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

MODESTA GUILLERMINA RIVERA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1407632656
CMS profile
11499253
Location
WINTER GARDEN, FL

General Payments · PY2023–2024

$701.11

  • Reported across 29 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$562.93

26 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 $562.93 26

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $264.74 7
Novo Nordisk AS $159.00 11
TOLMAR, INC. $67.53 4
Lilly USA, LLC $55.37 3
Exact Sciences Corporation $16.29 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $138.18 3
PY2024 $562.93 26

Payment records · PY2024 (26)

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

Program year 2024 2023 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
AstraZeneca Pharmaceuticals LP $91.64 02/13/2024 Food and Beverage Undisputed 01/23/2026 1105282499 CMS
AstraZeneca Pharmaceuticals LP $13.11 02/20/2024 Food and Beverage Undisputed 01/23/2026 1105457854 CMS
AstraZeneca Pharmaceuticals LP $21.14 02/23/2024 Food and Beverage Undisputed 01/23/2026 1105369550 CMS
AstraZeneca Pharmaceuticals LP $69.54 03/22/2024 Food and Beverage Undisputed 01/23/2026 1104529816 CMS
AstraZeneca Pharmaceuticals LP $29.68 05/16/2024 Food and Beverage Undisputed 01/23/2026 1105431254 CMS
AstraZeneca Pharmaceuticals LP $19.47 10/28/2024 Food and Beverage Undisputed 01/23/2026 1104636241 CMS
AstraZeneca Pharmaceuticals LP $20.16 11/18/2024 Food and Beverage Undisputed 01/23/2026 1104735895 CMS
Exact Sciences Corporation $16.29 05/08/2024 Food and Beverage Undisputed 01/23/2026 1114461506 CMS
Lilly USA, LLC $14.71 02/12/2024 Food and Beverage Undisputed 01/23/2026 1135902940 CMS
Lilly USA, LLC $23.62 05/23/2024 Food and Beverage Undisputed 01/23/2026 1135907120 CMS
Lilly USA, LLC $17.04 09/04/2024 Food and Beverage Undisputed 01/23/2026 1135902942 CMS
Novo Nordisk Inc $16.83 02/29/2024 Food and Beverage Undisputed 01/23/2026 1100575100 CMS
Novo Nordisk Inc $11.18 03/05/2024 Food and Beverage Undisputed 01/23/2026 1100258052 CMS
Novo Nordisk Inc $24.82 05/07/2024 Food and Beverage Undisputed 01/23/2026 1100582896 CMS
Novo Nordisk Inc $11.50 05/28/2024 Food and Beverage Undisputed 01/23/2026 1100628272 CMS
Novo Nordisk Inc $6.43 07/11/2024 Food and Beverage Undisputed 01/23/2026 1100358548 CMS
Novo Nordisk Inc $15.89 08/19/2024 Food and Beverage Undisputed 01/23/2026 1100369607 CMS
Novo Nordisk Inc $21.06 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100533489 CMS
Novo Nordisk Inc $21.32 09/25/2024 Food and Beverage Undisputed 01/23/2026 1100511139 CMS
Novo Nordisk Inc $7.82 12/02/2024 Food and Beverage Undisputed 01/23/2026 1100358628 CMS
Novo Nordisk Inc $12.27 12/13/2024 Food and Beverage Undisputed 01/23/2026 1100432825 CMS
Novo Nordisk Inc $9.88 12/18/2024 Food and Beverage Undisputed 01/23/2026 1100621978 CMS
Tolmar, Inc. $17.49 03/12/2024 Food and Beverage Undisputed 01/23/2026 1138720994 CMS
Tolmar, Inc. $18.52 05/06/2024 Food and Beverage Undisputed 01/23/2026 1138717716 CMS
Tolmar, Inc. $16.43 07/24/2024 Food and Beverage Undisputed 01/23/2026 1138717718 CMS
Tolmar, Inc. $15.09 09/12/2024 Food and Beverage Undisputed 01/23/2026 1138717720 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
2023, 2024
Source files
Dataset page · Bulk file · PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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