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

XZYLA DOWNES

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1427544741
CMS profile
11274418
Location
SMYRNA, DE

General Payments · PY2021–2024

$3,692.33

  • Reported across 147 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$994.44

50 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 $994.44 50

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $266.32 6
PY2022 $1,135.29 42
PY2023 $1,296.28 49
PY2024 $994.44 50

Payment records · PY2024 (50)

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
Amgen Inc. $14.44 11/06/2024 Food and Beverage Undisputed 01/23/2026 1117241729 CMS
AstraZeneca Pharmaceuticals LP $56.93 01/22/2024 Food and Beverage Undisputed 01/23/2026 1104400317 CMS
AstraZeneca Pharmaceuticals LP $15.08 01/22/2024 Food and Beverage Undisputed 01/23/2026 1105537000 CMS
AstraZeneca Pharmaceuticals LP $17.96 02/08/2024 Food and Beverage Undisputed 01/23/2026 1104339426 CMS
AstraZeneca Pharmaceuticals LP $19.28 05/16/2024 Food and Beverage Undisputed 01/23/2026 1105897910 CMS
AstraZeneca Pharmaceuticals LP $21.30 05/29/2024 Food and Beverage Undisputed 01/23/2026 1105715558 CMS
AstraZeneca Pharmaceuticals LP $15.37 06/20/2024 Food and Beverage Undisputed 01/23/2026 1105612383 CMS
AstraZeneca Pharmaceuticals LP $6.74 06/27/2024 Food and Beverage Undisputed 01/23/2026 1105587704 CMS
AstraZeneca Pharmaceuticals LP $15.23 07/16/2024 Food and Beverage Undisputed 01/23/2026 1105666650 CMS
AstraZeneca Pharmaceuticals LP $18.08 11/21/2024 Food and Beverage Undisputed 01/23/2026 1104421689 CMS
Electromed, Inc. $19.78 01/24/2024 Food and Beverage Undisputed 01/23/2026 1137887475 CMS
GENZYME CORPORATION $26.13 01/10/2024 Food and Beverage Undisputed 01/23/2026 1139650695 CMS
GENZYME CORPORATION $19.53 08/27/2024 Food and Beverage Undisputed 01/23/2026 1139650767 CMS
GENZYME CORPORATION $17.60 11/25/2024 Food and Beverage Undisputed 01/23/2026 1139650789 CMS
GlaxoSmithKline, LLC. $10.61 02/01/2024 Food and Beverage Undisputed 01/23/2026 1116070288 CMS
GlaxoSmithKline, LLC. $13.19 02/20/2024 Food and Beverage Undisputed 01/23/2026 1116050519 CMS
GlaxoSmithKline, LLC. $13.83 02/26/2024 Food and Beverage Undisputed 01/23/2026 1116261615 CMS
GlaxoSmithKline, LLC. $4.47 03/18/2024 Food and Beverage Undisputed 01/23/2026 1116500693 CMS
GlaxoSmithKline, LLC. $5.23 05/06/2024 Food and Beverage Undisputed 01/23/2026 1116502137 CMS
GlaxoSmithKline, LLC. $15.75 05/14/2024 Food and Beverage Undisputed 01/23/2026 1116426199 CMS
GlaxoSmithKline, LLC. $6.35 05/20/2024 Food and Beverage Undisputed 01/23/2026 1116485913 CMS
GlaxoSmithKline, LLC. $5.55 06/17/2024 Food and Beverage Undisputed 01/23/2026 1115973908 CMS
GlaxoSmithKline, LLC. $6.58 07/01/2024 Food and Beverage Undisputed 01/23/2026 1116568155 CMS
GlaxoSmithKline, LLC. $5.49 07/08/2024 Food and Beverage Undisputed 01/23/2026 1116732632 CMS
GlaxoSmithKline, LLC. $24.75 07/17/2024 Food and Beverage Undisputed 01/23/2026 1116415199 CMS
GlaxoSmithKline, LLC. $5.39 08/12/2024 Food and Beverage Undisputed 01/23/2026 1115754168 CMS
GlaxoSmithKline, LLC. $5.15 08/26/2024 Food and Beverage Undisputed 01/23/2026 1116606212 CMS
GlaxoSmithKline, LLC. $18.41 09/04/2024 Food and Beverage Undisputed 01/23/2026 1115881794 CMS
GlaxoSmithKline, LLC. $83.37 09/19/2024 Food and Beverage Undisputed 01/23/2026 1116464332 CMS
GlaxoSmithKline, LLC. $5.68 09/30/2024 Food and Beverage Undisputed 01/23/2026 1116445636 CMS
GlaxoSmithKline, LLC. $8.71 10/14/2024 Food and Beverage Undisputed 01/23/2026 1116717411 CMS
GlaxoSmithKline, LLC. $13.80 10/29/2024 Food and Beverage Undisputed 01/23/2026 1116629084 CMS
GlaxoSmithKline, LLC. $17.99 11/05/2024 Food and Beverage Undisputed 01/23/2026 1116594896 CMS
GlaxoSmithKline, LLC. $30.85 11/12/2024 Food and Beverage Undisputed 01/23/2026 1115943655 CMS
GlaxoSmithKline, LLC. $8.45 11/18/2024 Food and Beverage Undisputed 01/23/2026 1116623051 CMS
GlaxoSmithKline, LLC. $7.48 12/02/2024 Food and Beverage Undisputed 01/23/2026 1116271076 CMS
GlaxoSmithKline, LLC. $18.12 12/18/2024 Food and Beverage Undisputed 01/23/2026 1116280357 CMS
JAZZ PHARMACEUTICALS INC. $24.92 02/28/2024 Food and Beverage Undisputed 01/23/2026 1151304429 CMS
Merck Sharp & Dohme LLC $15.33 06/04/2024 Food and Beverage Undisputed 01/23/2026 1141926505 CMS
Merck Sharp & Dohme LLC $25.23 07/09/2024 Food and Beverage Undisputed 01/23/2026 1141860068 CMS
Mylan Specialty L.P. $34.54 05/28/2024 Food and Beverage Undisputed 01/23/2026 1147298554 CMS
Novartis Pharmaceuticals Corporation $23.36 04/16/2024 Food and Beverage Undisputed 01/23/2026 1086960641 CMS
Novartis Pharmaceuticals Corporation $23.21 05/21/2024 Food and Beverage Undisputed 01/23/2026 1086960643 CMS
Regeneron Healthcare Solutions, Inc. $36.34 03/28/2024 Food and Beverage Undisputed 01/23/2026 1114295050 CMS
Regeneron Healthcare Solutions, Inc. $38.31 06/05/2024 Food and Beverage Undisputed 01/23/2026 1114295052 CMS
Regeneron Healthcare Solutions, Inc. $48.83 07/18/2024 Food and Beverage Undisputed 01/23/2026 1114295054 CMS
Regeneron Healthcare Solutions, Inc. $27.93 10/17/2024 Food and Beverage Undisputed 01/23/2026 1114295056 CMS
Resmed Corp $21.51 03/30/2024 Food and Beverage Undisputed 01/23/2026 1140205133 CMS
Takeda Pharmaceuticals U.S.A., Inc. $32.83 05/08/2024 Food and Beverage Undisputed 01/23/2026 1137736364 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.45 05/23/2024 Food and Beverage Undisputed 01/23/2026 1137736366 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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