Covered recipient · General Payments record
DESIRAE N TWILLA
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant
General Payments · PY2021–2025
$3,431.73
- Reported across 190 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $495.51 | 22 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| ITI, Inc. | $137.70 | 5 |
| Otsuka America Pharmaceutical, Inc. | $68.54 | 3 |
| ABBVIE INC. | $64.39 | 3 |
| Novo Nordisk AS | $63.40 | 3 |
| Astellas Pharma US Inc | $29.27 | 1 |
| Sumitomo Pharma America, Inc. | $24.79 | 1 |
| Esperion Therapeutics, Inc. | $23.55 | 1 |
| VERTEX PHARMACEUTICALS INCORPORATED | $19.59 | 1 |
| Janssen Pharmaceuticals, Inc | $18.35 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $16.85 | 1 |
| BOSTON SCIENTIFIC CORPORATION | $14.59 | 1 |
| Amgen Inc. | $14.49 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (22)
Sorted by paying entity, then date · as published by 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
- 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.