Covered recipient · General Payments record
ALEJANDRA GABRIELA DUNCAN
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2022–2024
$624.89
- Reported across 28 records
- CMS publication 2026-01-23
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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $319.49 | 22 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Lilly USA, LLC | $144.26 | 12 |
| Novo Nordisk AS | $39.92 | 2 |
| Takeda Pharmaceuticals U.S.A., Inc. | $35.51 | 2 |
| Astellas Pharma US Inc | $31.30 | 2 |
| Antares Pharma, Inc. | $19.70 | 1 |
| INTRA-SANA LABORATORIES | $19.43 | 1 |
| ABBVIE INC. | $15.26 | 1 |
| PFIZER INC. | $14.11 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (22)
Sorted by paying entity, then date · as published by CMS
Program year 2024 20222023
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. | $15.26 | 10/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1107048088 | CMS |
| Antares Pharma, Inc. | $19.70 | 08/15/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1146503174 | CMS |
| Astellas Pharma US Inc | $15.14 | 03/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139483214 | CMS |
| Astellas Pharma US Inc | $16.16 | 11/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139550655 | CMS |
| Intra-Sana Laboratories | $19.43 | 12/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1138621462 | CMS |
| Lilly USA, LLC | $7.41 | 01/04/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135511855 | CMS |
| Lilly USA, LLC | $14.54 | 01/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135524001 | CMS |
| Lilly USA, LLC | $7.31 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135524003 | CMS |
| Lilly USA, LLC | $17.20 | 02/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135482461 | CMS |
| Lilly USA, LLC | $8.65 | 03/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135524005 | CMS |
| Lilly USA, LLC | $15.57 | 04/01/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135496662 | CMS |
| Lilly USA, LLC | $6.91 | 04/04/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135444251 | CMS |
| Lilly USA, LLC | $13.52 | 04/10/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135517916 | CMS |
| Lilly USA, LLC | $6.92 | 05/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135458488 | CMS |
| Lilly USA, LLC | $19.25 | 06/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135517918 | CMS |
| Lilly USA, LLC | $19.53 | 07/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135492460 | CMS |
| Lilly USA, LLC | $7.45 | 09/03/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1135496664 | CMS |
| Novo Nordisk Inc | $21.82 | 01/29/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100599401 | CMS |
| Novo Nordisk Inc | $18.10 | 06/03/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1100589992 | CMS |
| PFIZER INC. | $14.11 | 07/15/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1131574964 | CMS |
| Takeda Pharmaceuticals U.S.A., Inc. | $17.42 | 03/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137737040 | CMS |
| Takeda Pharmaceuticals U.S.A., Inc. | $18.09 | 05/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1137737042 | 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
- 2022, 2023, 2024
- Source files
- Dataset page · Bulk file · PY2022 , PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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