KAREN M FISCHER

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health SAINT JOSEPH, MO NPI 1295047504

General Payments — all program years on this page

$2,925.41

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 191
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $647.25 across 38 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $647.2538

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $553.1350
2022 $1,009.4359
2023 $715.6044
2024 $647.2538

Records — PY2024 (38)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1078062620 Janssen Pharmaceuticals, Inc $16.92 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078062622 Janssen Pharmaceuticals, Inc $13.86 06/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1080637860 ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $11.36 09/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1081722583 Lexicon Pharmaceuticals, Inc. $13.20 04/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1081722585 Lexicon Pharmaceuticals, Inc. $15.93 06/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1081722587 Lexicon Pharmaceuticals, Inc. $16.10 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1081722589 Lexicon Pharmaceuticals, Inc. $22.66 07/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1089421662 Daiichi Sankyo Inc. $18.18 10/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1089421668 Daiichi Sankyo Inc. $14.80 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1089421672 Daiichi Sankyo Inc. $19.79 01/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1089421674 Daiichi Sankyo Inc. $20.35 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092574163 Boston Scientific Corporation $14.69 09/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1092574165 Boston Scientific Corporation $23.79 03/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101463613 E.R. Squibb & Sons, L.L.C. $20.43 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101463732 E.R. Squibb & Sons, L.L.C. $14.79 11/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104214045 AstraZeneca Pharmaceuticals LP $13.59 11/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104366099 AstraZeneca Pharmaceuticals LP $13.27 02/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104447435 AstraZeneca Pharmaceuticals LP $17.73 06/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105240801 AstraZeneca Pharmaceuticals LP $13.10 09/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105849550 AstraZeneca Pharmaceuticals LP $13.57 03/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114300965 Regeneron Healthcare Solutions, Inc. $21.29 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114300967 Regeneron Healthcare Solutions, Inc. $18.43 09/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117251304 Amgen Inc. $15.06 03/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117251306 Amgen Inc. $13.95 06/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117251308 Amgen Inc. $13.66 09/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117950531 Boehringer Ingelheim Pharmaceuticals, Inc. $15.36 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117950533 Boehringer Ingelheim Pharmaceuticals, Inc. $19.87 04/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117950535 Boehringer Ingelheim Pharmaceuticals, Inc. $21.23 02/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117950537 Boehringer Ingelheim Pharmaceuticals, Inc. $21.43 09/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131198962 PFIZER INC. $19.08 11/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1132314345 SCPHARMACEUTICALS INC. $16.08 11/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141609041 Merck Sharp & Dohme LLC $17.27 03/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141840538 Merck Sharp & Dohme LLC $16.36 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141917833 Merck Sharp & Dohme LLC $14.91 10/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1145807777 BIOTRONIK INC. $17.44 05/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1145807779 BIOTRONIK INC. $24.82 09/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1154896726 Kiniksa Pharmaceuticals International, plc $16.19 01/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1154896800 Kiniksa Pharmaceuticals International, plc $16.71 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • 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.