Covered recipient · General Payments record
KAREN ESTHER MESKE
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health
General Payments · PY2021–2025
$4,047.59
- Reported across 161 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $962.64 | 32 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $274.95 | 4 |
| Neurocrine BioSciences, Inc. | $163.89 | 5 |
| Otsuka America Pharmaceutical, Inc. | $94.22 | 4 |
| Teva Pharmaceuticals USA, Inc. | $89.94 | 4 |
| Alkermes, Inc. | $87.81 | 5 |
| Janssen Pharmaceuticals, Inc | $69.20 | 2 |
| ITI, Inc. | $68.89 | 3 |
| Vanda Pharmaceuticals Inc. | $41.47 | 2 |
| ABBVIE INC. | $33.55 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $20.23 | 1 |
| Noven Therapeutics, LLC | $18.49 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (32)
Sorted by paying entity, then date · as published by CMS
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
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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