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

JAMES LAFLEUR

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1285106096
CMS profile
10574316
Location
RAPID CITY, SD

General Payments · PY2021–2024

$5,457.87

  • Reported across 96 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,389.43

21 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 $1,389.43 21

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Inspire Medical Systems, Inc. $848.35 16
HARMONY BIOSCIENCES LLC $229.18 2
Alexion Pharmaceuticals, Inc. $186.90 2
JAZZ PHARMACEUTICALS INC. $125.00 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $15.55 1
PY2022 $2,610.98 41
PY2023 $1,441.91 33
PY2024 $1,389.43 21

Payment records · PY2024 (21)

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
Alexion Pharmaceuticals, Inc. $124.59 02/20/2024 Food and Beverage Undisputed 01/23/2026 1093933205 CMS
Alexion Pharmaceuticals, Inc. $62.31 06/12/2024 Food and Beverage Undisputed 01/23/2026 1093994832 CMS
HARMONY BIOSCIENCES LLC $104.18 04/04/2024 Food and Beverage Undisputed 01/23/2026 1126068044 CMS
HARMONY BIOSCIENCES LLC $125.00 09/26/2024 Food and Beverage Undisputed 01/23/2026 1126068042 CMS
Inspire Medical Systems, Inc. $17.43 01/30/2024 Food and Beverage Undisputed 01/23/2026 1148159743 CMS
Inspire Medical Systems, Inc. $46.48 02/02/2024 Food and Beverage Undisputed 01/23/2026 1148159745 CMS
Inspire Medical Systems, Inc. $41.49 03/01/2024 Food and Beverage Undisputed 01/23/2026 1148159747 CMS
Inspire Medical Systems, Inc. $33.60 04/20/2024 Food and Beverage Undisputed 01/23/2026 1148159749 CMS
Inspire Medical Systems, Inc. $33.52 07/21/2024 Food and Beverage Undisputed 01/23/2026 1148159751 CMS
Inspire Medical Systems, Inc. $19.98 07/26/2024 Food and Beverage Undisputed 01/23/2026 1148159753 CMS
Inspire Medical Systems, Inc. $23.63 09/05/2024 Food and Beverage Undisputed 01/23/2026 1148159755 CMS
Inspire Medical Systems, Inc. $18.80 10/06/2024 Food and Beverage Undisputed 01/23/2026 1148159757 CMS
Inspire Medical Systems, Inc. $51.34 10/17/2024 Food and Beverage Undisputed 01/23/2026 1148159759 CMS
Inspire Medical Systems, Inc. $17.85 10/25/2024 Food and Beverage Undisputed 01/23/2026 1148159761 CMS
Inspire Medical Systems, Inc. $296.57 11/13/2024 Food and Beverage Undisputed 01/23/2026 1148159763 CMS
Inspire Medical Systems, Inc. $154.61 11/14/2024 Food and Beverage Undisputed 01/23/2026 1148159765 CMS
Inspire Medical Systems, Inc. $30.09 11/14/2024 Food and Beverage Undisputed 01/23/2026 1148159767 CMS
Inspire Medical Systems, Inc. $32.89 11/15/2024 Food and Beverage Undisputed 01/23/2026 1148159769 CMS
Inspire Medical Systems, Inc. $17.13 11/24/2024 Food and Beverage Undisputed 01/23/2026 1148159771 CMS
Inspire Medical Systems, Inc. $12.94 11/24/2024 Food and Beverage Undisputed 01/23/2026 1148159773 CMS
JAZZ PHARMACEUTICALS INC. $125.00 03/08/2024 Food and Beverage Undisputed 01/23/2026 1151300538 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.