Covered recipient · General Payments record
BERNADETTE ALEXIS-DESTIN
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2025
$4,182.06
- Reported across 219 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 | $1,222.41 | 66 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Amgen Inc. | $198.40 | 14 |
| Novo Nordisk AS | $160.02 | 9 |
| Lilly USA, LLC | $124.30 | 6 |
| PFIZER INC. | $121.83 | 6 |
| Bayer HealthCare Pharmaceuticals Inc. | $96.27 | 5 |
| Acerta Pharma LLC | $92.25 | 5 |
| SANOFI-AVENTIS U.S. LLC | $84.65 | 4 |
| ABBVIE INC. | $79.62 | 4 |
| SHIELD THERAPEUTICS INC | $63.05 | 3 |
| BOSTON SCIENTIFIC CORPORATION | $57.16 | 2 |
| GlaxoSmithKline, LLC. | $35.44 | 2 |
| Esperion Therapeutics, Inc. | $28.77 | 1 |
| Inspire Medical Systems, Inc. | $19.94 | 1 |
| Abbott Laboratories | $15.94 | 1 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $15.90 | 1 |
| Exact Sciences Corporation | $14.65 | 1 |
| Actelion Pharmaceuticals US, Inc. | $14.22 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (66)
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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