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

MELISSA D RIKAL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1417373267
CMS profile
10707143
Location
NASHVILLE, TN

General Payments · PY2021–2024

$79,784.02

  • Reported across 219 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$43,594.95

128 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 program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $30,944.36 65
PY2022 $5,011.97 16
PY2023 $232.74 10
PY2024 $43,594.95 128

Payment records · PY2024 (128)

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
Agios Pharmaceuticals, Inc. $18.92 10/16/2024 Food and Beverage Undisputed 01/23/2026 1149641194 CMS
Alexion Pharmaceuticals, Inc. $22.52 03/20/2024 Food and Beverage Undisputed 01/23/2026 1093969855 CMS
AstraZeneca Pharmaceuticals LP $31.60 01/24/2024 Food and Beverage Undisputed 01/23/2026 1104393915 CMS
AstraZeneca Pharmaceuticals LP $600.00 01/24/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105580246 CMS
AstraZeneca Pharmaceuticals LP $20.34 02/07/2024 Food and Beverage Undisputed 01/23/2026 1104385429 CMS
AstraZeneca Pharmaceuticals LP $90.42 04/04/2024 Food and Beverage Undisputed 01/23/2026 1105212991 CMS
AstraZeneca Pharmaceuticals LP $1,058.20 04/04/2024 Travel and Lodging Undisputed 01/23/2026 1105293637 CMS
AstraZeneca Pharmaceuticals LP $2,000.00 04/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105564432 CMS
AstraZeneca Pharmaceuticals LP $32.87 04/25/2024 Food and Beverage Undisputed 01/23/2026 1104623006 CMS
AstraZeneca Pharmaceuticals LP $214.04 05/14/2024 Travel and Lodging Undisputed 01/23/2026 1104325770 CMS
AstraZeneca Pharmaceuticals LP $162.11 05/14/2024 Travel and Lodging Undisputed 01/23/2026 1104378383 CMS
AstraZeneca Pharmaceuticals LP $63.28 05/14/2024 Food and Beverage Undisputed 01/23/2026 1104620686 CMS
AstraZeneca Pharmaceuticals LP $24.42 05/14/2024 Food and Beverage Undisputed 01/23/2026 1104672227 CMS
AstraZeneca Pharmaceuticals LP $244.92 05/14/2024 Travel and Lodging Undisputed 01/23/2026 1105742816 CMS
AstraZeneca Pharmaceuticals LP $450.00 05/21/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1104668733 CMS
AstraZeneca Pharmaceuticals LP $2,000.00 05/24/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1104335008 CMS
AstraZeneca Pharmaceuticals LP $600.00 05/29/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105557376 CMS
AstraZeneca Pharmaceuticals LP $122.82 07/11/2024 Food and Beverage Undisputed 01/23/2026 1104408539 CMS
AstraZeneca Pharmaceuticals LP $107.20 07/11/2024 Travel and Lodging Undisputed 01/23/2026 1105500898 CMS
AstraZeneca Pharmaceuticals LP $2,000.00 07/16/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1104280615 CMS
AstraZeneca Pharmaceuticals LP $29.16 08/07/2024 Food and Beverage Undisputed 01/23/2026 1105733235 CMS
AstraZeneca Pharmaceuticals LP $124.98 09/12/2024 Food and Beverage Undisputed 01/23/2026 1104552006 CMS
AstraZeneca Pharmaceuticals LP $301.83 09/12/2024 Travel and Lodging Undisputed 01/23/2026 1105713606 CMS
AstraZeneca Pharmaceuticals LP $571.88 09/12/2024 Travel and Lodging Undisputed 01/23/2026 1105733807 CMS
AstraZeneca Pharmaceuticals LP $403.97 09/12/2024 Travel and Lodging Undisputed 01/23/2026 1105784884 CMS
AstraZeneca Pharmaceuticals LP $35.91 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105827793 CMS
AstraZeneca Pharmaceuticals LP $2,000.00 09/18/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105644478 CMS
AstraZeneca Pharmaceuticals LP $107.10 09/26/2024 Food and Beverage Undisputed 01/23/2026 1104226279 CMS
AstraZeneca Pharmaceuticals LP $1,007.66 09/26/2024 Travel and Lodging Undisputed 01/23/2026 1104405301 CMS
AstraZeneca Pharmaceuticals LP $2,400.00 10/07/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105855680 CMS
AstraZeneca Pharmaceuticals LP $956.64 10/16/2024 Travel and Lodging Undisputed 01/23/2026 1105224573 CMS
AstraZeneca Pharmaceuticals LP $122.88 10/16/2024 Food and Beverage Undisputed 01/23/2026 1105887915 CMS
AstraZeneca Pharmaceuticals LP $2,400.00 10/21/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105454163 CMS
AstraZeneca Pharmaceuticals LP $22.70 10/28/2024 Food and Beverage Undisputed 01/23/2026 1105879025 CMS
AstraZeneca Pharmaceuticals LP $111.95 10/30/2024 Food and Beverage Undisputed 01/23/2026 1105864972 CMS
AstraZeneca Pharmaceuticals LP $1,200.00 11/07/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1105355860 CMS
Aveo Pharmaceuticals, Inc. $35.54 02/01/2024 Food and Beverage Undisputed 01/23/2026 1143496982 CMS
Aveo Pharmaceuticals, Inc. $43.88 10/22/2024 Food and Beverage Undisputed 01/23/2026 1143496988 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.50 02/21/2024 Food and Beverage Undisputed 01/23/2026 1086357584 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.36 11/25/2024 Food and Beverage Undisputed 01/23/2026 1086369633 CMS
BeiGene USA, Inc. $17.43 08/14/2024 Food and Beverage Undisputed 01/23/2026 1120867888 CMS
BeiGene USA, Inc. $16.52 12/23/2024 Food and Beverage Undisputed 01/23/2026 1120867890 CMS
Blueprint Medicines Corporation $32.00 10/12/2024 Food and Beverage Undisputed 01/23/2026 1147448080 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.12 05/08/2024 Food and Beverage Undisputed 01/23/2026 1118000797 CMS
Daiichi Sankyo Inc. $6.24 02/22/2024 Food and Beverage Undisputed 01/23/2026 1089474663 CMS
Daiichi Sankyo Inc. $17.60 03/28/2024 Food and Beverage Undisputed 01/23/2026 1089474661 CMS
Daiichi Sankyo Inc. $125.00 05/09/2024 Food and Beverage Undisputed 01/23/2026 1089474671 CMS
Daiichi Sankyo Inc. $19.43 05/14/2024 Travel and Lodging Undisputed 01/23/2026 1089474669 CMS
Daiichi Sankyo Inc. $1,000.00 05/14/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474673 CMS
Daiichi Sankyo Inc. $29.79 05/20/2024 Food and Beverage Undisputed 01/23/2026 1089474665 CMS
Daiichi Sankyo Inc. $9.85 05/30/2024 Food and Beverage Undisputed 01/23/2026 1089474677 CMS
Daiichi Sankyo Inc. $29.56 06/26/2024 Food and Beverage Undisputed 01/23/2026 1089474679 CMS
Daiichi Sankyo Inc. $22.34 07/31/2024 Food and Beverage Undisputed 01/23/2026 1089474681 CMS
Daiichi Sankyo Inc. $202.72 08/22/2024 Travel and Lodging Undisputed 01/23/2026 1089474595 CMS
Daiichi Sankyo Inc. $274.69 08/22/2024 Travel and Lodging Undisputed 01/23/2026 1089474599 CMS
Daiichi Sankyo Inc. $58.85 08/22/2024 Food and Beverage Undisputed 01/23/2026 1089474601 CMS
Daiichi Sankyo Inc. $95.34 08/30/2024 Travel and Lodging Undisputed 01/23/2026 1089474597 CMS
Daiichi Sankyo Inc. $45.00 08/30/2024 Travel and Lodging Undisputed 01/23/2026 1089474603 CMS
Daiichi Sankyo Inc. $16.08 08/30/2024 Travel and Lodging Undisputed 01/23/2026 1089474605 CMS
Daiichi Sankyo Inc. $16.53 08/30/2024 Travel and Lodging Undisputed 01/23/2026 1089474611 CMS
Daiichi Sankyo Inc. $2,000.00 09/04/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474593 CMS
Daiichi Sankyo Inc. $125.00 09/11/2024 Food and Beverage Undisputed 01/23/2026 1089474609 CMS
Daiichi Sankyo Inc. $2,000.00 09/13/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474607 CMS
Daiichi Sankyo Inc. $104.58 09/17/2024 Food and Beverage Undisputed 01/23/2026 1089474655 CMS
Daiichi Sankyo Inc. $191.62 09/19/2024 Travel and Lodging Undisputed 01/23/2026 1089474591 CMS
Daiichi Sankyo Inc. $1,000.00 09/19/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474645 CMS
Daiichi Sankyo Inc. $29.36 09/23/2024 Food and Beverage Undisputed 01/23/2026 1089474589 CMS
Daiichi Sankyo Inc. $56.95 09/25/2024 Travel and Lodging Undisputed 01/23/2026 1089474653 CMS
Daiichi Sankyo Inc. $23.02 09/30/2024 Food and Beverage Undisputed 01/23/2026 1089474615 CMS
Daiichi Sankyo Inc. $1,157.10 10/08/2024 Travel and Lodging Undisputed 01/23/2026 1089474619 CMS
Daiichi Sankyo Inc. $236.69 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1089474621 CMS
Daiichi Sankyo Inc. $186.97 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1089474625 CMS
Daiichi Sankyo Inc. $125.00 10/17/2024 Food and Beverage Undisputed 01/23/2026 1089474631 CMS
Daiichi Sankyo Inc. $159.43 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1089474635 CMS
Daiichi Sankyo Inc. $45.00 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1089474637 CMS
Daiichi Sankyo Inc. $16.08 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1089474639 CMS
Daiichi Sankyo Inc. $37.56 10/24/2024 Travel and Lodging Undisputed 01/23/2026 1089474641 CMS
Daiichi Sankyo Inc. $26.72 10/30/2024 Food and Beverage Undisputed 01/23/2026 1089474613 CMS
Daiichi Sankyo Inc. $2,400.00 11/01/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474617 CMS
Daiichi Sankyo Inc. $2,400.00 11/04/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474629 CMS
Daiichi Sankyo Inc. $75.21 11/07/2024 Food and Beverage Undisputed 01/23/2026 1089474623 CMS
Daiichi Sankyo Inc. $1,800.00 11/12/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474633 CMS
Daiichi Sankyo Inc. $800.00 11/14/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474659 CMS
Daiichi Sankyo Inc. $108.54 11/20/2024 Travel and Lodging Undisputed 01/23/2026 1089474627 CMS
Daiichi Sankyo Inc. $27.68 12/12/2024 Food and Beverage Undisputed 01/23/2026 1089474647 CMS
Daiichi Sankyo Inc. $124.99 12/12/2024 Food and Beverage Undisputed 01/23/2026 1089474651 CMS
Daiichi Sankyo Inc. $1,200.00 12/16/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1089474657 CMS
Daiichi Sankyo Inc. $20.10 12/17/2024 Travel and Lodging Undisputed 01/23/2026 1089474643 CMS
Daiichi Sankyo Inc. $7.99 12/17/2024 Travel and Lodging Undisputed 01/23/2026 1089474649 CMS
Deciphera Pharmaceuticals Inc. $22.34 03/18/2024 Food and Beverage Undisputed 01/23/2026 1145877983 CMS
E.R. Squibb & Sons, L.L.C. $17.55 07/24/2024 Food and Beverage Undisputed 01/23/2026 1101607988 CMS
Eisai Inc. $22.39 08/21/2024 Food and Beverage Undisputed 01/23/2026 1110815064 CMS
EMD Serono, Inc. $21.13 09/24/2024 Food and Beverage Undisputed 01/23/2026 1120262782 CMS
Exelixis Inc. $14.83 07/16/2024 Food and Beverage Undisputed 01/23/2026 1138573175 CMS
Genentech USA, Inc. $16.68 02/12/2024 Food and Beverage Undisputed 01/23/2026 1133175885 CMS
Genentech USA, Inc. $16.88 11/20/2024 Food and Beverage Undisputed 01/23/2026 1133175882 CMS
Genmab U.S., Inc. $21.46 05/06/2024 Food and Beverage Undisputed 01/23/2026 1126838154 CMS
Genmab U.S., Inc. $24.25 12/23/2024 Food and Beverage Undisputed 01/23/2026 1126838156 CMS
Gilead Sciences, Inc. $115.48 02/15/2024 Food and Beverage Undisputed 01/23/2026 1133679647 CMS
Gilead Sciences, Inc. $19.10 09/05/2024 Food and Beverage Undisputed 01/23/2026 1133679649 CMS
Incyte Corporation $21.90 06/17/2024 Food and Beverage Undisputed 01/23/2026 1141296042 CMS
Kyowa Kirin, Inc. $16.36 07/22/2024 Food and Beverage Undisputed 01/23/2026 1127053843 CMS
Lilly USA, LLC $31.78 03/04/2024 Food and Beverage Undisputed 01/23/2026 1135826812 CMS
Lilly USA, LLC $22.00 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135787842 CMS
Merck Sharp & Dohme LLC $29.41 08/27/2024 Food and Beverage Undisputed 01/23/2026 1141578912 CMS
Merck Sharp & Dohme LLC $31.99 11/11/2024 Food and Beverage Undisputed 01/23/2026 1141579322 CMS
Novartis Pharmaceuticals Corporation $31.88 02/28/2024 Food and Beverage Undisputed 01/23/2026 1087177523 CMS
Novartis Pharmaceuticals Corporation $28.71 07/08/2024 Food and Beverage Undisputed 01/23/2026 1087177527 CMS
Novartis Pharmaceuticals Corporation $28.18 08/28/2024 Food and Beverage Undisputed 01/23/2026 1087177533 CMS
Novartis Pharmaceuticals Corporation $26.74 09/18/2024 Food and Beverage Undisputed 01/23/2026 1087177535 CMS
Novartis Pharmaceuticals Corporation $31.91 11/27/2024 Food and Beverage Undisputed 01/23/2026 1087177539 CMS
PFIZER INC. $26.31 01/31/2024 Food and Beverage Undisputed 01/23/2026 1131283304 CMS
PFIZER INC. $10.47 05/29/2024 Food and Beverage Undisputed 01/23/2026 1131320559 CMS
PFIZER INC. $115.48 06/06/2024 Food and Beverage Undisputed 01/23/2026 1131469377 CMS
PFIZER INC. $960.00 06/06/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1131469381 CMS
PFIZER INC. $19.50 06/10/2024 Food and Beverage Undisputed 01/23/2026 1131346074 CMS
PFIZER INC. $19.41 09/11/2024 Food and Beverage Undisputed 01/23/2026 1131368368 CMS
Regeneron Healthcare Solutions, Inc. $21.28 07/03/2024 Food and Beverage Undisputed 01/23/2026 1114362974 CMS
Regeneron Healthcare Solutions, Inc. $23.11 10/08/2024 Food and Beverage Undisputed 01/23/2026 1114362976 CMS
SERVIER PHARMACEUTICALS LLC $16.46 04/29/2024 Food and Beverage Undisputed 01/23/2026 1147267780 CMS
SERVIER PHARMACEUTICALS LLC $20.49 12/10/2024 Food and Beverage Undisputed 01/23/2026 1147267782 CMS
Stemline Therapeutics Inc. $15.71 05/23/2024 Food and Beverage Undisputed 01/23/2026 1142969515 CMS
Stemline Therapeutics Inc. $21.27 07/30/2024 Food and Beverage Undisputed 01/23/2026 1142969517 CMS
Stemline Therapeutics Inc. $1,320.00 08/01/2024 Consulting Fee Undisputed 01/23/2026 1142969513 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $18.65 11/19/2024 Food and Beverage Undisputed 01/23/2026 1152257825 CMS
Tempus AI, Inc $29.56 10/07/2024 Food and Beverage Undisputed 01/23/2026 1150186354 CMS
TerSera Therapeutics LLC $15.70 08/30/2024 Food and Beverage Undisputed 01/23/2026 1144722953 CMS
Verity Pharmaceuticals Inc. $21.32 03/27/2024 Food and Beverage Undisputed 01/23/2026 1080615155 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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