JOSH LITTELL

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care CLEVELAND, TN NPI 1386322147

General Payments — all program years on this page

$1,717.31

Category: General Payments
Program years: PY2023–2024
Record count: 104
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,483.06 across 92 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$1,479.98	91
Education	$3.08	1

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
Acerta Pharma LLC	$249.84	12
Otsuka America Pharmaceutical, Inc.	$204.49	9
OPKO Pharmaceuticals, LLC	$188.63	28
Fresenius USA Marketing, Inc.	$128.43	7
Retrophin, Inc.	$124.24	7
ANI Pharmaceuticals, Inc.	$92.86	4
Aurinia Pharma U.S., Inc.	$79.06	3
CALLIDITAS THERAPEUTICS US INC.	$74.70	4
Mallinckrodt Hospital Products Inc.	$65.29	2
Amgen Inc.	$63.87	4
Relypsa, Inc.	$51.18	3
Bayer HealthCare Pharmaceuticals Inc.	$44.72	2
GlaxoSmithKline, LLC.	$29.97	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$29.14	2
GENZYME CORPORATION	$22.32	1
Lilly USA, LLC	$20.01	1
SCPHARMACEUTICALS INC.	$14.31	1

By program year

Program year	Amount	Records
2023	$234.25	12
2024	$1,483.06	92

Records — PY2024 (92)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1086282162	Bayer Healthcare Pharmaceuticals Inc.	$20.86	08/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086366453	Bayer Healthcare Pharmaceuticals Inc.	$23.86	02/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1091151928	ANI Pharmaceuticals, Inc.	$21.40	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1091160582	ANI Pharmaceuticals, Inc.	$22.79	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1091172640	ANI Pharmaceuticals, Inc.	$29.71	03/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1091173252	ANI Pharmaceuticals, Inc.	$18.96	01/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104224015	AstraZeneca Pharmaceuticals LP	$25.03	01/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104269669	AstraZeneca Pharmaceuticals LP	$20.61	02/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104343752	AstraZeneca Pharmaceuticals LP	$20.26	08/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105239853	AstraZeneca Pharmaceuticals LP	$16.70	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105266859	AstraZeneca Pharmaceuticals LP	$18.02	05/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105466267	AstraZeneca Pharmaceuticals LP	$14.76	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105572477	AstraZeneca Pharmaceuticals LP	$21.56	06/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105651660	AstraZeneca Pharmaceuticals LP	$17.22	03/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105654946	AstraZeneca Pharmaceuticals LP	$21.79	12/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105678493	AstraZeneca Pharmaceuticals LP	$26.15	01/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105754399	AstraZeneca Pharmaceuticals LP	$25.40	05/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105885625	AstraZeneca Pharmaceuticals LP	$22.34	11/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853048	OPKO Pharmaceuticals, LLC	$4.30	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853050	OPKO Pharmaceuticals, LLC	$9.14	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853052	OPKO Pharmaceuticals, LLC	$3.18	02/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853054	OPKO Pharmaceuticals, LLC	$2.92	02/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853056	OPKO Pharmaceuticals, LLC	$15.71	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853058	OPKO Pharmaceuticals, LLC	$0.76	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853060	OPKO Pharmaceuticals, LLC	$3.57	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853062	OPKO Pharmaceuticals, LLC	$15.29	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853064	OPKO Pharmaceuticals, LLC	$2.93	04/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853066	OPKO Pharmaceuticals, LLC	$12.39	04/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853068	OPKO Pharmaceuticals, LLC	$17.48	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853070	OPKO Pharmaceuticals, LLC	$4.50	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853072	OPKO Pharmaceuticals, LLC	$6.78	06/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853074	OPKO Pharmaceuticals, LLC	$5.55	06/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853076	OPKO Pharmaceuticals, LLC	$1.02	07/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853078	OPKO Pharmaceuticals, LLC	$4.22	07/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853080	OPKO Pharmaceuticals, LLC	$15.29	07/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853082	OPKO Pharmaceuticals, LLC	$3.21	08/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853084	OPKO Pharmaceuticals, LLC	$3.88	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853086	OPKO Pharmaceuticals, LLC	$0.24	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853088	OPKO Pharmaceuticals, LLC	$10.68	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853090	OPKO Pharmaceuticals, LLC	$5.88	09/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853092	OPKO Pharmaceuticals, LLC	$1.48	09/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853094	OPKO Pharmaceuticals, LLC	$2.00	09/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853096	OPKO Pharmaceuticals, LLC	$3.26	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853098	OPKO Pharmaceuticals, LLC	$12.89	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853100	OPKO Pharmaceuticals, LLC	$7.36	11/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1112853102	OPKO Pharmaceuticals, LLC	$12.72	12/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116549773	GlaxoSmithKline, LLC.	$13.76	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116673406	GlaxoSmithKline, LLC.	$16.21	04/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117612537	Amgen Inc.	$17.72	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117612539	Amgen Inc.	$15.04	06/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117612541	Amgen Inc.	$14.44	09/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117612543	Amgen Inc.	$16.67	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117988572	Boehringer Ingelheim Pharmaceuticals, Inc.	$13.55	03/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1117988574	Boehringer Ingelheim Pharmaceuticals, Inc.	$15.59	09/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123518	Otsuka America Pharmaceutical, Inc.	$22.18	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123520	Otsuka America Pharmaceutical, Inc.	$25.95	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123522	Otsuka America Pharmaceutical, Inc.	$25.00	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123524	Otsuka America Pharmaceutical, Inc.	$15.05	06/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123526	Otsuka America Pharmaceutical, Inc.	$16.96	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123528	Otsuka America Pharmaceutical, Inc.	$22.79	09/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123530	Otsuka America Pharmaceutical, Inc.	$27.06	10/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123532	Otsuka America Pharmaceutical, Inc.	$23.45	11/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119123534	Otsuka America Pharmaceutical, Inc.	$26.05	12/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124038515	Vifor Pharma, Inc.	$17.21	06/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124044157	Vifor Pharma, Inc.	$14.16	05/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124052431	Vifor Pharma, Inc.	$19.81	07/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1132301732	SCPHARMACEUTICALS INC.	$14.31	10/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1135698994	Lilly USA, LLC	$20.01	09/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139987859	GENZYME CORPORATION	$22.32	07/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141509253	CALLIDITAS THERAPEUTICS US INC.	$17.03	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141509329	CALLIDITAS THERAPEUTICS US INC.	$18.40	02/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141513523	CALLIDITAS THERAPEUTICS US INC.	$19.25	04/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141519583	CALLIDITAS THERAPEUTICS US INC.	$20.02	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145176673	Mallinckrodt Hospital Products Inc.	$26.36	05/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145176678	Mallinckrodt Hospital Products Inc.	$38.93	09/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149949567	Travere Therapeutics, Inc.	$3.08	09/18/2024	Education	Undisputed	01/23/2026	View at CMS
1149949571	Travere Therapeutics, Inc.	$6.15	09/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149949575	Travere Therapeutics, Inc.	$19.91	10/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149949579	Travere Therapeutics, Inc.	$21.02	11/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149949583	Travere Therapeutics, Inc.	$22.33	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149949587	Travere Therapeutics, Inc.	$22.98	01/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149949591	Travere Therapeutics, Inc.	$28.77	03/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150698509	Aurinia Pharma U.S., Inc.	$28.65	04/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150698511	Aurinia Pharma U.S., Inc.	$22.31	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1150698513	Aurinia Pharma U.S., Inc.	$28.10	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154207442	Fresenius USA Marketing, Inc.	$14.77	06/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154207444	Fresenius USA Marketing, Inc.	$15.54	02/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154207446	Fresenius USA Marketing, Inc.	$16.39	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154207448	Fresenius USA Marketing, Inc.	$19.41	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154207450	Fresenius USA Marketing, Inc.	$20.69	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154207452	Fresenius USA Marketing, Inc.	$20.73	10/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1154207454	Fresenius USA Marketing, Inc.	$20.90	11/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.