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

DIANA C GARNICA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1275052987
CMS profile
10600275
Location
FRESNO, CA

General Payments · PY2021–2024

$11,317.11

  • Reported across 381 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,324.85

71 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 $2,324.85 71

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $2,908.51 113
PY2022 $3,354.67 113
PY2023 $2,729.08 84
PY2024 $2,324.85 71

Payment records · PY2024 (71)

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. $28.41 06/05/2024 Food and Beverage Undisputed 01/23/2026 1107152092 CMS
ABBVIE INC. $97.52 09/18/2024 Food and Beverage Undisputed 01/23/2026 1107152094 CMS
ABBVIE INC. $23.61 09/24/2024 Food and Beverage Undisputed 01/23/2026 1107152096 CMS
ABBVIE INC. $111.61 11/19/2024 Food and Beverage Undisputed 01/23/2026 1107152098 CMS
Amgen Inc. $21.94 01/08/2024 Food and Beverage Undisputed 01/23/2026 1117560072 CMS
Amgen Inc. $19.07 04/18/2024 Food and Beverage Undisputed 01/23/2026 1115648807 CMS
Amgen Inc. $10.99 05/23/2024 Food and Beverage Undisputed 01/23/2026 1115648816 CMS
Amgen Inc. $9.34 06/11/2024 Food and Beverage Undisputed 01/23/2026 1115648823 CMS
Amgen Inc. $13.61 07/10/2024 Food and Beverage Undisputed 01/23/2026 1115648834 CMS
Amgen Inc. $4.64 07/18/2024 Food and Beverage Undisputed 01/23/2026 1117560074 CMS
Amgen Inc. $7.81 08/08/2024 Food and Beverage Undisputed 01/23/2026 1115648841 CMS
Amgen Inc. $18.10 09/10/2024 Food and Beverage Undisputed 01/23/2026 1117560076 CMS
Amgen Inc. $7.44 09/20/2024 Food and Beverage Undisputed 01/23/2026 1115648848 CMS
Amgen Inc. $15.72 09/24/2024 Food and Beverage Undisputed 01/23/2026 1115648857 CMS
Amgen Inc. $9.32 10/21/2024 Food and Beverage Undisputed 01/23/2026 1115648866 CMS
Amgen Inc. $15.71 10/30/2024 Food and Beverage Undisputed 01/23/2026 1117560078 CMS
Amgen Inc. $118.92 11/06/2024 Food and Beverage Undisputed 01/23/2026 1115648799 CMS
Amgen Inc. $9.48 11/22/2024 Food and Beverage Undisputed 01/23/2026 1117560080 CMS
Amgen Inc. $10.13 12/05/2024 Food and Beverage Undisputed 01/23/2026 1115648881 CMS
AstraZeneca Pharmaceuticals LP $15.82 01/30/2024 Food and Beverage Undisputed 01/23/2026 1104584852 CMS
AstraZeneca Pharmaceuticals LP $19.80 03/04/2024 Food and Beverage Undisputed 01/23/2026 1105273542 CMS
AstraZeneca Pharmaceuticals LP $15.34 03/14/2024 Food and Beverage Undisputed 01/23/2026 1105555846 CMS
AstraZeneca Pharmaceuticals LP $15.99 04/16/2024 Food and Beverage Undisputed 01/23/2026 1104209461 CMS
AstraZeneca Pharmaceuticals LP $72.21 04/23/2024 Food and Beverage Undisputed 01/23/2026 1105738797 CMS
AstraZeneca Pharmaceuticals LP $121.83 05/21/2024 Food and Beverage Undisputed 01/23/2026 1104420535 CMS
AstraZeneca Pharmaceuticals LP $17.82 05/24/2024 Food and Beverage Undisputed 01/23/2026 1104239883 CMS
AstraZeneca Pharmaceuticals LP $23.11 09/09/2024 Food and Beverage Undisputed 01/23/2026 1104372601 CMS
AstraZeneca Pharmaceuticals LP $25.92 09/25/2024 Food and Beverage Undisputed 01/23/2026 1105543133 CMS
AstraZeneca Pharmaceuticals LP $121.83 10/29/2024 Food and Beverage Undisputed 01/23/2026 1104335988 CMS
AstraZeneca Pharmaceuticals LP $22.09 11/07/2024 Food and Beverage Undisputed 01/23/2026 1104711677 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.12 03/25/2024 Food and Beverage Undisputed 01/23/2026 1086275638 CMS
Bayer Healthcare Pharmaceuticals Inc. $125.04 06/20/2024 Food and Beverage Undisputed 01/23/2026 1086281554 CMS
Bayer Healthcare Pharmaceuticals Inc. $121.83 09/14/2024 Food and Beverage Undisputed 01/23/2026 1086334675 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.03 07/08/2024 Food and Beverage Undisputed 01/23/2026 1117942385 CMS
Dexcom, Inc. $21.92 07/29/2024 Food and Beverage Undisputed 01/23/2026 1153358011 CMS
GlaxoSmithKline, LLC. $14.67 02/19/2024 Food and Beverage Undisputed 01/23/2026 1116360618 CMS
GlaxoSmithKline, LLC. $25.00 06/25/2024 Food and Beverage Undisputed 01/23/2026 1116273886 CMS
GlaxoSmithKline, LLC. $29.60 08/22/2024 Food and Beverage Undisputed 01/23/2026 1116720712 CMS
GlaxoSmithKline, LLC. $14.61 09/26/2024 Food and Beverage Undisputed 01/23/2026 1116425717 CMS
IRONWOOD PHARMACEUTICALS, INC $122.70 10/09/2024 Food and Beverage Undisputed 01/23/2026 1153735877 CMS
Lilly USA, LLC $109.72 01/24/2024 Food and Beverage Undisputed 01/23/2026 1135623083 CMS
Lilly USA, LLC $20.81 01/25/2024 Food and Beverage Undisputed 01/23/2026 1135610263 CMS
Lilly USA, LLC $26.51 01/31/2024 Food and Beverage Undisputed 01/23/2026 1135571416 CMS
Lilly USA, LLC $18.28 02/08/2024 Food and Beverage Undisputed 01/23/2026 1135549177 CMS
Lilly USA, LLC $22.00 02/29/2024 Food and Beverage Undisputed 01/23/2026 1135634628 CMS
Lilly USA, LLC $9.50 03/26/2024 Food and Beverage Undisputed 01/23/2026 1135571420 CMS
Lilly USA, LLC $22.50 04/09/2024 Food and Beverage Undisputed 01/23/2026 1135634630 CMS
Lilly USA, LLC $7.31 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135630007 CMS
Lilly USA, LLC $19.50 06/24/2024 Food and Beverage Undisputed 01/23/2026 1135610025 CMS
Lilly USA, LLC $18.97 08/15/2024 Food and Beverage Undisputed 01/23/2026 1135623085 CMS
Lilly USA, LLC $14.62 10/01/2024 Food and Beverage Undisputed 01/23/2026 1135571424 CMS
Merck Sharp & Dohme LLC $16.22 01/25/2024 Food and Beverage Undisputed 01/23/2026 1141817915 CMS
Merck Sharp & Dohme LLC $13.18 08/06/2024 Food and Beverage Undisputed 01/23/2026 1141817917 CMS
Merck Sharp & Dohme LLC $13.23 10/31/2024 Food and Beverage Undisputed 01/23/2026 1141817919 CMS
Novo Nordisk Inc $10.93 01/16/2024 Food and Beverage Undisputed 01/23/2026 1100584974 CMS
Novo Nordisk Inc $119.99 01/18/2024 Food and Beverage Undisputed 01/23/2026 1100427823 CMS
Novo Nordisk Inc $21.52 02/05/2024 Food and Beverage Undisputed 01/23/2026 1100559921 CMS
Novo Nordisk Inc $20.99 03/14/2024 Food and Beverage Undisputed 01/23/2026 1100576924 CMS
Novo Nordisk Inc $13.05 05/15/2024 Food and Beverage Undisputed 01/23/2026 1100498061 CMS
Novo Nordisk Inc $20.61 06/11/2024 Food and Beverage Undisputed 01/23/2026 1100540502 CMS
Novo Nordisk Inc $9.98 07/16/2024 Food and Beverage Undisputed 01/23/2026 1100624990 CMS
Novo Nordisk Inc $17.66 07/31/2024 Food and Beverage Undisputed 01/23/2026 1100474288 CMS
Novo Nordisk Inc $10.97 08/12/2024 Food and Beverage Undisputed 01/23/2026 1100642100 CMS
Novo Nordisk Inc $6.37 09/20/2024 Food and Beverage Undisputed 01/23/2026 1100623460 CMS
Novo Nordisk Inc $6.53 09/30/2024 Food and Beverage Undisputed 01/23/2026 1100289904 CMS
Novo Nordisk Inc $11.15 10/12/2024 Food and Beverage Undisputed 01/23/2026 1100640396 CMS
Novo Nordisk Inc $15.55 10/25/2024 Food and Beverage Undisputed 01/23/2026 1100306799 CMS
Novo Nordisk Inc $8.37 11/16/2024 Food and Beverage Undisputed 01/23/2026 1100274602 CMS
Phathom Pharmaceuticals, Inc. $19.10 10/28/2024 Food and Beverage Undisputed 01/23/2026 1151167526 CMS
Regeneron Healthcare Solutions, Inc. $121.83 10/18/2024 Food and Beverage Undisputed 01/23/2026 1114304762 CMS
Seqirus USA Inc $21.25 10/30/2024 Food and Beverage Undisputed 01/23/2026 1125628698 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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