Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

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

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2024 · Entire year

$1,622.11

91 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,622.11 91

By paying entity

PY2024 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 91 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

MIKE LEDESMA

NPI 1306261599 · CMS profile ID 10483063

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Family

SAN ANTONIO, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 91 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1306261599?year=2024&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
MIKE LEDESMA, NPI 1306261599, CMS profile ID 10483063. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 91 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1306261599?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
APA 7
IndustryPayments. (2026). MIKE LEDESMA, NPI 1306261599, CMS profile ID 10483063. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 91 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1306261599?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
Bluebook
MIKE LEDESMA, NPI 1306261599, CMS profile ID 10483063, IndustryPayments, General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 91 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff. https://industrypayments.org/provider/npi-1306261599?year=2024&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2024

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

91 matching records · $1,622.11 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 91 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 91.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Bayer Healthcare Pharmaceuticals Inc. $28.7512/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086345675 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.1712/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137780058 CMS
Sumitomo Pharma America, Inc. $20.9112/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148974774 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.2811/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086309623 CMS
Novo Nordisk Inc $4.0511/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100626858 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.1711/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1153460929 CMS
Lilly USA, LLC $20.9111/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135906039 CMS
AstraZeneca Pharmaceuticals LP $13.1211/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1104755018 CMS
Lilly USA, LLC $23.2811/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135846910 CMS
Lilly USA, LLC $14.8411/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135797070 CMS
Novo Nordisk Inc $6.3611/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100590824 CMS
PFIZER INC. $17.6911/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1131103558 CMS
ABBVIE INC. $10.1410/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1107520072 CMS
Sumitomo Pharma America, Inc. $21.9110/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148974772 CMS
Novo Nordisk Inc $3.8110/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100640052 CMS
Bayer Healthcare Pharmaceuticals Inc. $0.1210/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086100383 CMS
Bayer Healthcare Pharmaceuticals Inc. $1.9010/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086102487 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.9110/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086282646 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.9110/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086328181 CMS
Lilly USA, LLC $17.6910/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135902232 CMS
Novo Nordisk Inc $18.4109/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100486563 CMS
Lilly USA, LLC $18.4109/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135838663 CMS
ABBVIE INC. $32.8609/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1107520070 CMS
Novo Nordisk Inc $4.9209/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100249460 CMS
Lilly USA, LLC $26.3109/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135759124 CMS
Lilly USA, LLC $1.3509/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135797076 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.4008/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086326190 CMS
Novo Nordisk Inc $4.8608/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100264972 CMS
Phathom Pharmaceuticals, Inc. $18.0408/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151182398 CMS
Lilly USA, LLC $29.1108/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135838659 CMS
Atland Pharmaceuticals, LLC $82.1908/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1067526695 CMS
Novo Nordisk Inc $20.7408/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100337821 CMS
Novo Nordisk Inc $5.9708/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100313271 CMS
Xeris Pharmaceuticals, Inc. $24.0908/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1144635482 CMS
Novo Nordisk Inc $5.7307/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100284004 CMS
ABBVIE INC. $18.4007/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1107520068 CMS
ABBVIE INC. $30.6707/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1107520066 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.0407/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1086319840 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.1607/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1117955680 CMS
ABBVIE INC. $3.2707/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1107520064 CMS
ABBVIE INC. $11.1707/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1107520062 CMS
Lilly USA, LLC $23.9306/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135906035 CMS
PFIZER INC. $19.9406/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1131673916 CMS
Lilly USA, LLC $20.5806/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135847602 CMS
Novo Nordisk Inc $22.6306/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100571024 CMS
Lilly USA, LLC $32.0306/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1135847598 CMS
Esperion Therapeutics, Inc. $20.0006/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1129470846 CMS
Novo Nordisk Inc $4.3506/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100609158 CMS
AstraZeneca Pharmaceuticals LP $16.0106/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1105304894 CMS
Ardelyx, Inc. $18.4006/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146734410 CMS

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
PY2025 $782.05 44

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.