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

JOYCE E VACEK

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1285791186
CMS profile
11178770
Location
COUNCIL BLUFFS, IA

General Payments · PY2021–2024

$6,941.86

  • Reported across 236 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,416.65

48 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 $1,416.65 48

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $594.67 37
PY2022 $3,556.48 76
PY2023 $1,374.06 75
PY2024 $1,416.65 48

Payment records · PY2024 (48)

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. $12.68 01/23/2024 Food and Beverage Undisputed 01/23/2026 1108343365 CMS
ABBVIE INC. $12.44 02/20/2024 Food and Beverage Undisputed 01/23/2026 1108343367 CMS
ABBVIE INC. $10.67 03/01/2024 Food and Beverage Undisputed 01/23/2026 1108343369 CMS
ABBVIE INC. $14.94 03/20/2024 Food and Beverage Undisputed 01/23/2026 1108343371 CMS
ABBVIE INC. $23.35 03/22/2024 Food and Beverage Undisputed 01/23/2026 1108343373 CMS
ABBVIE INC. $17.53 04/16/2024 Food and Beverage Undisputed 01/23/2026 1108343375 CMS
ABBVIE INC. $16.38 04/27/2024 Food and Beverage Undisputed 01/23/2026 1108343377 CMS
ABBVIE INC. $33.72 05/02/2024 Food and Beverage Undisputed 01/23/2026 1108343379 CMS
ABBVIE INC. $19.79 06/06/2024 Food and Beverage Undisputed 01/23/2026 1108343381 CMS
ABBVIE INC. $14.86 08/02/2024 Food and Beverage Undisputed 01/23/2026 1108343383 CMS
ABBVIE INC. $19.63 08/05/2024 Food and Beverage Undisputed 01/23/2026 1108343385 CMS
ABBVIE INC. $15.24 08/14/2024 Food and Beverage Undisputed 01/23/2026 1108343387 CMS
ABBVIE INC. $20.09 08/19/2024 Food and Beverage Undisputed 01/23/2026 1108343389 CMS
ABBVIE INC. $21.76 08/26/2024 Food and Beverage Undisputed 01/23/2026 1108343391 CMS
AIMMUNE THERAPEUTICS, INC. $130.49 02/12/2024 Food and Beverage Undisputed 01/23/2026 1147013312 CMS
AIMMUNE THERAPEUTICS, INC. $256.12 05/10/2024 Food and Beverage Undisputed 01/23/2026 1147019134 CMS
AIMMUNE THERAPEUTICS, INC. $192.09 07/24/2024 Food and Beverage Undisputed 01/23/2026 1146971415 CMS
Amgen Inc. $14.69 01/03/2024 Food and Beverage Undisputed 01/23/2026 1117404151 CMS
Astellas Pharma US Inc $14.77 01/31/2024 Food and Beverage Undisputed 01/23/2026 1139476580 CMS
AstraZeneca Pharmaceuticals LP $87.19 01/24/2024 Food and Beverage Undisputed 01/23/2026 1105518289 CMS
AstraZeneca Pharmaceuticals LP $13.47 02/23/2024 Food and Beverage Undisputed 01/23/2026 1104319536 CMS
AstraZeneca Pharmaceuticals LP $14.70 04/17/2024 Food and Beverage Undisputed 01/23/2026 1105458871 CMS
AstraZeneca Pharmaceuticals LP $16.97 05/20/2024 Food and Beverage Undisputed 01/23/2026 1104665823 CMS
AstraZeneca Pharmaceuticals LP $14.87 07/10/2024 Food and Beverage Undisputed 01/23/2026 1105266573 CMS
AstraZeneca Pharmaceuticals LP $13.94 08/28/2024 Food and Beverage Undisputed 01/23/2026 1104301804 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.36 01/08/2024 Food and Beverage Undisputed 01/23/2026 1086369357 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.01 03/20/2024 Food and Beverage Undisputed 01/23/2026 1086284748 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.99 07/10/2024 Food and Beverage Undisputed 01/23/2026 1086270834 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.14 08/24/2024 Food and Beverage Undisputed 01/23/2026 1086288492 CMS
Gilead Sciences, Inc. $22.09 03/05/2024 Food and Beverage Undisputed 01/23/2026 1133718631 CMS
Gilead Sciences, Inc. $28.47 07/19/2024 Food and Beverage Undisputed 01/23/2026 1133718633 CMS
Janssen Pharmaceuticals, Inc $14.00 03/11/2024 Food and Beverage Undisputed 01/23/2026 1077998922 CMS
Janssen Pharmaceuticals, Inc $15.92 05/21/2024 Food and Beverage Undisputed 01/23/2026 1077998860 CMS
Lexicon Pharmaceuticals, Inc. $15.75 05/31/2024 Food and Beverage Undisputed 01/23/2026 1081699475 CMS
Lexicon Pharmaceuticals, Inc. $17.60 07/03/2024 Food and Beverage Undisputed 01/23/2026 1081699477 CMS
Lilly USA, LLC $13.94 04/23/2024 Food and Beverage Undisputed 01/23/2026 1135730202 CMS
Lilly USA, LLC $13.67 06/19/2024 Food and Beverage Undisputed 01/23/2026 1135727721 CMS
Merck Sharp & Dohme LLC $13.51 03/26/2024 Food and Beverage Undisputed 01/23/2026 1141892822 CMS
Novartis Pharmaceuticals Corporation $18.19 02/21/2024 Food and Beverage Undisputed 01/23/2026 1087406080 CMS
Novartis Pharmaceuticals Corporation $20.98 07/15/2024 Food and Beverage Undisputed 01/23/2026 1087406086 CMS
Novo Nordisk Inc $15.53 01/17/2024 Food and Beverage Undisputed 01/23/2026 1100535351 CMS
Novo Nordisk Inc $14.79 02/09/2024 Food and Beverage Undisputed 01/23/2026 1100544894 CMS
Novo Nordisk Inc $18.19 03/29/2024 Food and Beverage Undisputed 01/23/2026 1100231140 CMS
Novo Nordisk Inc $16.09 05/25/2024 Food and Beverage Undisputed 01/23/2026 1100321414 CMS
Novo Nordisk Inc $14.10 06/20/2024 Food and Beverage Undisputed 01/23/2026 1100652331 CMS
PFIZER INC. $14.90 01/02/2024 Food and Beverage Undisputed 01/23/2026 1131824162 CMS
PFIZER INC. $18.43 02/06/2024 Food and Beverage Undisputed 01/23/2026 1131823978 CMS
PFIZER INC. $14.62 08/21/2024 Food and Beverage Undisputed 01/23/2026 1131858687 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.