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

MISTY RALYEA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1386949873
CMS profile
11167445
Location
LINCOLN, AL

General Payments · PY2021–2024

$3,333.61

  • Reported across 196 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$589.90

31 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 $589.90 31

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,264.02 88
PY2022 $1,098.14 62
PY2023 $381.55 15
PY2024 $589.90 31

Payment records · PY2024 (31)

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. $19.03 06/05/2024 Food and Beverage Undisputed 01/23/2026 1108055810 CMS
ABBVIE INC. $27.13 10/14/2024 Food and Beverage Undisputed 01/23/2026 1108055812 CMS
ABBVIE INC. $14.75 11/21/2024 Food and Beverage Undisputed 01/23/2026 1108055814 CMS
ABBVIE INC. $23.19 12/05/2024 Food and Beverage Undisputed 01/23/2026 1108055816 CMS
Ardelyx, Inc. $20.80 01/22/2024 Food and Beverage Undisputed 01/23/2026 1146742530 CMS
Ardelyx, Inc. $22.49 10/29/2024 Food and Beverage Undisputed 01/23/2026 1146742532 CMS
AstraZeneca Pharmaceuticals LP $18.21 02/14/2024 Food and Beverage Undisputed 01/23/2026 1105866342 CMS
AstraZeneca Pharmaceuticals LP $17.21 06/07/2024 Food and Beverage Undisputed 01/23/2026 1105504788 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.57 06/21/2024 Food and Beverage Undisputed 01/23/2026 1086361008 CMS
Dexcom, Inc. $17.71 03/27/2024 Food and Beverage Undisputed 01/23/2026 1153380140 CMS
Dexcom, Inc. $19.82 06/14/2024 Food and Beverage Undisputed 01/23/2026 1153380142 CMS
Exact Sciences Corporation $20.14 01/10/2024 Food and Beverage Undisputed 01/23/2026 1114846038 CMS
Exact Sciences Corporation $17.98 03/20/2024 Food and Beverage Undisputed 01/23/2026 1114846044 CMS
Exact Sciences Corporation $20.14 07/15/2024 Food and Beverage Undisputed 01/23/2026 1114846050 CMS
GlaxoSmithKline, LLC. $16.00 01/17/2024 Food and Beverage Undisputed 01/23/2026 1116495678 CMS
GlaxoSmithKline, LLC. $15.83 02/06/2024 Food and Beverage Undisputed 01/23/2026 1115992893 CMS
GlaxoSmithKline, LLC. $22.32 08/23/2024 Food and Beverage Undisputed 01/23/2026 1115807482 CMS
GlaxoSmithKline, LLC. $20.58 10/22/2024 Food and Beverage Undisputed 01/23/2026 1115902736 CMS
GlaxoSmithKline, LLC. $21.63 11/15/2024 Food and Beverage Undisputed 01/23/2026 1116485867 CMS
Lilly USA, LLC $19.01 02/15/2024 Food and Beverage Undisputed 01/23/2026 1135848228 CMS
Lilly USA, LLC $18.97 03/18/2024 Food and Beverage Undisputed 01/23/2026 1135872131 CMS
Lilly USA, LLC $20.44 08/28/2024 Food and Beverage Undisputed 01/23/2026 1135895967 CMS
Novo Nordisk Inc $18.40 01/04/2024 Food and Beverage Undisputed 01/23/2026 1100326936 CMS
Novo Nordisk Inc $17.90 02/07/2024 Food and Beverage Undisputed 01/23/2026 1100645573 CMS
Novo Nordisk Inc $18.16 02/22/2024 Food and Beverage Undisputed 01/23/2026 1100494173 CMS
Novo Nordisk Inc $16.23 07/25/2024 Food and Beverage Undisputed 01/23/2026 1100481195 CMS
Novo Nordisk Inc $1.26 07/26/2024 Food and Beverage Undisputed 01/23/2026 1100557243 CMS
Novo Nordisk Inc $25.73 09/06/2024 Food and Beverage Undisputed 01/23/2026 1100535679 CMS
Novo Nordisk Inc $21.49 10/17/2024 Food and Beverage Undisputed 01/23/2026 1100228386 CMS
Novo Nordisk Inc $24.20 12/03/2024 Food and Beverage Undisputed 01/23/2026 1100286588 CMS
Otsuka America Pharmaceutical, Inc. $19.58 11/18/2024 Food and Beverage Undisputed 01/23/2026 1119167800 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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