Covered recipient · General Payments record
MELISSA M KESTLER
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
General Payments · PY2021–2024
$4,087.91
- Reported across 118 records
- CMS publication 2026-01-23
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 | $1,684.08 | 48 |
| Travel and Lodging | $181.26 | 1 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Axonics Modulation Technologies, Inc. | $618.12 | 8 |
| PROGENICS PHARMACEUTICALS, INC. | $299.50 | 5 |
| Bayer HealthCare Pharmaceuticals Inc. | $243.55 | 9 |
| ABBVIE INC. | $243.41 | 7 |
| Medtronic, Inc. | $88.57 | 2 |
| Merck Sharp & Dohme Corporation | $64.05 | 3 |
| Janssen Biotech, Inc. | $57.87 | 3 |
| Endo USA, Inc. | $49.37 | 3 |
| BOSTON SCIENTIFIC CORPORATION | $41.13 | 2 |
| Teleflex LLC | $39.12 | 1 |
| ACCORD HEALTHCARE, INC. | $24.19 | 1 |
| Sumitomo Pharma America, Inc. | $23.99 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $20.55 | 1 |
| Tempus AI, Inc | $19.74 | 1 |
| COLOPLAST CORP | $17.28 | 1 |
| Endo Pharmaceuticals Inc. | $14.90 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (49)
Sorted by paying entity, then date · as published by 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
- 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.