Covered recipient · General Payments record
ASHLEY LAYNE GUZMAN
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2024–2025
$332.34
- Reported across 18 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 | $225.89 | 12 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $58.10 | 3 |
| Amgen Inc. | $43.12 | 3 |
| Exact Sciences Corporation | $37.19 | 2 |
| PFIZER INC. | $33.56 | 1 |
| Lilly USA, LLC | $22.54 | 1 |
| Philips Electronics North America Corporation | $17.78 | 1 |
| ABBVIE INC. | $13.60 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (12)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| ABBVIE INC. | $13.60 | 10/10/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1204108078 | CMS |
| Amgen Inc. | $14.02 | 04/24/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1229118739 | CMS |
| Amgen Inc. | $14.35 | 08/08/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1229118722 | CMS |
| Amgen Inc. | $14.75 | 11/14/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1229118731 | CMS |
| Exact Sciences Corporation | $19.18 | 05/09/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1235372253 | CMS |
| Exact Sciences Corporation | $18.01 | 09/19/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1235372257 | CMS |
| Lilly USA, LLC | $22.54 | 10/03/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1186947727 | CMS |
| Novo Nordisk Inc | $14.31 | 05/31/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188814841 | CMS |
| Novo Nordisk Inc | $16.99 | 06/18/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188633257 | CMS |
| Novo Nordisk Inc | $26.80 | 10/31/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1188941614 | CMS |
| PFIZER INC. | $33.56 | 09/26/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1230435078 | CMS |
| Philips North America LLC | $17.78 | 06/30/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1232609986 | 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
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.