07/2024 Food and Beverage Undisputed 01/23/2026 1117334620 CMS
Amgen Inc. $26.39 03/20/2024 Food and Beverage Undisputed 01/23/2026 1117334616 CMS
Amgen Inc. $4.97 03/20/2024 Food and Beverage Undisputed 01/23/2026 1117334618 CMS
Amgen Inc. $7.10 04/15/2024 Food and Beverage Undisputed 01/23/2026 1117334622 CMS
Amgen Inc. $7.89 04/24/2024 Food and Beverage Undisputed 01/23/2026 1117334630 CMS
Amgen Inc. $7.70 05/15/2024 Food and Beverage Undisputed 01/23/2026 1117334634 CMS
Amgen Inc. $4.77 06/06/2024 Food and Beverage Undisputed 01/23/2026 1117334624 CMS
Amgen Inc. $6.39 06/13/2024 Food and Beverage Undisputed 01/23/2026 1117334626 CMS
Amgen Inc. $20.46 06/24/2024 Food and Beverage Undisputed 01/23/2026 1117334628 CMS
Amgen Inc. $17.78 06/26/2024 Food and Beverage Undisputed 01/23/2026 1117334632 CMS
Amgen Inc. $6.83 07/24/2024 Food and Beverage Undisputed 01/23/2026 1117334636 CMS
Amgen Inc. $11.96 08/07/2024 Food and Beverage Undisputed 01/23/2026 1117334638 CMS
Amgen Inc. $8.64 08/12/2024 Food and Beverage Undisputed 01/23/2026 1117334640 CMS
Amgen Inc. $19.62 08/29/2024 Food and Beverage Undisputed 01/23/2026 1117334642 CMS
Amgen Inc. $10.23 09/19/2024 Food and Beverage Undisputed 01/23/2026 1117334644 CMS
Amgen Inc. $25.27 10/17/2024 Food and Beverage Undisputed 01/23/2026 1117334646 CMS
Amgen Inc. $14.89 10/30/2024 Food and Beverage Undisputed 01/23/2026 1117334650 CMS
Amgen Inc. $22.10 11/14/2024 Food and Beverage Undisputed 01/23/2026 1117334652 CMS
Amgen Inc. $5.40 12/02/2024 Food and Beverage Undisputed 01/23/2026 1117334654 CMS
Amgen Inc. $12.96 12/18/2024 Food and Beverage Undisputed 01/23/2026 1117334656 CMS
AstraZeneca Pharmaceuticals LP $51.68 01/10/2024 Food and Beverage Undisputed 01/23/2026 1104454660 CMS
AstraZeneca Pharmaceuticals LP $17.76 02/19/2024 Food and Beverage Undisputed 01/23/2026 1104741265 CMS
AstraZeneca Pharmaceuticals LP $21.69 03/06/2024 Food and Beverage Undisputed 01/23/2026 1105362295 CMS
AstraZeneca Pharmaceuticals LP $16.79 04/24/2024 Food and Beverage Undisputed 01/23/2026 1105430098 CMS
AstraZeneca Pharmaceuticals LP $16.14 05/30/2024 Food and Beverage Undisputed 01/23/2026 1104701789 CMS
AstraZeneca Pharmaceuticals LP $14.17 07/29/2024 Food and Beverage Undisputed 01/23/2026 1105457572 CMS
AstraZeneca Pharmaceuticals LP $20.42 08/01/2024 Food and Beverage Undisputed 01/23/2026 1104718643 CMS
AstraZeneca Pharmaceuticals LP $16.27 08/05/2024 Food and Beverage Undisputed 01/23/2026 1104673061 CMS
AstraZeneca Pharmaceuticals LP $18.45 08/20/2024 Food and Beverage Undisputed 01/23/2026 1104422207 CMS
AstraZeneca Pharmaceuticals LP $14.82 08/26/2024 Food and Beverage Undisputed 01/23/2026 1105736027 CMS
AstraZeneca Pharmaceuticals LP $24.81 11/07/2024 Food and Beverage Undisputed 01/23/2026 1105684125 CMS
AstraZeneca Pharmaceuticals LP $21.79 11/18/2024 Food and Beverage Undisputed 01/23/2026 1105413182 CMS
AstraZeneca Pharmaceuticals LP $19.94 12/11/2024 Food and Beverage Undisputed 01/23/2026 1104487588 CMS
BioCryst US Sales Co., LLC $14.91 04/02/2024 Food and Beverage Undisputed 01/23/2026 1117481248 CMS
CSL Behring $19.58 04/16/2024 Food and Beverage Undisputed 01/23/2026 1134660747 CMS
Genentech USA, Inc. $20.50 04/30/2024 Food and Beverage Undisputed 01/23/2026 1133170380 CMS
Genentech USA, Inc. $17.41 10/24/2024 Food and Beverage Undisputed 01/23/2026 1133170382 CMS
GENZYME CORPORATION $15.60 01/17/2024 Food and Beverage Undisputed 01/23/2026 1139854993 CMS
GENZYME CORPORATION $11.70 02/29/2024 Food and Beverage Undisputed 01/23/2026 1139855021 CMS
GENZYME CORPORATION $24.12 03/13/2024 Food and Beverage Undisputed 01/23/2026 1139855001 CMS
GENZYME CORPORATION $25.26 04/10/2024 Food and Beverage Undisputed 01/23/2026 1139855013 CMS
GENZYME CORPORATION $26.58 05/13/2024 Food and Beverage Undisputed 01/23/2026 1139855033 CMS
GENZYME CORPORATION $6.25 05/23/2024 Food and Beverage Undisputed 01/23/2026 1139855047 CMS
GENZYME CORPORATION $18.48 06/12/2024 Food and Beverage Undisputed 01/23/2026 1139855063 CMS
GENZYME CORPORATION $19.09 07/24/2024 Food and Beverage Undisputed 01/23/2026 1139855067 CMS
GENZYME CORPORATION $30.66 09/23/2024 Food and Beverage Undisputed 01/23/2026 1139855101 CMS
GlaxoSmithKline, LLC. $22.20 02/12/2024 Food and Beverage Undisputed 01/23/2026 1116647719 CMS
GlaxoSmithKline, LLC. $3.49 02/14/2024 Food and Beverage Undisputed 01/23/2026 1116269819 CMS
GlaxoSmithKline, LLC. $12.48 02/29/2024 Food and Beverage Undisputed 01/23/2026 1116266059 CMS
GlaxoSmithKline, LLC. $22.59 05/02/2024 Food and Beverage Undisputed 01/23/2026 1116364351 CMS
GlaxoSmithKline, LLC. $16.13 05/21/2024 Food and Beverage Undisputed 01/23/2026 1116595080 CMS
GlaxoSmithKline, LLC. $18.12 06/13/2024 Food and Beverage Undisputed 01/23/2026 1116571557 CMS
GlaxoSmithKline, LLC. $19.56 07/09/2024 Food and Beverage Undisputed 01/23/2026 1115917009 CMS
GlaxoSmithKline, LLC. $22.52 07/09/2024 Food and Beverage Undisputed 01/23/2026 1116557991 CMS
GlaxoSmithKline, LLC. $2.81 07/31/2024 Food and Beverage Undisputed 01/23/2026 1116672520 CMS
GlaxoSmithKline, LLC. $3.28 08/08/2024 Food and Beverage Undisputed 01/23/2026 1116408547 CMS
GlaxoSmithKline, LLC. $17.52 09/11/2024 Food and Beverage Undisputed 01/23/2026 1116405241 CMS
GlaxoSmithKline, LLC. $2.63 10/28/2024 Food and Beverage Undisputed 01/23/2026 1116504337 CMS
HOSPIRA, INC. $14.60 11/04/2024 Food and Beverage Undisputed 01/23/2026 1131090926 CMS
Novartis Pharmaceuticals Corporation $28.62 04/03/2024 Food and Beverage Undisputed 01/23/2026 1087133356 CMS
Novartis Pharmaceuticals Corporation $29.68 05/22/2024 Food and Beverage Undisputed 01/23/2026 1087133366 CMS
Novartis Pharmaceuticals Corporation $22.26 07/10/2024 Food and Beverage Undisputed 01/23/2026 1087133370 CMS
PFIZER INC. $24.79 04/17/2024 Food and Beverage Undisputed 01/23/2026 1131211568 CMS
PFIZER INC. $20.69 08/14/2024 Food and Beverage Undisputed 01/23/2026 1131836958 CMS
PFIZER INC. $21.68 12/18/2024 Food and Beverage Undisputed 01/23/2026 1131161186 CMS
PFIZER INC. $15.63 12/30/2024 Food and Beverage Undisputed 01/23/2026 1131257381 CMS
Regeneron Healthcare Solutions, Inc. $26.34 01/09/2024 Food and Beverage Undisputed 01/23/2026 1114346970 CMS
Regeneron Healthcare Solutions, Inc. $20.13 03/04/2024 Food and Beverage Undisputed 01/23/2026 1114346972 CMS
Regeneron Healthcare Solutions, Inc. $1.57 03/04/2024 Food and Beverage Undisputed 01/23/2026 1114346974 CMS
Regeneron Healthcare Solutions, Inc. $17.01 05/08/2024 Food and Beverage Undisputed 01/23/2026 1114346976 CMS
Regeneron Healthcare Solutions, Inc. $27.72 08/22/2024 Food and Beverage Undisputed 01/23/2026 1114346978 CMS
Regeneron Healthcare Solutions, Inc. $29.69 09/16/2024 Food and Beverage Undisputed 01/23/2026 1114346980 CMS
Regeneron Healthcare Solutions, Inc. $30.52 10/14/2024 Food and Beverage Undisputed 01/23/2026 1114346982 CMS
Regeneron Healthcare Solutions, Inc. $30.22 11/11/2024 Food and Beverage Undisputed 01/23/2026 1114346984 CMS
SANOFI-AVENTIS U.S. LLC $54.95 06/17/2024 Education Undisputed 01/23/2026 1139855037 CMS
Takeda Pharmaceuticals U.S.A., Inc. $26.16 01/24/2024 Food and Beverage Undisputed 01/23/2026 1137797530 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.81 02/26/2024 Food and Beverage Undisputed 01/23/2026 1137797532 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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