Covered recipient · General Payments record

MICHELE CARBONELL-SMITH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI: 1447557160
CMS profile: 10576563
Location: PADUCAH, KY

General Payments · PY2021–2024

$10,344.55

Reported across 496 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,878.52

135 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 payment	Amount	Records
Food and Beverage	$2,878.52	135

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$856.66	23
GlaxoSmithKline, LLC.	$365.46	31
Insmed, Inc.	$173.02	12
Regeneron Healthcare Solutions, Inc.	$145.87	10
United Therapeutics Corporation	$143.21	6
Inspire Medical Systems, Inc.	$119.33	1
GENZYME CORPORATION	$107.63	5
Electromed, Inc.	$106.52	7
Axsome Therapeutics, Inc.	$106.39	1
Merck Sharp & Dohme Corporation	$90.97	5
BAXTER HEALTHCARE	$84.08	4
Actelion Pharmaceuticals US, Inc.	$83.79	3
Mylan Specialty L.P.	$78.10	4
Amgen Inc.	$77.88	5
Pulmonx Corporation	$73.17	5
Grifols USA, LLC	$68.12	4
Relypsa, Inc.	$57.93	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$44.95	2
Genentech USA, Inc.	$40.97	2
Novo Nordisk AS	$38.97	1
Philips Electronics North America Corporation	$15.50	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$2,252.47	111
PY2022	$2,287.10	118
PY2023	$2,926.46	132
PY2024	$2,878.52	135

Payment records · PY2024 (135)

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

Program year 2024 2021 2022 2023 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
Actelion Pharmaceuticals US, Inc.	$27.71	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1078889189	CMS
Actelion Pharmaceuticals US, Inc.	$26.23	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1078889185	CMS
Actelion Pharmaceuticals US, Inc.	$29.85	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1078889131	CMS
Amgen Inc.	$13.91	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1117217525	CMS
Amgen Inc.	$13.58	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1117217527	CMS
Amgen Inc.	$17.45	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1117217529	CMS
Amgen Inc.	$14.84	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1117217531	CMS
Amgen Inc.	$18.10	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1117217533	CMS
AstraZeneca Pharmaceuticals LP	$200.46	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1104351792	CMS
AstraZeneca Pharmaceuticals LP	$16.05	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1104300666	CMS
AstraZeneca Pharmaceuticals LP	$16.43	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1105578794	CMS
AstraZeneca Pharmaceuticals LP	$14.45	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1105867372	CMS
AstraZeneca Pharmaceuticals LP	$14.37	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1105851932	CMS
AstraZeneca Pharmaceuticals LP	$119.70	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1104437995	CMS
AstraZeneca Pharmaceuticals LP	$19.13	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1105641498	CMS
AstraZeneca Pharmaceuticals LP	$16.67	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1104429169	CMS
AstraZeneca Pharmaceuticals LP	$13.31	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1105702448	CMS
AstraZeneca Pharmaceuticals LP	$16.49	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1105436205	CMS
AstraZeneca Pharmaceuticals LP	$23.69	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1105337169	CMS
AstraZeneca Pharmaceuticals LP	$15.53	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1104484894	CMS
AstraZeneca Pharmaceuticals LP	$13.44	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1105559174	CMS
AstraZeneca Pharmaceuticals LP	$14.94	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1104448445	CMS
AstraZeneca Pharmaceuticals LP	$119.70	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1104451744	CMS
AstraZeneca Pharmaceuticals LP	$18.04	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1105533506	CMS
AstraZeneca Pharmaceuticals LP	$16.06	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1105751355	CMS
AstraZeneca Pharmaceuticals LP	$14.94	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1104741215	CMS
AstraZeneca Pharmaceuticals LP	$17.38	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1105791242	CMS
AstraZeneca Pharmaceuticals LP	$98.96	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1105544009	CMS
AstraZeneca Pharmaceuticals LP	$18.44	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1105681457	CMS
AstraZeneca Pharmaceuticals LP	$13.95	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1104203357	CMS
AstraZeneca Pharmaceuticals LP	$24.53	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1105601203	CMS
Axsome Therapeutics, Inc.	$106.39	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1148394011	CMS
Baxter Healthcare	$17.49	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1120629935	CMS
Baxter Healthcare	$27.64	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1120629937	CMS
Baxter Healthcare	$23.99	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1120629941	CMS
Baxter Healthcare	$14.96	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1120629939	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$29.10	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1118013693	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.85	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1118013695	CMS
Electromed, Inc.	$14.48	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1137882864	CMS
Electromed, Inc.	$16.53	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1137882868	CMS
Electromed, Inc.	$15.39	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1137882873	CMS
Electromed, Inc.	$16.74	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1137882877	CMS
Electromed, Inc.	$19.61	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1137882882	CMS
Electromed, Inc.	$8.94	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1137882886	CMS
Electromed, Inc.	$14.83	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1137882890	CMS
Genentech USA, Inc.	$20.24	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1133176596	CMS
Genentech USA, Inc.	$20.73	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1133176600	CMS
GENZYME CORPORATION	$17.37	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1139833284	CMS
GENZYME CORPORATION	$17.64	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1139833294	CMS
GENZYME CORPORATION	$18.94	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1139833308	CMS
GENZYME CORPORATION	$31.31	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1139833344	CMS
GENZYME CORPORATION	$22.37	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1139833350	CMS
GlaxoSmithKline, LLC.	$26.83	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1115731566	CMS
GlaxoSmithKline, LLC.	$24.48	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1116235417	CMS
GlaxoSmithKline, LLC.	$1.08	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1115850887	CMS
GlaxoSmithKline, LLC.	$0.76	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1116142201	CMS
GlaxoSmithKline, LLC.	$2.83	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1116580773	CMS
GlaxoSmithKline, LLC.	$18.54	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1116605566	CMS
GlaxoSmithKline, LLC.	$14.56	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1116231245	CMS
GlaxoSmithKline, LLC.	$17.75	04/20/2024	Food and Beverage	Undisputed	01/23/2026	1116637096	CMS
GlaxoSmithKline, LLC.	$12.15	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1116668294	CMS
GlaxoSmithKline, LLC.	$14.40	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1116723149	CMS
GlaxoSmithKline, LLC.	$9.14	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1116196229	CMS
GlaxoSmithKline, LLC.	$14.68	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1115924572	CMS
GlaxoSmithKline, LLC.	$13.78	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1116371971	CMS
GlaxoSmithKline, LLC.	$1.79	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1116138219	CMS
GlaxoSmithKline, LLC.	$1.42	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1116734744	CMS
GlaxoSmithKline, LLC.	$17.25	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1116273242	CMS
GlaxoSmithKline, LLC.	$9.97	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1116526480	CMS
GlaxoSmithKline, LLC.	$15.07	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1116542846	CMS
GlaxoSmithKline, LLC.	$16.37	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1116176137	CMS
GlaxoSmithKline, LLC.	$1.92	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1116376022	CMS
GlaxoSmithKline, LLC.	$1.40	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1116719752	CMS
GlaxoSmithKline, LLC.	$19.62	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1116328774	CMS
GlaxoSmithKline, LLC.	$13.17	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1116704606	CMS
GlaxoSmithKline, LLC.	$20.41	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1116229071	CMS
GlaxoSmithKline, LLC.	$14.17	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1115772275	CMS
GlaxoSmithKline, LLC.	$11.23	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1116641118	CMS
GlaxoSmithKline, LLC.	$0.80	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1116430983	CMS
GlaxoSmithKline, LLC.	$12.01	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1116526496	CMS
GlaxoSmithKline, LLC.	$5.32	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1116731726	CMS
GlaxoSmithKline, LLC.	$17.93	12/26/2024	Food and Beverage	Undisputed	01/23/2026	1116473119	CMS
GlaxoSmithKline, LLC.	$14.63	12/31/2024	Food and Beverage	Undisputed	01/23/2026	1116536736	CMS
Grifols USA, LLC	$17.01	01/13/2024	Food and Beverage	Undisputed	01/23/2026	1124711944	CMS
Grifols USA, LLC	$14.89	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1124711946	CMS
Grifols USA, LLC	$13.59	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1124711942	CMS
Grifols USA, LLC	$22.63	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1124711940	CMS
Insmed, Inc.	$16.88	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1089575934	CMS
Insmed, Inc.	$23.14	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1089581592	CMS
Insmed, Inc.	$12.81	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1089574174	CMS
Insmed, Inc.	$2.31	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1089572848	CMS
Insmed, Inc.	$17.38	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1089558662	CMS
Insmed, Inc.	$16.11	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1089562216	CMS
Insmed, Inc.	$17.97	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1089560942	CMS
Insmed, Inc.	$22.40	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1089568241	CMS
Insmed, Inc.	$23.67	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1089566107	CMS
Insmed, Inc.	$14.14	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1089572378	CMS
Insmed, Inc.	$2.86	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1089568725	CMS
Insmed, Inc.	$3.35	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1089568871	CMS
Inspire Medical Systems, Inc.	$119.33	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1148139635	CMS
Merck Sharp & Dohme LLC	$16.37	07/05/2024	Food and Beverage	Undisputed	01/23/2026	1141932509	CMS
Merck Sharp & Dohme LLC	$21.27	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1141877075	CMS
Merck Sharp & Dohme LLC	$19.09	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1141724990	CMS
Merck Sharp & Dohme LLC	$19.26	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1141724992	CMS
Merck Sharp & Dohme LLC	$14.98	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1141724978	CMS
Mylan Specialty L.P.	$17.05	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1147364899	CMS
Mylan Specialty L.P.	$13.23	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1147297397	CMS
Mylan Specialty L.P.	$15.82	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1147297833	CMS
Mylan Specialty L.P.	$32.00	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1147368075	CMS
Novo Nordisk Inc	$38.97	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1100272326	CMS
Philips North America LLC	$15.50	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1146859804	CMS
Pulmonx Corporation	$14.17	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1087852332	CMS
Pulmonx Corporation	$14.91	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1087852334	CMS
Pulmonx Corporation	$16.00	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1087852336	CMS
Pulmonx Corporation	$14.98	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1087852338	CMS
Pulmonx Corporation	$13.11	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1087852340	CMS
Regeneron Healthcare Solutions, Inc.	$9.79	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1114280962	CMS
Regeneron Healthcare Solutions, Inc.	$15.79	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1114280964	CMS
Regeneron Healthcare Solutions, Inc.	$6.09	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1114280966	CMS
Regeneron Healthcare Solutions, Inc.	$17.54	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1114280968	CMS
Regeneron Healthcare Solutions, Inc.	$3.20	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1114280970	CMS
Regeneron Healthcare Solutions, Inc.	$21.08	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1114280972	CMS
Regeneron Healthcare Solutions, Inc.	$26.03	09/15/2024	Food and Beverage	Undisputed	01/23/2026	1114280974	CMS
Regeneron Healthcare Solutions, Inc.	$22.05	10/05/2024	Food and Beverage	Undisputed	01/23/2026	1114280976	CMS
Regeneron Healthcare Solutions, Inc.	$12.79	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1114280978	CMS
Regeneron Healthcare Solutions, Inc.	$11.51	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1114280980	CMS
United Therapeutics Corporation	$27.48	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1149454176	CMS
United Therapeutics Corporation	$22.84	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1149468114	CMS
United Therapeutics Corporation	$15.17	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1149455802	CMS
United Therapeutics Corporation	$30.17	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1149470806	CMS
United Therapeutics Corporation	$25.75	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1149456788	CMS
United Therapeutics Corporation	$21.80	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1149472830	CMS
Vifor Pharma, Inc.	$21.81	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1124049329	CMS
Vifor Pharma, Inc.	$13.70	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1124060076	CMS
Vifor Pharma, Inc.	$22.42	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1124061844	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

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.