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

DARLA RENEE HESS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1396473898
CMS profile
11359077
Location
TYLER, TX

General Payments · PY2022–2024

$3,816.53

  • Reported across 150 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,053.65

70 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 $1,942.16 69
Education $111.49 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $211.79 8
PY2023 $1,551.09 72
PY2024 $2,053.65 70

Payment records · PY2024 (70)

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

Program year 2024 20222023 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. $5.07 01/30/2024 Food and Beverage Undisputed 01/23/2026 1107328162 CMS
ABBVIE INC. $1.44 04/09/2024 Food and Beverage Undisputed 01/23/2026 1107328164 CMS
ABBVIE INC. $13.42 04/24/2024 Food and Beverage Undisputed 01/23/2026 1107328166 CMS
ABBVIE INC. $8.91 06/18/2024 Food and Beverage Undisputed 01/23/2026 1107328168 CMS
ABBVIE INC. $10.88 08/13/2024 Food and Beverage Undisputed 01/23/2026 1107328170 CMS
ABBVIE INC. $76.60 09/24/2024 Food and Beverage Undisputed 01/23/2026 1107328172 CMS
ABBVIE INC. $7.85 10/28/2024 Food and Beverage Undisputed 01/23/2026 1107328174 CMS
ABBVIE INC. $5.61 11/05/2024 Food and Beverage Undisputed 01/23/2026 1107328176 CMS
ABBVIE INC. $7.00 12/12/2024 Food and Beverage Undisputed 01/23/2026 1107328178 CMS
Alkermes, Inc. $18.50 01/18/2024 Food and Beverage Undisputed 01/23/2026 1120515590 CMS
Alkermes, Inc. $17.08 03/27/2024 Food and Beverage Undisputed 01/23/2026 1120515592 CMS
Alkermes, Inc. $17.33 05/01/2024 Food and Beverage Undisputed 01/23/2026 1120515594 CMS
Alkermes, Inc. $14.71 05/30/2024 Food and Beverage Undisputed 01/23/2026 1120515596 CMS
Alkermes, Inc. $17.25 09/09/2024 Food and Beverage Undisputed 01/23/2026 1120515598 CMS
Alkermes, Inc. $18.42 10/30/2024 Food and Beverage Undisputed 01/23/2026 1120515600 CMS
E.R. Squibb & Sons, L.L.C. $27.29 10/25/2024 Food and Beverage Undisputed 01/23/2026 1101612131 CMS
E.R. Squibb & Sons, L.L.C. $128.25 11/21/2024 Food and Beverage Undisputed 01/23/2026 1101612149 CMS
E.R. Squibb & Sons, L.L.C. $7.39 12/12/2024 Food and Beverage Undisputed 01/23/2026 1101612128 CMS
IDORSIA PHARMACEUTICALS US INC $13.86 02/29/2024 Food and Beverage Undisputed 01/23/2026 1146770251 CMS
IDORSIA PHARMACEUTICALS US INC $122.14 03/06/2024 Food and Beverage Undisputed 01/23/2026 1146759550 CMS
Indivior Inc. $14.81 04/15/2024 Food and Beverage Undisputed 01/23/2026 1144555753 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $89.80 01/25/2024 Food and Beverage Undisputed 01/23/2026 1143492162 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.57 03/19/2024 Food and Beverage Undisputed 01/23/2026 1143492167 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $15.58 07/25/2024 Food and Beverage Undisputed 01/23/2026 1143492173 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.59 08/07/2024 Food and Beverage Undisputed 01/23/2026 1143492178 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $23.49 09/13/2024 Food and Beverage Undisputed 01/23/2026 1143492184 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $29.36 09/30/2024 Food and Beverage Undisputed 01/23/2026 1143492188 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.12 10/24/2024 Food and Beverage Undisputed 01/23/2026 1143492194 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.79 11/20/2024 Food and Beverage Undisputed 01/23/2026 1143492200 CMS
Janssen Pharmaceuticals, Inc $90.55 03/28/2024 Food and Beverage Undisputed 01/23/2026 1078216623 CMS
Neurocrine Biosciences, Inc. $10.36 01/10/2024 Food and Beverage Undisputed 01/23/2026 1151014346 CMS
Neurocrine Biosciences, Inc. $12.97 01/26/2024 Food and Beverage Undisputed 01/23/2026 1151010927 CMS
Neurocrine Biosciences, Inc. $107.26 02/29/2024 Food and Beverage Undisputed 01/23/2026 1150924935 CMS
Neurocrine Biosciences, Inc. $12.28 03/07/2024 Food and Beverage Undisputed 01/23/2026 1151011819 CMS
Neurocrine Biosciences, Inc. $14.47 03/26/2024 Food and Beverage Undisputed 01/23/2026 1151005989 CMS
Neurocrine Biosciences, Inc. $12.45 04/04/2024 Food and Beverage Undisputed 01/23/2026 1151011525 CMS
Neurocrine Biosciences, Inc. $15.64 05/16/2024 Food and Beverage Undisputed 01/23/2026 1151001270 CMS
Neurocrine Biosciences, Inc. $17.16 06/25/2024 Food and Beverage Undisputed 01/23/2026 1150994022 CMS
Neurocrine Biosciences, Inc. $5.42 07/23/2024 Food and Beverage Undisputed 01/23/2026 1151022902 CMS
Neurocrine Biosciences, Inc. $36.74 07/25/2024 Food and Beverage Undisputed 01/23/2026 1150930505 CMS
Neurocrine Biosciences, Inc. $21.12 07/31/2024 Food and Beverage Undisputed 01/23/2026 1150974105 CMS
Neurocrine Biosciences, Inc. $30.20 08/08/2024 Food and Beverage Undisputed 01/23/2026 1150939039 CMS
Neurocrine Biosciences, Inc. $25.04 10/02/2024 Food and Beverage Undisputed 01/23/2026 1150954995 CMS
Neurocrine Biosciences, Inc. $22.94 10/17/2024 Food and Beverage Undisputed 01/23/2026 1150964257 CMS
Neurocrine Biosciences, Inc. $5.50 10/17/2024 Food and Beverage Undisputed 01/23/2026 1151022764 CMS
Neurocrine Biosciences, Inc. $33.79 11/21/2024 Food and Beverage Undisputed 01/23/2026 1150933326 CMS
Neurocrine Biosciences, Inc. $13.82 12/19/2024 Food and Beverage Undisputed 01/23/2026 1151008277 CMS
Otsuka America Pharmaceutical, Inc. $14.96 01/04/2024 Food and Beverage Undisputed 01/23/2026 1119093522 CMS
Otsuka America Pharmaceutical, Inc. $120.54 05/09/2024 Food and Beverage Undisputed 01/23/2026 1119093524 CMS
Otsuka America Pharmaceutical, Inc. $18.59 11/19/2024 Food and Beverage Undisputed 01/23/2026 1119093526 CMS
Otsuka America Pharmaceutical, Inc. $10.73 12/12/2024 Food and Beverage Undisputed 01/23/2026 1119093528 CMS
Supernus Pharmaceuticals, Inc. $27.55 01/26/2024 Food and Beverage Undisputed 01/23/2026 1147862447 CMS
Supernus Pharmaceuticals, Inc. $14.03 06/03/2024 Food and Beverage Undisputed 01/23/2026 1147862445 CMS
Teva Pharmaceuticals USA, Inc. $8.50 02/02/2024 Food and Beverage Undisputed 01/23/2026 1151666118 CMS
Teva Pharmaceuticals USA, Inc. $14.29 02/15/2024 Food and Beverage Undisputed 01/23/2026 1151666147 CMS
Teva Pharmaceuticals USA, Inc. $69.73 02/22/2024 Food and Beverage Undisputed 01/23/2026 1151666194 CMS
Teva Pharmaceuticals USA, Inc. $111.49 05/03/2024 Education Undisputed 01/23/2026 1151666350 CMS
Teva Pharmaceuticals USA, Inc. $89.80 05/23/2024 Food and Beverage Undisputed 01/23/2026 1151666273 CMS
Teva Pharmaceuticals USA, Inc. $5.14 08/20/2024 Food and Beverage Undisputed 01/23/2026 1151666306 CMS
Teva Pharmaceuticals USA, Inc. $7.00 08/30/2024 Food and Beverage Undisputed 01/23/2026 1151666309 CMS
Teva Pharmaceuticals USA, Inc. $5.93 09/25/2024 Food and Beverage Undisputed 01/23/2026 1151666357 CMS
Teva Pharmaceuticals USA, Inc. $114.13 10/24/2024 Food and Beverage Undisputed 01/23/2026 1151666405 CMS
Teva Pharmaceuticals USA, Inc. $11.20 11/21/2024 Food and Beverage Undisputed 01/23/2026 1151666383 CMS
Vanda Pharmaceuticals Inc. $36.90 02/06/2024 Food and Beverage Undisputed 01/23/2026 1133947510 CMS
Vanda Pharmaceuticals Inc. $25.98 02/27/2024 Food and Beverage Undisputed 01/23/2026 1133947512 CMS
Vanda Pharmaceuticals Inc. $29.73 03/15/2024 Food and Beverage Undisputed 01/23/2026 1133947514 CMS
Vanda Pharmaceuticals Inc. $15.79 04/13/2024 Food and Beverage Undisputed 01/23/2026 1133947516 CMS
Vanda Pharmaceuticals Inc. $12.17 09/19/2024 Food and Beverage Undisputed 01/23/2026 1133947518 CMS
Vanda Pharmaceuticals Inc. $5.11 12/17/2024 Food and Beverage Undisputed 01/23/2026 1133947520 CMS
Vanda Pharmaceuticals Inc. $9.54 12/30/2024 Food and Beverage Undisputed 01/23/2026 1133947522 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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