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

SYLVIA A RIVERA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

NPI
1417664442
CMS profile
11398811
Location
HARLINGEN, TX

General Payments · PY2021–2024

$2,513.36

  • Reported across 105 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,012.41

44 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 $1,012.41 44

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $62.11 1
PY2022 $76.70 4
PY2023 $1,362.14 56
PY2024 $1,012.41 44

Payment records · PY2024 (44)

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. $25.87 03/07/2024 Food and Beverage Undisputed 01/23/2026 1108092194 CMS
ABBVIE INC. $25.36 05/02/2024 Food and Beverage Undisputed 01/23/2026 1108092196 CMS
ABBVIE INC. $19.18 08/05/2024 Food and Beverage Undisputed 01/23/2026 1108092198 CMS
Agios Pharmaceuticals, Inc. $21.35 04/17/2024 Food and Beverage Undisputed 01/23/2026 1149641108 CMS
Amgen Inc. $18.06 02/27/2024 Food and Beverage Undisputed 01/23/2026 1117667267 CMS
Amgen Inc. $19.21 05/17/2024 Food and Beverage Undisputed 01/23/2026 1117667269 CMS
Astellas Pharma US Inc $15.41 02/06/2024 Food and Beverage Undisputed 01/23/2026 1139470246 CMS
Astellas Pharma US Inc $15.15 07/30/2024 Food and Beverage Undisputed 01/23/2026 1139464542 CMS
AstraZeneca Pharmaceuticals LP $35.08 01/17/2024 Food and Beverage Undisputed 01/23/2026 1104388479 CMS
AstraZeneca Pharmaceuticals LP $2.76 03/07/2024 Food and Beverage Undisputed 01/23/2026 1104215525 CMS
AstraZeneca Pharmaceuticals LP $14.59 03/08/2024 Food and Beverage Undisputed 01/23/2026 1104662945 CMS
AstraZeneca Pharmaceuticals LP $100.81 11/20/2024 Food and Beverage Undisputed 01/23/2026 1105780442 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.15 01/23/2024 Food and Beverage Undisputed 01/23/2026 1086330404 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.74 08/07/2024 Food and Beverage Undisputed 01/23/2026 1086365753 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.02 08/15/2024 Food and Beverage Undisputed 01/23/2026 1086361080 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.65 12/19/2024 Food and Beverage Undisputed 01/23/2026 1086321716 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.29 01/30/2024 Food and Beverage Undisputed 01/23/2026 1118001467 CMS
Exact Sciences Corporation $20.56 03/12/2024 Food and Beverage Undisputed 01/23/2026 1114417804 CMS
Exact Sciences Corporation $20.30 05/29/2024 Food and Beverage Undisputed 01/23/2026 1114417809 CMS
Exact Sciences Corporation $19.55 11/20/2024 Food and Beverage Undisputed 01/23/2026 1114417812 CMS
Janssen Pharmaceuticals, Inc $15.61 03/26/2024 Food and Beverage Undisputed 01/23/2026 1078202579 CMS
Janssen Pharmaceuticals, Inc $18.67 06/28/2024 Food and Beverage Undisputed 01/23/2026 1078202649 CMS
Janssen Pharmaceuticals, Inc $17.32 08/30/2024 Food and Beverage Undisputed 01/23/2026 1078202657 CMS
Lilly USA, LLC $101.93 01/17/2024 Food and Beverage Undisputed 01/23/2026 1135967538 CMS
Lilly USA, LLC $5.83 02/05/2024 Food and Beverage Undisputed 01/23/2026 1135961817 CMS
Lilly USA, LLC $4.81 02/06/2024 Food and Beverage Undisputed 01/23/2026 1135967540 CMS
Lilly USA, LLC $1.76 02/13/2024 Food and Beverage Undisputed 01/23/2026 1135958383 CMS
Lilly USA, LLC $4.58 02/14/2024 Food and Beverage Undisputed 01/23/2026 1135961819 CMS
Lilly USA, LLC $4.05 02/27/2024 Food and Beverage Undisputed 01/23/2026 1135919404 CMS
Lilly USA, LLC $12.94 02/27/2024 Food and Beverage Undisputed 01/23/2026 1135967542 CMS
Lilly USA, LLC $100.02 03/07/2024 Food and Beverage Undisputed 01/23/2026 1135869855 CMS
Lilly USA, LLC $6.13 03/20/2024 Food and Beverage Undisputed 01/23/2026 1135958385 CMS
Lilly USA, LLC $3.82 04/01/2024 Food and Beverage Undisputed 01/23/2026 1135967544 CMS
Lilly USA, LLC $7.45 04/16/2024 Food and Beverage Undisputed 01/23/2026 1135958387 CMS
Lilly USA, LLC $123.25 06/28/2024 Food and Beverage Undisputed 01/23/2026 1135869859 CMS
Lilly USA, LLC $5.80 07/15/2024 Food and Beverage Undisputed 01/23/2026 1135869863 CMS
Lilly USA, LLC $9.05 08/27/2024 Food and Beverage Undisputed 01/23/2026 1135958389 CMS
Lilly USA, LLC $16.00 09/30/2024 Food and Beverage Undisputed 01/23/2026 1135967546 CMS
Lilly USA, LLC $15.76 10/11/2024 Food and Beverage Undisputed 01/23/2026 1135869867 CMS
Lilly USA, LLC $2.81 10/11/2024 Food and Beverage Undisputed 01/23/2026 1135967548 CMS
Novo Nordisk Inc $16.13 10/10/2024 Food and Beverage Undisputed 01/23/2026 1100236470 CMS
Otsuka America Pharmaceutical, Inc. $28.06 02/24/2024 Food and Beverage Undisputed 01/23/2026 1119172558 CMS
Paratek Pharmaceuticals, Inc. $14.57 12/10/2024 Food and Beverage Undisputed 01/23/2026 1113933502 CMS
PFIZER INC. $13.97 01/23/2024 Food and Beverage Undisputed 01/23/2026 1130973443 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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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