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

LAWRENCE LETELLIER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1245834597
CMS profile
10980976
Location
SAN ANTONIO, TX

General Payments · PY2021–2024

$2,033.78

  • Reported across 67 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$563.29

26 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 $563.29 26

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $363.83 8
PY2022 $407.89 14
PY2023 $698.77 19
PY2024 $563.29 26

Payment records · PY2024 (26)

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 $17.50 05/23/2024 Food and Beverage Undisputed 01/23/2026 1105402919 CMS
AstraZeneca Pharmaceuticals LP $13.39 10/10/2024 Food and Beverage Undisputed 01/23/2026 1104739403 CMS
AstraZeneca Pharmaceuticals LP $15.52 11/13/2024 Food and Beverage Undisputed 01/23/2026 1105802789 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.17 06/20/2024 Food and Beverage Undisputed 01/23/2026 1086277086 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.74 07/30/2024 Food and Beverage Undisputed 01/23/2026 1086356716 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.51 11/22/2024 Food and Beverage Undisputed 01/23/2026 1086322286 CMS
Exact Sciences Corporation $16.43 01/25/2024 Food and Beverage Undisputed 01/23/2026 1114755239 CMS
Exact Sciences Corporation $16.31 06/04/2024 Food and Beverage Undisputed 01/23/2026 1114755244 CMS
GlaxoSmithKline, LLC. $22.76 02/15/2024 Food and Beverage Undisputed 01/23/2026 1116001428 CMS
Lilly USA, LLC $17.59 09/16/2024 Food and Beverage Undisputed 01/23/2026 1135812169 CMS
Nevro Corp. $28.45 09/05/2024 Food and Beverage Undisputed 01/23/2026 1130777801 CMS
Novo Nordisk Inc $12.38 02/08/2024 Food and Beverage Undisputed 01/23/2026 1100261657 CMS
Novo Nordisk Inc $12.39 05/02/2024 Food and Beverage Undisputed 01/23/2026 1100614633 CMS
Novo Nordisk Inc $21.25 07/10/2024 Food and Beverage Undisputed 01/23/2026 1100467042 CMS
Novo Nordisk Inc $22.24 08/06/2024 Food and Beverage Undisputed 01/23/2026 1100294182 CMS
Novo Nordisk Inc $70.13 09/18/2024 Food and Beverage Undisputed 01/23/2026 1100619990 CMS
Novo Nordisk Inc $16.99 11/20/2024 Food and Beverage Undisputed 01/23/2026 1100643835 CMS
Otsuka America Pharmaceutical, Inc. $15.15 01/09/2024 Food and Beverage Undisputed 01/23/2026 1119121766 CMS
Otsuka America Pharmaceutical, Inc. $17.50 03/19/2024 Food and Beverage Undisputed 01/23/2026 1119121768 CMS
PFIZER INC. $28.38 02/01/2024 Food and Beverage Undisputed 01/23/2026 1132042582 CMS
PFIZER INC. $39.18 03/28/2024 Food and Beverage Undisputed 01/23/2026 1132054200 CMS
PFIZER INC. $19.94 04/30/2024 Food and Beverage Undisputed 01/23/2026 1132050214 CMS
PFIZER INC. $38.39 05/08/2024 Food and Beverage Undisputed 01/23/2026 1132044642 CMS
PFIZER INC. $14.89 07/12/2024 Food and Beverage Undisputed 01/23/2026 1132069469 CMS
PFIZER INC. $12.24 09/12/2024 Food and Beverage Undisputed 01/23/2026 1132063026 CMS
PFIZER INC. $4.87 10/17/2024 Food and Beverage Undisputed 01/23/2026 1132063654 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.