JOSHUA CZARNECKI

Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant SAN ANTONIO, TX NPI 1306472048

General Payments — all program years on this page

$4,831.52

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 136
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $556.51 across 11 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 $556.5111

By paying entity

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

Paying entityAmountRecords
SI-BONE, INC. $306.932
Novo Nordisk AS $113.243
Lilly USA, LLC $73.353
GlaxoSmithKline, LLC. $29.191
ABBVIE INC. $20.111
Exact Sciences Corporation $13.691

By program year

Program yearAmountRecords
2021 $1,266.2544
2022 $2,083.9056
2023 $924.8625
2024 $556.5111

Records — PY2024 (11)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1100239534 Novo Nordisk Inc $18.12 02/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100442489 Novo Nordisk Inc $25.00 01/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100612859 Novo Nordisk Inc $70.12 09/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106977811 ABBVIE INC. $20.11 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114625555 Exact Sciences Corporation $13.69 10/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116694009 GlaxoSmithKline, LLC. $29.19 10/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120055615 SI-BONE, INC. $149.92 09/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120073401 SI-BONE, INC. $157.01 02/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135646925 Lilly USA, LLC $26.51 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135716164 Lilly USA, LLC $13.09 11/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135729651 Lilly USA, LLC $33.75 03/30/2024 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.