IndustryPayments
Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

SANDRA ESTRADA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1427082833
CMS profile
10982921
Location
SILVERDALE, WA

General Payments · PY2021–2025

$12,471.31

  • Reported across 479 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$2,835.03

122 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.

Related groups: Nurse Practitioner WA All categories

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,735.04 121
Education $99.99 1

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
PFIZER INC. $291.83 16
EMD Serono, Inc. $206.36 9
ABBVIE INC. $183.20 9
Janssen Biotech, Inc. $181.52 5
TG THERAPEUTICS, INC. $180.00 7
Merz Pharmaceuticals, LLC $161.12 5
GENZYME CORPORATION $141.28 6
Neurelis, Inc. $125.00 5
UCB, Inc. $121.60 5
Alexion Pharmaceuticals, Inc. $119.71 5
Celgene Corporation $107.68 4
Lilly USA, LLC $107.35 5
Lundbeck LLC $96.14 5
CSL Behring $91.24 4
NOVARTIS PHARMACEUTICALS CORPORATION $90.95 4
Takeda Pharmaceuticals U.S.A., Inc. $68.21 2
ACADIA Pharmaceuticals Inc $65.58 3
Genentech USA, Inc. $60.82 3
Alnylam Pharmaceuticals Inc. $60.82 3
ARGENX US, INC. $60.27 3
Teva Pharmaceuticals USA, Inc. $50.76 2
GE HEALTHCARE $49.66 2
EISAI INC. $49.37 2
SK Life Science, Inc. $46.42 2
Collegium Pharmaceutical, Inc. $37.91 2
Biogen, Inc. $28.74 1
Acerta Pharma LLC $20.09 1
JAZZ PHARMACEUTICALS INC. $17.22 1
Amneal Pharmaceuticals LLC $14.18 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,782.95 43
PY2022 $2,114.46 110
PY2023 $3,890.41 120
PY2024 $1,848.46 84
PY2025 $2,835.03 122

Payment records · PY2025 (122)

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

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $11.82 01/29/2025 Food and Beverage Undisputed 06/30/2026 1203706784 CMS
ABBVIE INC. $9.03 03/06/2025 Food and Beverage Undisputed 06/30/2026 1203706790 CMS
ABBVIE INC. $29.75 04/16/2025 Food and Beverage Undisputed 06/30/2026 1203706795 CMS
ABBVIE INC. $18.05 04/21/2025 Food and Beverage Undisputed 06/30/2026 1203706801 CMS
ABBVIE INC. $7.22 08/14/2025 Food and Beverage Undisputed 06/30/2026 1203706807 CMS
ABBVIE INC. $33.94 09/09/2025 Food and Beverage Undisputed 06/30/2026 1203706813 CMS
ABBVIE INC. $29.28 11/07/2025 Food and Beverage Undisputed 06/30/2026 1203706819 CMS
ABBVIE INC. $27.02 12/05/2025 Food and Beverage Undisputed 06/30/2026 1203706824 CMS
ABBVIE INC. $17.09 12/11/2025 Food and Beverage Undisputed 06/30/2026 1203706830 CMS
ACADIA Pharmaceuticals Inc $18.44 08/13/2025 Food and Beverage Undisputed 06/30/2026 1247813092 CMS
ACADIA Pharmaceuticals Inc $22.79 09/16/2025 Food and Beverage Undisputed 06/30/2026 1247813094 CMS
ACADIA Pharmaceuticals Inc $24.35 12/09/2025 Food and Beverage Undisputed 06/30/2026 1247813096 CMS
Alexion Pharmaceuticals, Inc. $22.37 01/28/2025 Food and Beverage Undisputed 06/30/2026 1202967476 CMS
Alexion Pharmaceuticals, Inc. $27.82 02/13/2025 Food and Beverage Undisputed 06/30/2026 1202913164 CMS
Alexion Pharmaceuticals, Inc. $26.62 04/09/2025 Food and Beverage Undisputed 06/30/2026 1202939248 CMS
Alexion Pharmaceuticals, Inc. $19.73 04/17/2025 Food and Beverage Undisputed 06/30/2026 1202955766 CMS
Alexion Pharmaceuticals, Inc. $23.17 11/05/2025 Food and Beverage Undisputed 06/30/2026 1202967292 CMS
Alnylam Pharmaceuticals Inc. $15.82 03/18/2025 Food and Beverage Undisputed 06/30/2026 1212769213 CMS
Alnylam Pharmaceuticals Inc. $25.59 05/07/2025 Food and Beverage Undisputed 06/30/2026 1212769087 CMS
Alnylam Pharmaceuticals Inc. $19.41 09/17/2025 Food and Beverage Undisputed 06/30/2026 1212769139 CMS
Amneal Pharmaceuticals LLC $14.18 07/29/2025 Food and Beverage Undisputed 06/30/2026 1220557485 CMS
ARGENX US, INC. $20.11 08/21/2025 Food and Beverage Undisputed 06/30/2026 1240431588 CMS
ARGENX US, INC. $18.89 11/04/2025 Food and Beverage Undisputed 06/30/2026 1240450503 CMS
ARGENX US, INC. $21.27 12/16/2025 Food and Beverage Undisputed 06/30/2026 1240454335 CMS
AstraZeneca Pharmaceuticals LP $20.09 10/23/2025 Food and Beverage Undisputed 06/30/2026 1206661107 CMS
Biogen, Inc. $28.74 04/14/2025 Food and Beverage Undisputed 06/30/2026 1208358755 CMS
Celgene Corporation $28.96 02/18/2025 Food and Beverage Undisputed 06/30/2026 1184941479 CMS
Celgene Corporation $28.96 02/18/2025 Food and Beverage Undisputed 06/30/2026 1184941481 CMS
Celgene Corporation $31.66 04/29/2025 Food and Beverage Undisputed 06/30/2026 1184941525 CMS
Celgene Corporation $18.10 07/09/2025 Food and Beverage Undisputed 06/30/2026 1184941531 CMS
Collegium Pharmaceutical, Inc. $19.84 10/01/2025 Food and Beverage Undisputed 06/30/2026 1224167806 CMS
Collegium Pharmaceutical, Inc. $18.07 10/16/2025 Food and Beverage Undisputed 06/30/2026 1224167808 CMS
CSL Behring $24.23 01/21/2025 Food and Beverage Undisputed 06/30/2026 1232395247 CMS
CSL Behring $23.67 06/26/2025 Food and Beverage Undisputed 06/30/2026 1232395281 CMS
CSL Behring $18.59 08/22/2025 Food and Beverage Undisputed 06/30/2026 1232395301 CMS
CSL Behring $24.75 12/10/2025 Food and Beverage Undisputed 06/30/2026 1232395343 CMS
Eisai Inc. $29.76 01/09/2025 Food and Beverage Undisputed 06/30/2026 1244549520 CMS
Eisai Inc. $19.61 07/09/2025 Food and Beverage Undisputed 06/30/2026 1244549522 CMS
EMD Serono, Inc. $19.55 01/06/2025 Food and Beverage Undisputed 06/30/2026 1236911487 CMS
EMD Serono, Inc. $28.71 02/20/2025 Food and Beverage Undisputed 06/30/2026 1236886536 CMS
EMD Serono, Inc. $21.08 04/29/2025 Food and Beverage Undisputed 06/30/2026 1236900957 CMS
EMD Serono, Inc. $24.63 06/18/2025 Food and Beverage Undisputed 06/30/2026 1236904384 CMS
EMD Serono, Inc. $4.10 06/18/2025 Food and Beverage Undisputed 06/30/2026 1236905067 CMS
EMD Serono, Inc. $27.98 07/02/2025 Food and Beverage Undisputed 06/30/2026 1236921723 CMS
EMD Serono, Inc. $14.81 08/05/2025 Food and Beverage Undisputed 06/30/2026 1236908039 CMS
EMD Serono, Inc. $28.79 09/05/2025 Food and Beverage Undisputed 06/30/2026 1236895547 CMS
EMD Serono, Inc. $36.71 10/22/2025 Food and Beverage Undisputed 06/30/2026 1236890655 CMS
GE HEALTHCARE $20.00 03/13/2025 Food and Beverage Undisputed 06/30/2026 1244294613 CMS
GE HEALTHCARE $29.66 03/26/2025 Food and Beverage Undisputed 06/30/2026 1244294609 CMS
Genentech USA, Inc. $15.08 01/29/2025 Food and Beverage Undisputed 06/30/2026 1211666742 CMS
Genentech USA, Inc. $26.11 07/10/2025 Food and Beverage Undisputed 06/30/2026 1211666745 CMS
Genentech USA, Inc. $19.63 09/30/2025 Food and Beverage Undisputed 06/30/2026 1211666750 CMS
GENZYME CORPORATION $18.49 03/10/2025 Food and Beverage Undisputed 06/30/2026 1233370735 CMS
GENZYME CORPORATION $25.94 04/15/2025 Food and Beverage Undisputed 06/30/2026 1233370741 CMS
GENZYME CORPORATION $34.04 06/25/2025 Food and Beverage Undisputed 06/30/2026 1233370779 CMS
GENZYME CORPORATION $16.88 07/31/2025 Food and Beverage Undisputed 06/30/2026 1233370785 CMS
GENZYME CORPORATION $23.05 10/01/2025 Food and Beverage Undisputed 06/30/2026 1233370817 CMS
GENZYME CORPORATION $22.88 10/30/2025 Food and Beverage Undisputed 06/30/2026 1233370823 CMS
Janssen Biotech, Inc. $28.88 09/03/2025 Food and Beverage Undisputed 06/30/2026 1175333211 CMS
Janssen Biotech, Inc. $27.57 10/07/2025 Food and Beverage Undisputed 06/30/2026 1175333278 CMS
Janssen Biotech, Inc. $3.01 10/08/2025 Food and Beverage Undisputed 06/30/2026 1175333716 CMS
Janssen Biotech, Inc. $22.07 12/22/2025 Food and Beverage Undisputed 06/30/2026 1175333777 CMS
Janssen Biotech, Inc. $99.99 12/23/2025 Education Undisputed 06/30/2026 1175333394 CMS
JAZZ PHARMACEUTICALS INC. $17.22 05/08/2025 Food and Beverage Undisputed 06/30/2026 1234881689 CMS
Lilly USA, LLC $29.35 02/03/2025 Food and Beverage Undisputed 06/30/2026 1187263015 CMS
Lilly USA, LLC $23.85 07/22/2025 Food and Beverage Undisputed 06/30/2026 1187312868 CMS
Lilly USA, LLC $14.26 08/14/2025 Food and Beverage Undisputed 06/30/2026 1187263017 CMS
Lilly USA, LLC $18.15 10/14/2025 Food and Beverage Undisputed 06/30/2026 1187254361 CMS
Lilly USA, LLC $21.74 10/15/2025 Food and Beverage Undisputed 06/30/2026 1187314686 CMS
Lundbeck LLC $15.03 04/25/2025 Food and Beverage Undisputed 06/30/2026 1251896633 CMS
Lundbeck LLC $24.10 06/11/2025 Food and Beverage Undisputed 06/30/2026 1251896635 CMS
Lundbeck LLC $16.63 07/23/2025 Food and Beverage Undisputed 06/30/2026 1251896637 CMS
Lundbeck LLC $26.34 09/11/2025 Food and Beverage Undisputed 06/30/2026 1251896639 CMS
Lundbeck LLC $14.04 11/13/2025 Food and Beverage Undisputed 06/30/2026 1251896641 CMS
Merz Pharmaceuticals, LLC $23.62 01/30/2025 Food and Beverage Undisputed 06/30/2026 1232574978 CMS
Merz Pharmaceuticals, LLC $31.08 05/28/2025 Food and Beverage Undisputed 06/30/2026 1232574976 CMS
Merz Pharmaceuticals, LLC $37.06 06/30/2025 Food and Beverage Undisputed 06/30/2026 1232574980 CMS
Merz Pharmaceuticals, LLC $36.19 10/27/2025 Food and Beverage Undisputed 06/30/2026 1232574982 CMS
Merz Pharmaceuticals, LLC $33.17 12/01/2025 Food and Beverage Undisputed 06/30/2026 1232574984 CMS
Neurelis, Inc. $25.81 01/16/2025 Food and Beverage Undisputed 06/30/2026 1219207864 CMS
Neurelis, Inc. $30.05 02/24/2025 Food and Beverage Undisputed 06/30/2026 1219207866 CMS
Neurelis, Inc. $25.43 06/16/2025 Food and Beverage Undisputed 06/30/2026 1219207868 CMS
Neurelis, Inc. $23.78 07/28/2025 Food and Beverage Undisputed 06/30/2026 1219207870 CMS
Neurelis, Inc. $19.93 12/03/2025 Food and Beverage Undisputed 06/30/2026 1219207872 CMS
Novartis Pharmaceuticals Corporation $17.85 05/21/2025 Food and Beverage Undisputed 06/30/2026 1200079407 CMS
Novartis Pharmaceuticals Corporation $31.95 06/24/2025 Food and Beverage Undisputed 06/30/2026 1200079405 CMS
Novartis Pharmaceuticals Corporation $19.44 10/07/2025 Food and Beverage Undisputed 06/30/2026 1200079415 CMS
Novartis Pharmaceuticals Corporation $21.71 11/11/2025 Food and Beverage Undisputed 06/30/2026 1200015881 CMS
PFIZER INC. $0.59 01/22/2025 Food and Beverage Undisputed 06/30/2026 1230023908 CMS
PFIZER INC. $22.70 01/22/2025 Food and Beverage Undisputed 06/30/2026 1230032003 CMS
PFIZER INC. $22.29 02/05/2025 Food and Beverage Undisputed 06/30/2026 1229965742 CMS
PFIZER INC. $16.07 02/27/2025 Food and Beverage Undisputed 06/30/2026 1230016851 CMS
PFIZER INC. $22.95 03/11/2025 Food and Beverage Undisputed 06/30/2026 1230012268 CMS
PFIZER INC. $14.78 03/13/2025 Food and Beverage Undisputed 06/30/2026 1230294191 CMS
PFIZER INC. $28.58 03/27/2025 Food and Beverage Undisputed 06/30/2026 1230026998 CMS
PFIZER INC. $17.36 04/14/2025 Food and Beverage Undisputed 06/30/2026 1229963747 CMS
PFIZER INC. $8.68 05/29/2025 Food and Beverage Undisputed 06/30/2026 1229965876 CMS
PFIZER INC. $22.84 06/13/2025 Food and Beverage Undisputed 06/30/2026 1230118450 CMS
PFIZER INC. $3.64 06/18/2025 Food and Beverage Undisputed 06/30/2026 1230106629 CMS
PFIZER INC. $31.85 07/17/2025 Food and Beverage Undisputed 06/30/2026 1230140122 CMS
PFIZER INC. $28.28 08/12/2025 Food and Beverage Undisputed 06/30/2026 1230256294 CMS
PFIZER INC. $23.28 10/16/2025 Food and Beverage Undisputed 06/30/2026 1230425289 CMS
PFIZER INC. $24.94 11/19/2025 Food and Beverage Undisputed 06/30/2026 1230943632 CMS
PFIZER INC. $3.00 11/19/2025 Food and Beverage Undisputed 06/30/2026 1231021311 CMS
SK Life Science, Inc. $28.56 01/07/2025 Food and Beverage Undisputed 06/30/2026 1252277987 CMS
SK Life Science, Inc. $17.86 04/07/2025 Food and Beverage Undisputed 06/30/2026 1252278029 CMS
Takeda Pharmaceuticals U.S.A., Inc. $39.45 08/04/2025 Food and Beverage Undisputed 06/30/2026 1224093405 CMS
Takeda Pharmaceuticals U.S.A., Inc. $28.76 09/10/2025 Food and Beverage Undisputed 06/30/2026 1224076098 CMS
Teva Pharmaceuticals USA, Inc. $23.34 06/18/2025 Food and Beverage Undisputed 06/30/2026 1247433645 CMS
Teva Pharmaceuticals USA, Inc. $27.42 10/24/2025 Food and Beverage Undisputed 06/30/2026 1247433705 CMS
TG Therapeutics, Inc. $32.84 01/06/2025 Food and Beverage Undisputed 06/30/2026 1226259187 CMS
TG Therapeutics, Inc. $20.38 02/19/2025 Food and Beverage Undisputed 06/30/2026 1226259183 CMS
TG Therapeutics, Inc. $24.15 04/30/2025 Food and Beverage Undisputed 06/30/2026 1226259224 CMS
TG Therapeutics, Inc. $20.39 06/04/2025 Food and Beverage Undisputed 06/30/2026 1226259256 CMS
TG Therapeutics, Inc. $34.01 07/02/2025 Food and Beverage Undisputed 06/30/2026 1226259220 CMS
TG Therapeutics, Inc. $29.50 11/12/2025 Food and Beverage Undisputed 06/30/2026 1226259351 CMS
TG Therapeutics, Inc. $18.73 12/17/2025 Food and Beverage Undisputed 06/30/2026 1226259357 CMS
UCB, Inc. $21.49 02/06/2025 Food and Beverage Undisputed 06/30/2026 1224787850 CMS
UCB, Inc. $29.68 03/03/2025 Food and Beverage Undisputed 06/30/2026 1224787852 CMS
UCB, Inc. $14.81 05/06/2025 Food and Beverage Undisputed 06/30/2026 1224787854 CMS
UCB, Inc. $28.19 09/18/2025 Food and Beverage Undisputed 06/30/2026 1224787856 CMS
UCB, Inc. $27.43 10/09/2025 Food and Beverage Undisputed 06/30/2026 1224787858 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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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