IndustryPayments
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

MIKE LEDESMA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1306261599
CMS profile
10483063
Location
SAN ANTONIO, TX

General Payments · PY2021–2024

$6,599.74

  • Reported across 355 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,622.11

91 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.

Related groups: Family TX All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,622.11 91

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $397.73 19
ABBVIE INC. $295.61 16
Novo Nordisk AS $212.38 21
Bayer HealthCare Pharmaceuticals Inc. $159.58 9
Atland Pharmaceuticals, LLC $82.19 1
Salix Pharmaceuticals, a division of Bausch Health US, LLC $74.19 4
Sumitomo Pharma America, Inc. $60.51 3
Esperion Therapeutics, Inc. $58.40 3
PFIZER INC. $56.17 3
Astellas Pharma US Inc $47.86 2
Acerta Pharma LLC $44.03 3
Xeris Pharmaceuticals, Inc. $24.09 1
SHIELD THERAPEUTICS INC $20.91 1
Takeda Pharmaceuticals U.S.A., Inc. $19.17 1
Ardelyx, Inc. $18.40 1
Phathom Pharmaceuticals, Inc. $18.04 1
Corcept Therapeutics $17.69 1
Boehringer Ingelheim Pharmaceuticals, Inc. $15.16 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,578.27 76
PY2022 $1,686.00 98
PY2023 $1,713.36 90
PY2024 $1,622.11 91

Payment records · PY2024 (91)

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. $12.21 01/10/2024 Food and Beverage Undisputed 01/23/2026 1107520042 CMS
ABBVIE INC. $24.21 01/22/2024 Food and Beverage Undisputed 01/23/2026 1107520044 CMS
ABBVIE INC. $17.04 01/24/2024 Food and Beverage Undisputed 01/23/2026 1107520046 CMS
ABBVIE INC. $6.51 02/09/2024 Food and Beverage Undisputed 01/23/2026 1107520048 CMS
ABBVIE INC. $21.87 03/06/2024 Food and Beverage Undisputed 01/23/2026 1107520050 CMS
ABBVIE INC. $28.75 03/21/2024 Food and Beverage Undisputed 01/23/2026 1107520052 CMS
ABBVIE INC. $9.31 04/04/2024 Food and Beverage Undisputed 01/23/2026 1107520054 CMS
ABBVIE INC. $30.67 04/16/2024 Food and Beverage Undisputed 01/23/2026 1107520056 CMS
ABBVIE INC. $32.86 05/14/2024 Food and Beverage Undisputed 01/23/2026 1107520058 CMS
ABBVIE INC. $5.67 06/07/2024 Food and Beverage Undisputed 01/23/2026 1107520060 CMS
ABBVIE INC. $11.17 07/02/2024 Food and Beverage Undisputed 01/23/2026 1107520062 CMS
ABBVIE INC. $3.27 07/09/2024 Food and Beverage Undisputed 01/23/2026 1107520064 CMS
ABBVIE INC. $30.67 07/18/2024 Food and Beverage Undisputed 01/23/2026 1107520066 CMS
ABBVIE INC. $18.40 07/23/2024 Food and Beverage Undisputed 01/23/2026 1107520068 CMS
ABBVIE INC. $32.86 09/16/2024 Food and Beverage Undisputed 01/23/2026 1107520070 CMS
ABBVIE INC. $10.14 10/29/2024 Food and Beverage Undisputed 01/23/2026 1107520072 CMS
Ardelyx, Inc. $18.40 06/10/2024 Food and Beverage Undisputed 01/23/2026 1146734410 CMS
Astellas Pharma US Inc $24.49 01/09/2024 Food and Beverage Undisputed 01/23/2026 1139460520 CMS
Astellas Pharma US Inc $23.37 04/01/2024 Food and Beverage Undisputed 01/23/2026 1139484828 CMS
AstraZeneca Pharmaceuticals LP $14.90 05/29/2024 Food and Beverage Undisputed 01/23/2026 1105496257 CMS
AstraZeneca Pharmaceuticals LP $16.01 06/12/2024 Food and Beverage Undisputed 01/23/2026 1105304894 CMS
AstraZeneca Pharmaceuticals LP $13.12 11/15/2024 Food and Beverage Undisputed 01/23/2026 1104755018 CMS
Atland Pharmaceuticals, LLC $82.19 08/12/2024 Food and Beverage Undisputed 01/23/2026 1067526695 CMS
Bayer Healthcare Pharmaceuticals Inc. $26.27 02/19/2024 Food and Beverage Undisputed 01/23/2026 1086285924 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.04 07/18/2024 Food and Beverage Undisputed 01/23/2026 1086319840 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.40 08/28/2024 Food and Beverage Undisputed 01/23/2026 1086326190 CMS
Bayer Healthcare Pharmaceuticals Inc. $0.12 10/18/2024 Food and Beverage Undisputed 01/23/2026 1086100383 CMS
Bayer Healthcare Pharmaceuticals Inc. $1.90 10/18/2024 Food and Beverage Undisputed 01/23/2026 1086102487 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.91 10/18/2024 Food and Beverage Undisputed 01/23/2026 1086282646 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.91 10/18/2024 Food and Beverage Undisputed 01/23/2026 1086328181 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.28 11/26/2024 Food and Beverage Undisputed 01/23/2026 1086309623 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.75 12/18/2024 Food and Beverage Undisputed 01/23/2026 1086345675 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.16 07/10/2024 Food and Beverage Undisputed 01/23/2026 1117955680 CMS
Corcept Therapeutics $17.69 02/22/2024 Food and Beverage Undisputed 01/23/2026 1117771981 CMS
Esperion Therapeutics, Inc. $18.40 01/12/2024 Food and Beverage Undisputed 01/23/2026 1129470842 CMS
Esperion Therapeutics, Inc. $20.00 05/21/2024 Food and Beverage Undisputed 01/23/2026 1129470844 CMS
Esperion Therapeutics, Inc. $20.00 06/18/2024 Food and Beverage Undisputed 01/23/2026 1129470846 CMS
Lilly USA, LLC $18.40 01/11/2024 Food and Beverage Undisputed 01/23/2026 1135906037 CMS
Lilly USA, LLC $18.40 03/09/2024 Food and Beverage Undisputed 01/23/2026 1135902228 CMS
Lilly USA, LLC $21.70 03/12/2024 Food and Beverage Undisputed 01/23/2026 1135838651 CMS
Lilly USA, LLC $29.03 04/11/2024 Food and Beverage Undisputed 01/23/2026 1135902230 CMS
Lilly USA, LLC $18.41 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135836775 CMS
Lilly USA, LLC $26.55 04/29/2024 Food and Beverage Undisputed 01/23/2026 1135838655 CMS
Lilly USA, LLC $18.40 05/17/2024 Food and Beverage Undisputed 01/23/2026 1135797072 CMS
Lilly USA, LLC $18.40 05/23/2024 Food and Beverage Undisputed 01/23/2026 1135797074 CMS
Lilly USA, LLC $32.03 06/19/2024 Food and Beverage Undisputed 01/23/2026 1135847598 CMS
Lilly USA, LLC $20.58 06/26/2024 Food and Beverage Undisputed 01/23/2026 1135847602 CMS
Lilly USA, LLC $23.93 06/27/2024 Food and Beverage Undisputed 01/23/2026 1135906035 CMS
Lilly USA, LLC $29.11 08/14/2024 Food and Beverage Undisputed 01/23/2026 1135838659 CMS
Lilly USA, LLC $26.31 09/11/2024 Food and Beverage Undisputed 01/23/2026 1135759124 CMS
Lilly USA, LLC $1.35 09/11/2024 Food and Beverage Undisputed 01/23/2026 1135797076 CMS
Lilly USA, LLC $18.41 09/18/2024 Food and Beverage Undisputed 01/23/2026 1135838663 CMS
Lilly USA, LLC $17.69 10/08/2024 Food and Beverage Undisputed 01/23/2026 1135902232 CMS
Lilly USA, LLC $14.84 11/11/2024 Food and Beverage Undisputed 01/23/2026 1135797070 CMS
Lilly USA, LLC $23.28 11/13/2024 Food and Beverage Undisputed 01/23/2026 1135846910 CMS
Lilly USA, LLC $20.91 11/19/2024 Food and Beverage Undisputed 01/23/2026 1135906039 CMS
Novo Nordisk Inc $13.70 01/26/2024 Food and Beverage Undisputed 01/23/2026 1100453466 CMS
Novo Nordisk Inc $5.91 02/16/2024 Food and Beverage Undisputed 01/23/2026 1100574346 CMS
Novo Nordisk Inc $14.90 02/29/2024 Food and Beverage Undisputed 01/23/2026 1100608888 CMS
Novo Nordisk Inc $4.00 03/08/2024 Food and Beverage Undisputed 01/23/2026 1100252148 CMS
Novo Nordisk Inc $3.84 04/05/2024 Food and Beverage Undisputed 01/23/2026 1100575756 CMS
Novo Nordisk Inc $23.76 05/13/2024 Food and Beverage Undisputed 01/23/2026 1100336008 CMS
Novo Nordisk Inc $19.15 05/16/2024 Food and Beverage Undisputed 01/23/2026 1100515875 CMS
Novo Nordisk Inc $4.88 05/24/2024 Food and Beverage Undisputed 01/23/2026 1100396142 CMS
Novo Nordisk Inc $15.82 05/31/2024 Food and Beverage Undisputed 01/23/2026 1100614683 CMS
Novo Nordisk Inc $4.59 06/07/2024 Food and Beverage Undisputed 01/23/2026 1100304283 CMS
Novo Nordisk Inc $4.35 06/14/2024 Food and Beverage Undisputed 01/23/2026 1100609158 CMS
Novo Nordisk Inc $22.63 06/25/2024 Food and Beverage Undisputed 01/23/2026 1100571024 CMS
Novo Nordisk Inc $5.73 07/29/2024 Food and Beverage Undisputed 01/23/2026 1100284004 CMS
Novo Nordisk Inc $5.97 08/02/2024 Food and Beverage Undisputed 01/23/2026 1100313271 CMS
Novo Nordisk Inc $20.74 08/07/2024 Food and Beverage Undisputed 01/23/2026 1100337821 CMS
Novo Nordisk Inc $4.86 08/16/2024 Food and Beverage Undisputed 01/23/2026 1100264972 CMS
Novo Nordisk Inc $4.92 09/13/2024 Food and Beverage Undisputed 01/23/2026 1100249460 CMS
Novo Nordisk Inc $18.41 09/26/2024 Food and Beverage Undisputed 01/23/2026 1100486563 CMS
Novo Nordisk Inc $3.81 10/24/2024 Food and Beverage Undisputed 01/23/2026 1100640052 CMS
Novo Nordisk Inc $6.36 11/08/2024 Food and Beverage Undisputed 01/23/2026 1100590824 CMS
Novo Nordisk Inc $4.05 11/22/2024 Food and Beverage Undisputed 01/23/2026 1100626858 CMS
PFIZER INC. $18.54 05/29/2024 Food and Beverage Undisputed 01/23/2026 1131545782 CMS
PFIZER INC. $19.94 06/27/2024 Food and Beverage Undisputed 01/23/2026 1131673916 CMS
PFIZER INC. $17.69 11/08/2024 Food and Beverage Undisputed 01/23/2026 1131103558 CMS
Phathom Pharmaceuticals, Inc. $18.04 08/15/2024 Food and Beverage Undisputed 01/23/2026 1151182398 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.56 02/14/2024 Food and Beverage Undisputed 01/23/2026 1153418494 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.00 03/28/2024 Food and Beverage Undisputed 01/23/2026 1153575926 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.46 05/08/2024 Food and Beverage Undisputed 01/23/2026 1153537870 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.17 11/20/2024 Food and Beverage Undisputed 01/23/2026 1153460929 CMS
SHIELD THERAPEUTICS INC $20.91 05/06/2024 Food and Beverage Undisputed 01/23/2026 1150129802 CMS
Sumitomo Pharma America, Inc. $17.69 02/08/2024 Food and Beverage Undisputed 01/23/2026 1148974770 CMS
Sumitomo Pharma America, Inc. $21.91 10/29/2024 Food and Beverage Undisputed 01/23/2026 1148974772 CMS
Sumitomo Pharma America, Inc. $20.91 12/03/2024 Food and Beverage Undisputed 01/23/2026 1148974774 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.17 12/06/2024 Food and Beverage Undisputed 01/23/2026 1137780058 CMS
Xeris Pharmaceuticals, Inc. $24.09 08/02/2024 Food and Beverage Undisputed 01/23/2026 1144635482 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

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