Covered recipient · General Payments record
BIANCA SHANELL BOWLES
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2024–2025
$319.83
- Reported across 12 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 | $184.99 | 8 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $63.53 | 3 |
| IMPULSE DYNAMICS (USA) INC. | $43.80 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $39.48 | 2 |
| Kestra Medical Technology Services, Inc. | $24.37 | 1 |
| Amgen Inc. | $13.81 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (8)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Amgen Inc. | $13.81 | 03/25/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1229087160 | CMS |
| Impulse Dynamics (USA) Inc. | $43.80 | 03/19/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1223108724 | CMS |
| Kestra Medical Technology Services, Inc. | $24.37 | 08/29/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1248814487 | CMS |
| Novartis Pharmaceuticals Corporation | $23.79 | 09/10/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1200203882 | CMS |
| Novartis Pharmaceuticals Corporation | $15.69 | 11/12/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1200203890 | CMS |
| Novo Nordisk Inc | $22.76 | 04/09/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188810568 | CMS |
| Novo Nordisk Inc | $16.26 | 06/11/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1189113472 | CMS |
| Novo Nordisk Inc | $24.51 | 08/26/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188404512 | 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
- 2024, 2025
- Source files
- Dataset page · Bulk file · PY2024 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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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.