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

APRIL MARIE SHOULTS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1417672015
CMS profile
11396438
Location
SAN ANTONIO, TX

General Payments · PY2022–2023

$839.98

  • Reported across 45 records
  • CMS publication 2026-01-23

Latest program year · PY2023

$615.30

33 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

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $615.30 33

By paying entity

PY2023 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $159.99 10
Acerta Pharma LLC $89.77 5
SHIELD THERAPEUTICS INC $59.33 3
ABBVIE INC. $55.67 2
Novo Nordisk AS $55.34 3
GlaxoSmithKline, LLC. $52.27 3
ABIOMED $42.62 1
IDORSIA PHARMACEUTICALS US INC $31.24 2
ITI, Inc. $18.93 1
Medtronic, Inc. $18.16 1
PFIZER INC. $16.88 1
NOVARTIS PHARMACEUTICALS CORPORATION $15.10 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $224.68 12
PY2023 $615.30 33

Payment records · PY2023 (33)

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

Program year 2023 2022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $29.38 04/05/2023 Food and Beverage Undisputed 01/23/2026 1009802645 CMS
ABBVIE INC. $26.29 05/24/2023 Food and Beverage Undisputed 01/23/2026 1009802649 CMS
ABIOMED $42.62 11/13/2023 Food and Beverage Undisputed 01/23/2026 1044832049 CMS
AstraZeneca Pharmaceuticals LP $15.92 01/30/2023 Food and Beverage Undisputed 01/23/2026 1026477301 CMS
AstraZeneca Pharmaceuticals LP $15.00 02/16/2023 Food and Beverage Undisputed 01/23/2026 1026473515 CMS
AstraZeneca Pharmaceuticals LP $22.11 04/18/2023 Food and Beverage Undisputed 01/23/2026 1026478789 CMS
AstraZeneca Pharmaceuticals LP $13.98 05/17/2023 Food and Beverage Undisputed 01/23/2026 1026474003 CMS
AstraZeneca Pharmaceuticals LP $22.76 06/30/2023 Food and Beverage Undisputed 01/23/2026 1026481115 CMS
GlaxoSmithKline, LLC. $15.68 05/31/2023 Food and Beverage Undisputed 01/23/2026 1004156387 CMS
GlaxoSmithKline, LLC. $15.19 06/08/2023 Food and Beverage Undisputed 01/23/2026 1004151029 CMS
GlaxoSmithKline, LLC. $21.40 06/28/2023 Food and Beverage Undisputed 01/23/2026 1004157181 CMS
IDORSIA PHARMACEUTICALS US INC $15.67 01/05/2023 Food and Beverage Undisputed 01/23/2026 1034174809 CMS
IDORSIA PHARMACEUTICALS US INC $15.57 02/07/2023 Food and Beverage Undisputed 01/23/2026 1034174817 CMS
ITI, Inc. $18.93 01/23/2023 Food and Beverage Undisputed 01/23/2026 1041132225 CMS
Lilly USA, LLC $20.50 02/08/2023 Food and Beverage Undisputed 01/23/2026 1032633425 CMS
Lilly USA, LLC $19.35 03/08/2023 Food and Beverage Undisputed 01/23/2026 1032750069 CMS
Lilly USA, LLC $2.14 04/03/2023 Food and Beverage Undisputed 01/23/2026 1032591429 CMS
Lilly USA, LLC $19.11 04/04/2023 Food and Beverage Undisputed 01/23/2026 1032451615 CMS
Lilly USA, LLC $18.35 04/26/2023 Food and Beverage Undisputed 01/23/2026 1032713463 CMS
Lilly USA, LLC $22.19 05/10/2023 Food and Beverage Undisputed 01/23/2026 1032514393 CMS
Lilly USA, LLC $22.05 05/23/2023 Food and Beverage Undisputed 01/23/2026 1032451623 CMS
Lilly USA, LLC $1.69 06/14/2023 Food and Beverage Undisputed 01/23/2026 1032451631 CMS
Lilly USA, LLC $17.56 06/14/2023 Food and Beverage Undisputed 01/23/2026 1032713471 CMS
Lilly USA, LLC $17.05 06/21/2023 Food and Beverage Undisputed 01/23/2026 1032451639 CMS
Medtronic, Inc. $18.16 02/23/2023 Food and Beverage Undisputed 01/23/2026 1019683289 CMS
Novartis Pharmaceuticals Corporation $15.10 01/19/2023 Food and Beverage Undisputed 01/23/2026 993347467 CMS
Novo Nordisk Inc $16.69 01/18/2023 Food and Beverage Undisputed 01/23/2026 1002596123 CMS
Novo Nordisk Inc $17.22 01/31/2023 Food and Beverage Undisputed 01/23/2026 1002596135 CMS
Novo Nordisk Inc $21.43 04/24/2023 Food and Beverage Undisputed 01/23/2026 1002586009 CMS
PFIZER INC. $16.88 03/28/2023 Food and Beverage Undisputed 01/23/2026 1049507099 CMS
Shield Therapeutics Inc $26.18 04/25/2023 Food and Beverage Undisputed 01/23/2026 1045751408 CMS
Shield Therapeutics Inc $15.21 05/26/2023 Food and Beverage Undisputed 01/23/2026 1045765053 CMS
Shield Therapeutics Inc $17.94 06/13/2023 Food and Beverage Undisputed 01/23/2026 1045774177 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
Source files
Dataset page · Bulk file · PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv

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