Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

MIRIAM BETH ADAM

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1427141035
CMS profile
10786568
Location
OKEMOS, MI

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2021 · Entire year

$957.75

42 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2021 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $910.84 41
Education $46.91 1

By paying entity

PY2021 · entire year · sorted by reported total

Paying entityAmountRecords
ITI, Inc. $539.65 19
Otsuka America Pharmaceutical, Inc. $197.33 12
Vanda Pharmaceuticals Inc. $97.04 4
Sunovion Pharmaceuticals Inc. $81.62 5
Alkermes, Inc. $42.11 2

Page 1 of 1; records 1–42 of 42 matching records. This page contains 42 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

MIRIAM BETH ADAM

NPI 1427141035 · CMS profile ID 10786568

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Psychiatric/Mental Health

OKEMOS, MI

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 1; records 1–42 of 42 matching records. This page contains 42 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1427141035?year=2021&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
MIRIAM BETH ADAM, NPI 1427141035, CMS profile ID 10786568. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–42 of 42 matching records. This page contains 42 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1427141035?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
APA 7
IndustryPayments. (2026). MIRIAM BETH ADAM, NPI 1427141035, CMS profile ID 10786568. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–42 of 42 matching records. This page contains 42 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1427141035?year=2021&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
Bluebook
MIRIAM BETH ADAM, NPI 1427141035, CMS profile ID 10786568, IndustryPayments, General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 1; records 1–42 of 42 matching records. This page contains 42 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202. https://industrypayments.org/provider/npi-1427141035?year=2021&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2021

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

42 matching records · $957.75 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 42 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–42 of 42.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
ITI, Inc. $17.5112/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197073 CMS
Sunovion Pharmaceuticals Inc. $18.7712/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821695669 CMS
Alkermes, Inc. $22.6912/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818210895 CMS
Otsuka America Pharmaceutical, Inc. $14.8011/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803433 CMS
ITI, Inc. $25.6211/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197069 CMS
Otsuka America Pharmaceutical, Inc. $17.4311/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803431 CMS
ITI, Inc. $98.4411/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197065 CMS
Sunovion Pharmaceuticals Inc. $23.1210/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821574369 CMS
Otsuka America Pharmaceutical, Inc. $20.8810/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803429 CMS
Otsuka America Pharmaceutical, Inc. $10.5310/13/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803427 CMS
ITI, Inc. $13.7510/07/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197061 CMS
Otsuka America Pharmaceutical, Inc. $24.4510/06/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803425 CMS
Sunovion Pharmaceuticals Inc. $17.8109/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821728077 CMS
ITI, Inc. $18.4109/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197057 CMS
Otsuka America Pharmaceutical, Inc. $21.0409/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803423 CMS
ITI, Inc. $17.7409/02/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197053 CMS
Sunovion Pharmaceuticals Inc. $20.1708/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821652089 CMS
Sunovion Pharmaceuticals Inc. $1.7508/24/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 821940789 CMS
Otsuka America Pharmaceutical, Inc. $11.5708/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803421 CMS
Alkermes, Inc. $19.4208/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 818210893 CMS
ITI, Inc. $11.6108/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197049 CMS
ITI, Inc. $11.2407/22/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197045 CMS
Otsuka America Pharmaceutical, Inc. $11.7507/08/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803419 CMS
ITI, Inc. $112.3006/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197041 CMS
ITI, Inc. $13.0906/17/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197037 CMS
Otsuka America Pharmaceutical, Inc. $14.2806/16/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803417 CMS
ITI, Inc. $13.5005/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197033 CMS
Vanda Pharmaceuticals Inc. $33.6605/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838916675 CMS
ITI, Inc. $10.6304/20/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197029 CMS
ITI, Inc. $10.6803/30/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197025 CMS
ITI, Inc. $63.0003/25/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197021 CMS
Otsuka America Pharmaceutical, Inc. $16.7903/19/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803415 CMS
Vanda Pharmaceuticals Inc. $26.5103/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838916673 CMS
ITI, Inc. $17.6603/09/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197017 CMS
Vanda Pharmaceuticals Inc. $13.6002/18/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838916671 CMS
ITI, Inc. $16.5702/11/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197009 CMS
ITI, Inc. $46.9102/11/2021 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197013 CMS
Otsuka America Pharmaceutical, Inc. $14.8202/10/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803413 CMS
Vanda Pharmaceuticals Inc. $23.2701/21/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 838916669 CMS
ITI, Inc. $15.4301/12/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197005 CMS
ITI, Inc. $5.5601/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 830197001 CMS
Otsuka America Pharmaceutical, Inc. $18.9901/05/2021 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 834803411 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $957.75 42
PY2022 $1,638.35 92
PY2023 $1,321.01 59
PY2024 $1,689.74 105
PY2025 $365.84 14

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 and profile matching
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.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.