Covered recipient · General Payments record

APRIL SMITH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

NPI: 1346605557
CMS profile: 10484094
Location: LINCOLN, NE

General Payments · PY2023–2025

$3,780.88

Reported across 299 records
CMS publication 2026-06-30

Latest program year · PY2025

$1,581.98

125 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

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,581.98	125

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
ITI, Inc.	$440.63	26
Alkermes, Inc.	$301.33	35
Axsome Therapeutics, Inc.	$198.58	19
Otsuka America Pharmaceutical, Inc.	$180.30	12
E.R. Squibb & Sons, L.L.C.	$173.96	17
JAZZ PHARMACEUTICALS INC.	$116.46	7
Teva Pharmaceuticals USA, Inc.	$70.90	4
HARMONY BIOSCIENCES LLC	$23.61	1
Ascendis Pharma Endocrinology Inc	$20.71	1
Almatica Pharma LLC	$20.64	1
Biogen, Inc.	$20.26	1
Collegium Pharmaceutical, Inc.	$14.60	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$1,123.00	88
PY2024	$1,075.90	86
PY2025	$1,581.98	125

Payment records · PY2025 (125)

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

Program year 2025 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Alkermes, Inc.	$2.06	01/09/2025	Food and Beverage	Undisputed	06/30/2026	1222641424	CMS
Alkermes, Inc.	$10.33	01/09/2025	Food and Beverage	Undisputed	06/30/2026	1222641426	CMS
Alkermes, Inc.	$10.10	01/22/2025	Food and Beverage	Undisputed	06/30/2026	1222641428	CMS
Alkermes, Inc.	$2.78	01/22/2025	Food and Beverage	Undisputed	06/30/2026	1222641430	CMS
Alkermes, Inc.	$4.41	03/04/2025	Food and Beverage	Undisputed	06/30/2026	1222641432	CMS
Alkermes, Inc.	$12.69	03/04/2025	Food and Beverage	Undisputed	06/30/2026	1222641434	CMS
Alkermes, Inc.	$1.94	03/17/2025	Food and Beverage	Undisputed	06/30/2026	1222641436	CMS
Alkermes, Inc.	$10.33	03/17/2025	Food and Beverage	Undisputed	06/30/2026	1222641438	CMS
Alkermes, Inc.	$11.78	03/24/2025	Food and Beverage	Undisputed	06/30/2026	1222641440	CMS
Alkermes, Inc.	$3.09	04/09/2025	Food and Beverage	Undisputed	06/30/2026	1222641442	CMS
Alkermes, Inc.	$10.84	04/09/2025	Food and Beverage	Undisputed	06/30/2026	1222641444	CMS
Alkermes, Inc.	$12.01	04/16/2025	Food and Beverage	Undisputed	06/30/2026	1222641446	CMS
Alkermes, Inc.	$18.80	04/22/2025	Food and Beverage	Undisputed	06/30/2026	1222641448	CMS
Alkermes, Inc.	$10.33	05/07/2025	Food and Beverage	Undisputed	06/30/2026	1222641450	CMS
Alkermes, Inc.	$3.91	05/07/2025	Food and Beverage	Undisputed	06/30/2026	1222641452	CMS
Alkermes, Inc.	$11.17	05/20/2025	Food and Beverage	Undisputed	06/30/2026	1222641454	CMS
Alkermes, Inc.	$4.28	06/03/2025	Food and Beverage	Undisputed	06/30/2026	1222641456	CMS
Alkermes, Inc.	$10.98	06/03/2025	Food and Beverage	Undisputed	06/30/2026	1222641458	CMS
Alkermes, Inc.	$11.43	06/25/2025	Food and Beverage	Undisputed	06/30/2026	1222641460	CMS
Alkermes, Inc.	$3.70	07/08/2025	Food and Beverage	Undisputed	06/30/2026	1222641462	CMS
Alkermes, Inc.	$10.33	07/08/2025	Food and Beverage	Undisputed	06/30/2026	1222641464	CMS
Alkermes, Inc.	$8.53	07/23/2025	Food and Beverage	Undisputed	06/30/2026	1222641466	CMS
Alkermes, Inc.	$10.55	07/23/2025	Food and Beverage	Undisputed	06/30/2026	1222641468	CMS
Alkermes, Inc.	$3.99	08/12/2025	Food and Beverage	Undisputed	06/30/2026	1222641470	CMS
Alkermes, Inc.	$12.40	08/13/2025	Food and Beverage	Undisputed	06/30/2026	1222641472	CMS
Alkermes, Inc.	$15.28	09/09/2025	Food and Beverage	Undisputed	06/30/2026	1222641474	CMS
Alkermes, Inc.	$11.12	10/08/2025	Food and Beverage	Undisputed	06/30/2026	1222641476	CMS
Alkermes, Inc.	$4.14	10/30/2025	Food and Beverage	Undisputed	06/30/2026	1222641478	CMS
Alkermes, Inc.	$12.54	10/30/2025	Food and Beverage	Undisputed	06/30/2026	1222641480	CMS
Alkermes, Inc.	$13.73	11/12/2025	Food and Beverage	Undisputed	06/30/2026	1222641482	CMS
Alkermes, Inc.	$2.30	11/12/2025	Food and Beverage	Undisputed	06/30/2026	1222641484	CMS
Alkermes, Inc.	$3.89	12/03/2025	Food and Beverage	Undisputed	06/30/2026	1222641486	CMS
Alkermes, Inc.	$12.06	12/03/2025	Food and Beverage	Undisputed	06/30/2026	1222641488	CMS
Alkermes, Inc.	$12.26	12/22/2025	Food and Beverage	Undisputed	06/30/2026	1222641490	CMS
Alkermes, Inc.	$1.25	12/23/2025	Food and Beverage	Undisputed	06/30/2026	1222641492	CMS
Almatica Pharma LLC	$20.64	06/02/2025	Food and Beverage	Undisputed	06/30/2026	1209949690	CMS
Ascendis Pharma Endocrinology Inc	$20.71	05/08/2025	Food and Beverage	Undisputed	06/30/2026	1237040082	CMS
Axsome Therapeutics, Inc.	$16.90	02/10/2025	Food and Beverage	Undisputed	06/30/2026	1235392828	CMS
Axsome Therapeutics, Inc.	$1.05	02/10/2025	Food and Beverage	Undisputed	06/30/2026	1235392852	CMS
Axsome Therapeutics, Inc.	$10.11	02/18/2025	Food and Beverage	Undisputed	06/30/2026	1235357437	CMS
Axsome Therapeutics, Inc.	$16.52	03/10/2025	Food and Beverage	Undisputed	06/30/2026	1235489060	CMS
Axsome Therapeutics, Inc.	$0.81	03/10/2025	Food and Beverage	Undisputed	06/30/2026	1235489336	CMS
Axsome Therapeutics, Inc.	$10.18	04/08/2025	Food and Beverage	Undisputed	06/30/2026	1235604724	CMS
Axsome Therapeutics, Inc.	$18.58	04/14/2025	Food and Beverage	Undisputed	06/30/2026	1235707692	CMS
Axsome Therapeutics, Inc.	$0.95	04/14/2025	Food and Beverage	Undisputed	06/30/2026	1235707730	CMS
Axsome Therapeutics, Inc.	$12.88	05/14/2025	Food and Beverage	Undisputed	06/30/2026	1235721878	CMS
Axsome Therapeutics, Inc.	$12.24	06/16/2025	Food and Beverage	Undisputed	06/30/2026	1235739161	CMS
Axsome Therapeutics, Inc.	$16.52	06/23/2025	Food and Beverage	Undisputed	06/30/2026	1235304874	CMS
Axsome Therapeutics, Inc.	$0.88	06/23/2025	Food and Beverage	Undisputed	06/30/2026	1235304917	CMS
Axsome Therapeutics, Inc.	$0.92	07/16/2025	Food and Beverage	Undisputed	06/30/2026	1235427656	CMS
Axsome Therapeutics, Inc.	$18.58	07/18/2025	Food and Beverage	Undisputed	06/30/2026	1235427595	CMS
Axsome Therapeutics, Inc.	$18.67	10/20/2025	Food and Beverage	Undisputed	06/30/2026	1235534285	CMS
Axsome Therapeutics, Inc.	$11.11	10/23/2025	Food and Beverage	Undisputed	06/30/2026	1235534266	CMS
Axsome Therapeutics, Inc.	$19.38	11/11/2025	Food and Beverage	Undisputed	06/30/2026	1235619811	CMS
Axsome Therapeutics, Inc.	$0.97	11/11/2025	Food and Beverage	Undisputed	06/30/2026	1235619843	CMS
Axsome Therapeutics, Inc.	$11.33	12/01/2025	Food and Beverage	Undisputed	06/30/2026	1235642022	CMS
Biogen, Inc.	$20.26	04/30/2025	Food and Beverage	Undisputed	06/30/2026	1208375455	CMS
Collegium Pharmaceutical, Inc.	$14.60	12/11/2025	Food and Beverage	Undisputed	06/30/2026	1224156162	CMS
E.R. Squibb & Sons, L.L.C.	$0.78	01/08/2025	Food and Beverage	Undisputed	06/30/2026	1184710629	CMS
E.R. Squibb & Sons, L.L.C.	$14.38	01/08/2025	Food and Beverage	Undisputed	06/30/2026	1184710631	CMS
E.R. Squibb & Sons, L.L.C.	$0.79	02/20/2025	Food and Beverage	Undisputed	06/30/2026	1184710647	CMS
E.R. Squibb & Sons, L.L.C.	$15.10	02/20/2025	Food and Beverage	Undisputed	06/30/2026	1184710657	CMS
E.R. Squibb & Sons, L.L.C.	$7.80	03/13/2025	Food and Beverage	Undisputed	06/30/2026	1184710659	CMS
E.R. Squibb & Sons, L.L.C.	$0.26	03/13/2025	Food and Beverage	Undisputed	06/30/2026	1184710661	CMS
E.R. Squibb & Sons, L.L.C.	$0.74	04/23/2025	Food and Beverage	Undisputed	06/30/2026	1184710679	CMS
E.R. Squibb & Sons, L.L.C.	$14.27	04/23/2025	Food and Beverage	Undisputed	06/30/2026	1184710681	CMS
E.R. Squibb & Sons, L.L.C.	$0.83	05/15/2025	Food and Beverage	Undisputed	06/30/2026	1184710689	CMS
E.R. Squibb & Sons, L.L.C.	$16.11	05/15/2025	Food and Beverage	Undisputed	06/30/2026	1184710691	CMS
E.R. Squibb & Sons, L.L.C.	$0.88	06/10/2025	Food and Beverage	Undisputed	06/30/2026	1184710701	CMS
E.R. Squibb & Sons, L.L.C.	$20.70	06/10/2025	Food and Beverage	Undisputed	06/30/2026	1184710703	CMS
E.R. Squibb & Sons, L.L.C.	$14.23	06/24/2025	Food and Beverage	Undisputed	06/30/2026	1184710709	CMS
E.R. Squibb & Sons, L.L.C.	$20.02	08/11/2025	Food and Beverage	Undisputed	06/30/2026	1184710719	CMS
E.R. Squibb & Sons, L.L.C.	$15.57	08/28/2025	Food and Beverage	Undisputed	06/30/2026	1184710727	CMS
E.R. Squibb & Sons, L.L.C.	$15.75	10/13/2025	Food and Beverage	Undisputed	06/30/2026	1184710739	CMS
E.R. Squibb & Sons, L.L.C.	$15.75	11/03/2025	Food and Beverage	Undisputed	06/30/2026	1184710757	CMS
HARMONY BIOSCIENCES LLC	$23.61	03/26/2025	Food and Beverage	Undisputed	06/30/2026	1223323696	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.81	01/12/2025	Food and Beverage	Undisputed	06/30/2026	1241672996	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.79	01/29/2025	Food and Beverage	Undisputed	06/30/2026	1241673000	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.17	02/11/2025	Food and Beverage	Undisputed	06/30/2026	1241673004	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.37	02/24/2025	Food and Beverage	Undisputed	06/30/2026	1241673007	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.53	03/31/2025	Food and Beverage	Undisputed	06/30/2026	1241673012	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.53	04/28/2025	Food and Beverage	Undisputed	06/30/2026	1241673015	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.08	05/13/2025	Food and Beverage	Undisputed	06/30/2026	1241673020	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.02	05/29/2025	Food and Beverage	Undisputed	06/30/2026	1241673024	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$10.57	06/09/2025	Food and Beverage	Undisputed	06/30/2026	1241673027	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$11.74	06/24/2025	Food and Beverage	Undisputed	06/30/2026	1241673031	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.06	07/15/2025	Food and Beverage	Undisputed	06/30/2026	1241673036	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.76	08/13/2025	Food and Beverage	Undisputed	06/30/2026	1241673041	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.05	08/26/2025	Food and Beverage	Undisputed	06/30/2026	1241673045	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$1.22	09/10/2025	Food and Beverage	Undisputed	06/30/2026	1241673049	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$14.58	09/10/2025	Food and Beverage	Undisputed	06/30/2026	1241673053	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.57	10/01/2025	Food and Beverage	Undisputed	06/30/2026	1241673056	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.39	10/02/2025	Food and Beverage	Undisputed	06/30/2026	1241673059	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$12.12	10/10/2025	Food and Beverage	Undisputed	06/30/2026	1241673063	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.83	10/19/2025	Food and Beverage	Undisputed	06/30/2026	1241673067	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$14.82	10/27/2025	Food and Beverage	Undisputed	06/30/2026	1241673072	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.79	11/06/2025	Food and Beverage	Undisputed	06/30/2026	1241673075	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.14	11/18/2025	Food and Beverage	Undisputed	06/30/2026	1241673079	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.06	11/24/2025	Food and Beverage	Undisputed	06/30/2026	1241673085	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.18	12/01/2025	Food and Beverage	Undisputed	06/30/2026	1241673089	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$14.19	12/09/2025	Food and Beverage	Undisputed	06/30/2026	1241673093	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.26	12/21/2025	Food and Beverage	Undisputed	06/30/2026	1241673097	CMS
JAZZ PHARMACEUTICALS INC.	$17.30	02/13/2025	Food and Beverage	Undisputed	06/30/2026	1234897963	CMS
JAZZ PHARMACEUTICALS INC.	$16.88	03/11/2025	Food and Beverage	Undisputed	06/30/2026	1234898141	CMS
JAZZ PHARMACEUTICALS INC.	$16.31	04/11/2025	Food and Beverage	Undisputed	06/30/2026	1234898431	CMS
JAZZ PHARMACEUTICALS INC.	$16.59	07/08/2025	Food and Beverage	Undisputed	06/30/2026	1234898273	CMS
JAZZ PHARMACEUTICALS INC.	$15.98	08/06/2025	Food and Beverage	Undisputed	06/30/2026	1234898557	CMS
JAZZ PHARMACEUTICALS INC.	$17.69	10/22/2025	Food and Beverage	Undisputed	06/30/2026	1234897801	CMS
JAZZ PHARMACEUTICALS INC.	$15.71	11/14/2025	Food and Beverage	Undisputed	06/30/2026	1234898659	CMS
Otsuka America Pharmaceutical, Inc.	$13.47	03/06/2025	Food and Beverage	Undisputed	06/30/2026	1227984907	CMS
Otsuka America Pharmaceutical, Inc.	$17.32	04/24/2025	Food and Beverage	Undisputed	06/30/2026	1227984910	CMS
Otsuka America Pharmaceutical, Inc.	$11.66	05/05/2025	Food and Beverage	Undisputed	06/30/2026	1227984913	CMS
Otsuka America Pharmaceutical, Inc.	$17.31	05/08/2025	Food and Beverage	Undisputed	06/30/2026	1227984918	CMS
Otsuka America Pharmaceutical, Inc.	$14.25	07/17/2025	Food and Beverage	Undisputed	06/30/2026	1227984922	CMS
Otsuka America Pharmaceutical, Inc.	$15.02	08/07/2025	Food and Beverage	Undisputed	06/30/2026	1227984926	CMS
Otsuka America Pharmaceutical, Inc.	$17.59	09/18/2025	Food and Beverage	Undisputed	06/30/2026	1227984930	CMS
Otsuka America Pharmaceutical, Inc.	$16.36	10/16/2025	Food and Beverage	Undisputed	06/30/2026	1227984933	CMS
Otsuka America Pharmaceutical, Inc.	$16.97	11/06/2025	Food and Beverage	Undisputed	06/30/2026	1227984937	CMS
Otsuka America Pharmaceutical, Inc.	$9.63	11/17/2025	Food and Beverage	Undisputed	06/30/2026	1227984941	CMS
Otsuka America Pharmaceutical, Inc.	$15.09	11/20/2025	Food and Beverage	Undisputed	06/30/2026	1227984945	CMS
Otsuka America Pharmaceutical, Inc.	$15.63	12/03/2025	Food and Beverage	Undisputed	06/30/2026	1227984949	CMS
Teva Pharmaceuticals USA, Inc.	$16.73	02/04/2025	Food and Beverage	Undisputed	06/30/2026	1247543249	CMS
Teva Pharmaceuticals USA, Inc.	$19.16	03/24/2025	Food and Beverage	Undisputed	06/30/2026	1247543299	CMS
Teva Pharmaceuticals USA, Inc.	$21.14	08/18/2025	Food and Beverage	Undisputed	06/30/2026	1247543477	CMS
Teva Pharmaceuticals USA, Inc.	$13.87	09/19/2025	Food and Beverage	Undisputed	06/30/2026	1247543511	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: 2023, 2024, 2025
Source files: Dataset page · Bulk file · 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.