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

VANESSA M PALACIOS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1245666882
CMS profile
10941660
Location
SAN ANTONIO, TX

General Payments · PY2021–2024

$2,090.20

  • Reported across 109 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$512.19

24 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 $512.19 24

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $613.81 35
PY2022 $537.03 30
PY2023 $427.17 20
PY2024 $512.19 24

Payment records · PY2024 (24)

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
AstraZeneca Pharmaceuticals LP $17.24 02/05/2024 Food and Beverage Undisputed 01/23/2026 1104298578 CMS
Currax Pharmaceuticals LLC $17.43 02/07/2024 Food and Beverage Undisputed 01/23/2026 1089525734 CMS
Currax Pharmaceuticals LLC $16.71 03/06/2024 Food and Beverage Undisputed 01/23/2026 1089525736 CMS
Lilly USA, LLC $17.26 01/06/2024 Food and Beverage Undisputed 01/23/2026 1135988328 CMS
Lilly USA, LLC $17.51 02/02/2024 Food and Beverage Undisputed 01/23/2026 1135992648 CMS
Lilly USA, LLC $17.30 02/07/2024 Food and Beverage Undisputed 01/23/2026 1135973696 CMS
Lilly USA, LLC $16.27 04/19/2024 Food and Beverage Undisputed 01/23/2026 1135983166 CMS
Lilly USA, LLC $18.14 06/14/2024 Food and Beverage Undisputed 01/23/2026 1135973698 CMS
Lilly USA, LLC $0.65 06/15/2024 Food and Beverage Undisputed 01/23/2026 1135970782 CMS
Lilly USA, LLC $19.31 08/22/2024 Food and Beverage Undisputed 01/23/2026 1135988326 CMS
Lilly USA, LLC $19.13 08/31/2024 Food and Beverage Undisputed 01/23/2026 1135983162 CMS
Lilly USA, LLC $17.08 09/27/2024 Food and Beverage Undisputed 01/23/2026 1135983164 CMS
Lilly USA, LLC $18.87 09/30/2024 Food and Beverage Undisputed 01/23/2026 1135983160 CMS
Novo Nordisk Inc $16.51 02/16/2024 Food and Beverage Undisputed 01/23/2026 1100259735 CMS
Novo Nordisk Inc $14.87 03/29/2024 Food and Beverage Undisputed 01/23/2026 1100306269 CMS
Novo Nordisk Inc $19.60 05/11/2024 Food and Beverage Undisputed 01/23/2026 1100499849 CMS
Novo Nordisk Inc $17.98 06/27/2024 Food and Beverage Undisputed 01/23/2026 1100638688 CMS
Novo Nordisk Inc $18.94 08/15/2024 Food and Beverage Undisputed 01/23/2026 1100251464 CMS
Novo Nordisk Inc $22.24 11/08/2024 Food and Beverage Undisputed 01/23/2026 1100314682 CMS
Phathom Pharmaceuticals, Inc. $10.39 05/30/2024 Food and Beverage Undisputed 01/23/2026 1151194741 CMS
Phathom Pharmaceuticals, Inc. $14.67 08/09/2024 Food and Beverage Undisputed 01/23/2026 1151194743 CMS
Phathom Pharmaceuticals, Inc. $124.27 08/29/2024 Food and Beverage Undisputed 01/23/2026 1151194745 CMS
SHIELD THERAPEUTICS INC $14.63 07/11/2024 Food and Beverage Undisputed 01/23/2026 1150137603 CMS
VERTEX PHARMACEUTICALS INCORPORATED $25.19 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105922143 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.