Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ANASTASIA LEIGH RALSTON

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1376889071
CMS profile
10930165
Location
VINCENNES, IN

General Payments · PY2021–2024

$1,235.17

  • Reported across 82 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$383.47

24 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 paymentAmountRecords
Food and Beverage $383.47 24

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $122.97 9
PY2022 $381.83 26
PY2023 $346.90 23
PY2024 $383.47 24

Payment records · PY2024 (24)

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

Program year 2024 202120222023 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
ABBVIE INC. $14.26 02/21/2024 Food and Beverage Undisputed 01/23/2026 1108055776 CMS
ABBVIE INC. $14.89 10/30/2024 Food and Beverage Undisputed 01/23/2026 1108055778 CMS
AIMMUNE THERAPEUTICS, INC. $20.09 01/24/2024 Food and Beverage Undisputed 01/23/2026 1147016157 CMS
Alkermes, Inc. $16.30 04/03/2024 Food and Beverage Undisputed 01/23/2026 1120578143 CMS
Amgen Inc. $17.90 02/01/2024 Food and Beverage Undisputed 01/23/2026 1117661709 CMS
Amgen Inc. $18.43 05/23/2024 Food and Beverage Undisputed 01/23/2026 1117661711 CMS
AstraZeneca Pharmaceuticals LP $13.50 09/25/2024 Food and Beverage Undisputed 01/23/2026 1104586276 CMS
Indivior Inc. $16.20 04/18/2024 Food and Beverage Undisputed 01/23/2026 1144568360 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $13.57 10/01/2024 Food and Beverage Undisputed 01/23/2026 1143586680 CMS
Lilly USA, LLC $15.23 04/25/2024 Food and Beverage Undisputed 01/23/2026 1135508842 CMS
Lilly USA, LLC $13.13 11/05/2024 Food and Beverage Undisputed 01/23/2026 1135522789 CMS
Novartis Pharmaceuticals Corporation $13.19 11/13/2024 Food and Beverage Undisputed 01/23/2026 1087163605 CMS
Novo Nordisk Inc $14.92 01/18/2024 Food and Beverage Undisputed 01/23/2026 1100636575 CMS
Novo Nordisk Inc $14.10 05/09/2024 Food and Beverage Undisputed 01/23/2026 1100486765 CMS
Otsuka America Pharmaceutical, Inc. $16.94 01/04/2024 Food and Beverage Undisputed 01/23/2026 1119167788 CMS
Otsuka America Pharmaceutical, Inc. $15.54 04/11/2024 Food and Beverage Undisputed 01/23/2026 1119167790 CMS
Otsuka America Pharmaceutical, Inc. $17.60 07/23/2024 Food and Beverage Undisputed 01/23/2026 1119167792 CMS
Otsuka America Pharmaceutical, Inc. $15.15 11/07/2024 Food and Beverage Undisputed 01/23/2026 1119167794 CMS
PFIZER INC. $17.41 03/05/2024 Food and Beverage Undisputed 01/23/2026 1132019801 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.21 08/21/2024 Food and Beverage Undisputed 01/23/2026 1153468089 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.15 06/20/2024 Food and Beverage Undisputed 01/23/2026 1137811706 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.47 09/10/2024 Food and Beverage Undisputed 01/23/2026 1137811708 CMS
Vanda Pharmaceuticals Inc. $20.31 08/15/2024 Food and Beverage Undisputed 01/23/2026 1133965339 CMS
Vanda Pharmaceuticals Inc. $21.98 10/09/2024 Food and Beverage Undisputed 01/23/2026 1133965341 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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