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

GRISELL RAMIREZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1285987941
CMS profile
10798081
Location
FRESNO, CA

General Payments · PY2021–2024

$6,082.91

  • Reported across 340 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,080.86

107 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 $2,002.87 106
Education $77.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $424.50 27
PY2022 $1,821.84 117
PY2023 $1,755.71 89
PY2024 $2,080.86 107

Payment records · PY2024 (107)

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. $12.13 01/02/2024 Food and Beverage Undisputed 01/23/2026 1108056552 CMS
ABBVIE INC. $7.29 01/25/2024 Food and Beverage Undisputed 01/23/2026 1108056554 CMS
ABBVIE INC. $93.97 01/31/2024 Food and Beverage Undisputed 01/23/2026 1108056556 CMS
ABBVIE INC. $4.82 02/02/2024 Food and Beverage Undisputed 01/23/2026 1108056558 CMS
ABBVIE INC. $22.44 03/22/2024 Food and Beverage Undisputed 01/23/2026 1108056560 CMS
ABBVIE INC. $16.41 03/29/2024 Food and Beverage Undisputed 01/23/2026 1108056562 CMS
ABBVIE INC. $8.36 04/04/2024 Food and Beverage Undisputed 01/23/2026 1108056564 CMS
ABBVIE INC. $26.11 04/18/2024 Food and Beverage Undisputed 01/23/2026 1108056566 CMS
ABBVIE INC. $9.39 06/27/2024 Food and Beverage Undisputed 01/23/2026 1108056568 CMS
ABBVIE INC. $12.29 07/01/2024 Food and Beverage Undisputed 01/23/2026 1108056570 CMS
ABBVIE INC. $16.80 07/12/2024 Food and Beverage Undisputed 01/23/2026 1108056572 CMS
ABBVIE INC. $21.26 07/24/2024 Food and Beverage Undisputed 01/23/2026 1108056574 CMS
ABBVIE INC. $13.19 08/27/2024 Food and Beverage Undisputed 01/23/2026 1108056576 CMS
ABBVIE INC. $38.08 08/28/2024 Food and Beverage Undisputed 01/23/2026 1108056578 CMS
ABBVIE INC. $8.00 08/29/2024 Food and Beverage Undisputed 01/23/2026 1108056580 CMS
ABBVIE INC. $16.95 09/05/2024 Food and Beverage Undisputed 01/23/2026 1108056582 CMS
ABBVIE INC. $32.27 10/04/2024 Food and Beverage Undisputed 01/23/2026 1108056584 CMS
ABBVIE INC. $27.37 10/10/2024 Food and Beverage Undisputed 01/23/2026 1108056586 CMS
ABBVIE INC. $8.70 10/17/2024 Food and Beverage Undisputed 01/23/2026 1108056588 CMS
ABBVIE INC. $11.10 10/24/2024 Food and Beverage Undisputed 01/23/2026 1108056590 CMS
ABBVIE INC. $16.18 10/30/2024 Food and Beverage Undisputed 01/23/2026 1108056592 CMS
ABBVIE INC. $2.41 10/31/2024 Food and Beverage Undisputed 01/23/2026 1108056594 CMS
ABBVIE INC. $4.93 10/31/2024 Food and Beverage Undisputed 01/23/2026 1108056596 CMS
ABBVIE INC. $109.81 11/06/2024 Food and Beverage Undisputed 01/23/2026 1108056598 CMS
ABBVIE INC. $9.49 11/13/2024 Food and Beverage Undisputed 01/23/2026 1108056600 CMS
ABBVIE INC. $9.24 11/26/2024 Food and Beverage Undisputed 01/23/2026 1108056602 CMS
Alexion Pharmaceuticals, Inc. $27.89 08/29/2024 Food and Beverage Undisputed 01/23/2026 1094051504 CMS
Amgen Inc. $21.49 01/24/2024 Food and Beverage Undisputed 01/23/2026 1116041507 CMS
Amgen Inc. $28.36 01/24/2024 Food and Beverage Undisputed 01/23/2026 1116041520 CMS
Amgen Inc. $9.22 02/08/2024 Food and Beverage Undisputed 01/23/2026 1116041514 CMS
Amgen Inc. $27.39 02/23/2024 Food and Beverage Undisputed 01/23/2026 1116041534 CMS
Amgen Inc. $9.90 03/19/2024 Food and Beverage Undisputed 01/23/2026 1117661915 CMS
Amgen Inc. $14.40 04/09/2024 Food and Beverage Undisputed 01/23/2026 1116041554 CMS
Amgen Inc. $2.94 04/10/2024 Food and Beverage Undisputed 01/23/2026 1116041560 CMS
Amgen Inc. $12.75 04/17/2024 Food and Beverage Undisputed 01/23/2026 1117661925 CMS
Amgen Inc. $12.02 04/24/2024 Food and Beverage Undisputed 01/23/2026 1117661917 CMS
Amgen Inc. $29.13 05/16/2024 Food and Beverage Undisputed 01/23/2026 1116041500 CMS
Amgen Inc. $11.94 05/21/2024 Food and Beverage Undisputed 01/23/2026 1116041566 CMS
Amgen Inc. $3.36 05/22/2024 Food and Beverage Undisputed 01/23/2026 1116041572 CMS
Amgen Inc. $12.73 07/07/2024 Food and Beverage Undisputed 01/23/2026 1116041578 CMS
Amgen Inc. $3.59 07/08/2024 Food and Beverage Undisputed 01/23/2026 1116041585 CMS
Amgen Inc. $8.99 07/11/2024 Food and Beverage Undisputed 01/23/2026 1117661919 CMS
Amgen Inc. $14.49 08/07/2024 Food and Beverage Undisputed 01/23/2026 1117661927 CMS
Amgen Inc. $23.12 08/16/2024 Food and Beverage Undisputed 01/23/2026 1117661921 CMS
Amgen Inc. $3.64 08/28/2024 Food and Beverage Undisputed 01/23/2026 1116041598 CMS
Amgen Inc. $10.39 08/28/2024 Food and Beverage Undisputed 01/23/2026 1116041606 CMS
Amgen Inc. $23.07 09/13/2024 Food and Beverage Undisputed 01/23/2026 1116041528 CMS
Amgen Inc. $11.78 09/19/2024 Food and Beverage Undisputed 01/23/2026 1116041612 CMS
Amgen Inc. $3.48 09/19/2024 Food and Beverage Undisputed 01/23/2026 1116041618 CMS
Amgen Inc. $5.88 10/30/2024 Food and Beverage Undisputed 01/23/2026 1116041625 CMS
Amgen Inc. $3.60 11/12/2024 Food and Beverage Undisputed 01/23/2026 1117661923 CMS
Amgen Inc. $4.41 11/13/2024 Food and Beverage Undisputed 01/23/2026 1116041632 CMS
Amgen Inc. $9.19 11/18/2024 Food and Beverage Undisputed 01/23/2026 1117661929 CMS
Amgen Inc. $8.71 12/09/2024 Food and Beverage Undisputed 01/23/2026 1117661931 CMS
Amgen Inc. $23.63 12/12/2024 Food and Beverage Undisputed 01/23/2026 1116041547 CMS
ANI Pharmaceuticals, Inc. $14.95 02/27/2024 Food and Beverage Undisputed 01/23/2026 1091135397 CMS
ANI Pharmaceuticals, Inc. $25.81 04/08/2024 Food and Beverage Undisputed 01/23/2026 1091169392 CMS
ANI Pharmaceuticals, Inc. $42.26 05/16/2024 Food and Beverage Undisputed 01/23/2026 1091139932 CMS
ANI Pharmaceuticals, Inc. $14.86 05/22/2024 Food and Beverage Undisputed 01/23/2026 1091170032 CMS
AstraZeneca Pharmaceuticals LP $24.49 02/29/2024 Food and Beverage Undisputed 01/23/2026 1104588094 CMS
AstraZeneca Pharmaceuticals LP $34.08 07/30/2024 Food and Beverage Undisputed 01/23/2026 1105224605 CMS
AstraZeneca Pharmaceuticals LP $20.02 08/23/2024 Food and Beverage Undisputed 01/23/2026 1105456164 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.04 05/23/2024 Food and Beverage Undisputed 01/23/2026 1117950283 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.67 11/14/2024 Food and Beverage Undisputed 01/23/2026 1117950281 CMS
E.R. Squibb & Sons, L.L.C. $14.20 06/27/2024 Food and Beverage Undisputed 01/23/2026 1101234783 CMS
Genentech USA, Inc. $16.76 03/07/2024 Food and Beverage Undisputed 01/23/2026 1133159777 CMS
GlaxoSmithKline, LLC. $28.13 01/11/2024 Food and Beverage Undisputed 01/23/2026 1116638466 CMS
GlaxoSmithKline, LLC. $30.91 03/14/2024 Food and Beverage Undisputed 01/23/2026 1116210658 CMS
GlaxoSmithKline, LLC. $25.29 08/08/2024 Food and Beverage Undisputed 01/23/2026 1116644154 CMS
Janssen Biotech, Inc. $32.88 01/25/2024 Food and Beverage Undisputed 01/23/2026 1078297941 CMS
Janssen Biotech, Inc. $35.32 02/09/2024 Food and Beverage Undisputed 01/23/2026 1078297699 CMS
Janssen Biotech, Inc. $28.12 05/09/2024 Food and Beverage Undisputed 01/23/2026 1078298333 CMS
Janssen Biotech, Inc. $9.58 07/02/2024 Food and Beverage Undisputed 01/23/2026 1078297447 CMS
Janssen Biotech, Inc. $77.99 07/03/2024 Education Undisputed 01/23/2026 1078297265 CMS
Janssen Biotech, Inc. $1.03 07/27/2024 Food and Beverage Undisputed 01/23/2026 1078297729 CMS
Janssen Biotech, Inc. $12.31 07/27/2024 Food and Beverage Undisputed 01/23/2026 1078297879 CMS
Janssen Biotech, Inc. $9.92 08/15/2024 Food and Beverage Undisputed 01/23/2026 1078297595 CMS
Janssen Biotech, Inc. $8.06 08/15/2024 Food and Beverage Undisputed 01/23/2026 1078298307 CMS
Janssen Biotech, Inc. $7.99 08/21/2024 Food and Beverage Undisputed 01/23/2026 1078298029 CMS
Janssen Biotech, Inc. $12.25 10/09/2024 Food and Beverage Undisputed 01/23/2026 1078297301 CMS
Janssen Biotech, Inc. $9.56 10/30/2024 Food and Beverage Undisputed 01/23/2026 1078298363 CMS
Janssen Biotech, Inc. $9.69 10/31/2024 Food and Beverage Undisputed 01/23/2026 1078298163 CMS
Janssen Biotech, Inc. $28.44 10/31/2024 Food and Beverage Undisputed 01/23/2026 1078298205 CMS
Janssen Biotech, Inc. $4.07 11/15/2024 Food and Beverage Undisputed 01/23/2026 1078297055 CMS
Janssen Biotech, Inc. $7.81 11/15/2024 Food and Beverage Undisputed 01/23/2026 1078298371 CMS
Janssen Scientific Affairs, LLC $139.93 04/11/2024 Food and Beverage Undisputed 01/23/2026 1078844771 CMS
Lilly USA, LLC $25.51 04/12/2024 Food and Beverage Undisputed 01/23/2026 1135685099 CMS
Novartis Pharmaceuticals Corporation $28.78 05/02/2024 Food and Beverage Undisputed 01/23/2026 1087168545 CMS
Novartis Pharmaceuticals Corporation $13.58 09/09/2024 Food and Beverage Undisputed 01/23/2026 1087168559 CMS
Novartis Pharmaceuticals Corporation $18.65 09/19/2024 Food and Beverage Undisputed 01/23/2026 1087168563 CMS
Octapharma USA, Inc. $27.90 10/18/2024 Food and Beverage Undisputed 01/23/2026 1142323316 CMS
Organon Llc $31.47 07/11/2024 Food and Beverage Undisputed 01/23/2026 1136269889 CMS
Radius Health, Inc. $21.02 06/19/2024 Food and Beverage Undisputed 01/23/2026 1090017822 CMS
Radius Health, Inc. $25.50 07/19/2024 Food and Beverage Undisputed 01/23/2026 1090017810 CMS
SCILEX PHARMACEUTICALS INC. $23.98 12/19/2024 Food and Beverage Undisputed 01/23/2026 1136292178 CMS
UCB, Inc. $12.20 01/03/2024 Food and Beverage Undisputed 01/23/2026 1143139712 CMS
UCB, Inc. $9.28 02/20/2024 Food and Beverage Undisputed 01/23/2026 1143139716 CMS
UCB, Inc. $10.08 02/21/2024 Food and Beverage Undisputed 01/23/2026 1143139720 CMS
UCB, Inc. $10.34 03/12/2024 Food and Beverage Undisputed 01/23/2026 1143139724 CMS
UCB, Inc. $30.87 03/21/2024 Food and Beverage Undisputed 01/23/2026 1143139729 CMS
UCB, Inc. $9.81 05/06/2024 Food and Beverage Undisputed 01/23/2026 1143139733 CMS
UCB, Inc. $7.04 06/27/2024 Food and Beverage Undisputed 01/23/2026 1143139737 CMS
UCB, Inc. $9.80 08/20/2024 Food and Beverage Undisputed 01/23/2026 1143139741 CMS
UCB, Inc. $9.83 09/10/2024 Food and Beverage Undisputed 01/23/2026 1143139746 CMS
UCB, Inc. $6.33 10/17/2024 Food and Beverage Undisputed 01/23/2026 1143139750 CMS
UCB, Inc. $10.36 10/28/2024 Food and Beverage Undisputed 01/23/2026 1143139754 CMS
UCB, Inc. $26.63 11/21/2024 Food and Beverage Undisputed 01/23/2026 1143139758 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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