Covered recipient · General Payments record

NINOSKA N ARANGUIBEL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1316205065
CMS profile: 11047767
Location: MIAMI, FL

General Payments · PY2021–2024

$7,847.07

Reported across 199 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,701.62

80 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.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,701.62	80

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
BIOTRONIK INC.	$385.71	27
Medtronic, Inc.	$178.10	5
Acerta Pharma LLC	$159.96	7
Lexicon Pharmaceuticals, Inc.	$146.04	5
Merck Sharp & Dohme Corporation	$97.19	5
NOVARTIS PHARMACEUTICALS CORPORATION	$92.66	4
BOSTON SCIENTIFIC CORPORATION	$91.53	2
PFIZER INC.	$85.49	4
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$83.62	4
E.R. Squibb & Sons, L.L.C.	$62.89	3
Abbott Laboratories	$56.01	2
Amgen Inc.	$54.64	2
Janssen Pharmaceuticals, Inc	$54.60	3
Kiniksa Pharmaceuticals International, plc	$46.05	2
Alnylam Pharmaceuticals Inc.	$28.76	1
Bayer HealthCare Pharmaceuticals Inc.	$24.58	1
Axonics Modulation Technologies, Inc.	$21.63	1
iRhythm Technologies, Inc.	$18.82	1
Novo Nordisk AS	$13.34	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$603.62	16
PY2022	$1,217.32	36
PY2023	$4,324.51	67
PY2024	$1,701.62	80

Payment records · PY2024 (80)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2021 2022 2023 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
Abbott Laboratories	$16.20	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1140290114	CMS
Abbott Laboratories	$39.81	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1124983284	CMS
Alnylam Pharmaceuticals Inc.	$28.76	04/06/2024	Food and Beverage	Undisputed	01/23/2026	1125846394	CMS
Amgen Inc.	$32.02	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1117191967	CMS
Amgen Inc.	$22.62	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1117191969	CMS
AstraZeneca Pharmaceuticals LP	$19.15	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1104312308	CMS
AstraZeneca Pharmaceuticals LP	$26.50	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1104236943	CMS
AstraZeneca Pharmaceuticals LP	$25.81	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1105617555	CMS
AstraZeneca Pharmaceuticals LP	$22.80	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1105599053	CMS
AstraZeneca Pharmaceuticals LP	$19.14	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1105647868	CMS
AstraZeneca Pharmaceuticals LP	$26.56	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1105480343	CMS
AstraZeneca Pharmaceuticals LP	$20.00	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1104468576	CMS
Axonics, Inc.	$21.63	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1142387006	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.58	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1086344897	CMS
BIOTRONIK INC.	$31.15	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1145800983	CMS
BIOTRONIK INC.	$7.87	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1145800985	CMS
BIOTRONIK INC.	$7.67	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1145801127	CMS
BIOTRONIK INC.	$2.02	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1145801129	CMS
BIOTRONIK INC.	$28.37	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1145801133	CMS
BIOTRONIK INC.	$5.74	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1145801131	CMS
BIOTRONIK INC.	$6.42	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1145801293	CMS
BIOTRONIK INC.	$4.72	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1145801291	CMS
BIOTRONIK INC.	$36.76	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1145801307	CMS
BIOTRONIK INC.	$29.36	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1145801305	CMS
BIOTRONIK INC.	$10.52	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1145801295	CMS
BIOTRONIK INC.	$2.41	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1145801159	CMS
BIOTRONIK INC.	$6.85	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1145801163	CMS
BIOTRONIK INC.	$5.01	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1145801161	CMS
BIOTRONIK INC.	$11.38	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1145801297	CMS
BIOTRONIK INC.	$25.52	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1145801301	CMS
BIOTRONIK INC.	$27.19	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1145801303	CMS
BIOTRONIK INC.	$12.11	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1145801299	CMS
BIOTRONIK INC.	$11.33	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1145801223	CMS
BIOTRONIK INC.	$10.63	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1145801225	CMS
BIOTRONIK INC.	$7.84	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1145801227	CMS
BIOTRONIK INC.	$11.25	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1145801239	CMS
BIOTRONIK INC.	$7.13	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1145801241	CMS
BIOTRONIK INC.	$23.11	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1145801243	CMS
BIOTRONIK INC.	$7.81	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1145801245	CMS
BIOTRONIK INC.	$28.26	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1145801257	CMS
BIOTRONIK INC.	$17.28	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1145801247	CMS
Boston Scientific Corporation	$72.37	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1092424135	CMS
Boston Scientific Corporation	$19.16	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1092424005	CMS
E.R. Squibb & Sons, L.L.C.	$18.46	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1101268911	CMS
E.R. Squibb & Sons, L.L.C.	$19.94	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1101268933	CMS
E.R. Squibb & Sons, L.L.C.	$24.49	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1101268935	CMS
iRhythm Technologies, Inc.	$18.82	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1154042279	CMS
Janssen Pharmaceuticals, Inc	$18.48	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1077968778	CMS
Janssen Pharmaceuticals, Inc	$18.46	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1077968402	CMS
Janssen Pharmaceuticals, Inc	$17.66	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1077968228	CMS
Kiniksa Pharmaceuticals International, plc	$23.15	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1154900125	CMS
Kiniksa Pharmaceuticals International, plc	$22.90	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1154900149	CMS
Lexicon Pharmaceuticals, Inc.	$33.95	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1081734685	CMS
Lexicon Pharmaceuticals, Inc.	$30.66	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1081734681	CMS
Lexicon Pharmaceuticals, Inc.	$32.19	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1081734683	CMS
Lexicon Pharmaceuticals, Inc.	$26.19	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1081734679	CMS
Lexicon Pharmaceuticals, Inc.	$23.05	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1081734677	CMS
Medtronic, Inc.	$34.10	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1116931989	CMS
Medtronic, Inc.	$29.05	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1116931995	CMS
Medtronic, Inc.	$27.45	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1116931993	CMS
Medtronic, Inc.	$39.82	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1116931991	CMS
Medtronic, Inc.	$47.68	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1116931997	CMS
Merck Sharp & Dohme LLC	$20.42	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1141747642	CMS
Merck Sharp & Dohme LLC	$17.57	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1141747640	CMS
Merck Sharp & Dohme LLC	$14.11	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1141937651	CMS
Merck Sharp & Dohme LLC	$23.43	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1141747638	CMS
Merck Sharp & Dohme LLC	$21.66	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1141884503	CMS
Novartis Pharmaceuticals Corporation	$18.75	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1086626485	CMS
Novartis Pharmaceuticals Corporation	$19.90	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1086626487	CMS
Novartis Pharmaceuticals Corporation	$30.95	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1086626491	CMS
Novartis Pharmaceuticals Corporation	$23.06	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1086626489	CMS
Novo Nordisk Inc	$13.34	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1100230958	CMS
PFIZER INC.	$18.63	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1132052786	CMS
PFIZER INC.	$21.62	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1132049974	CMS
PFIZER INC.	$22.51	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1132114537	CMS
PFIZER INC.	$22.73	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1132118530	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$30.50	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1080675332	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$17.07	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1080675334	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$17.97	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1080675336	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$18.08	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1080675338	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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