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

MARIA ASTRA FECUNDO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1457681835
CMS profile
10471741
Location
DES MOINES, IA

General Payments · PY2021–2024

$2,198.52

  • Reported across 75 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$712.26

32 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 $712.26 32

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $281.92 7
PY2022 $426.39 16
PY2023 $777.95 20
PY2024 $712.26 32

Payment records · PY2024 (32)

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
Alexion Pharmaceuticals, Inc. $14.22 02/06/2024 Food and Beverage Undisputed 01/23/2026 1094021157 CMS
Amgen Inc. $17.83 10/22/2024 Food and Beverage Undisputed 01/23/2026 1117552069 CMS
Amgen Inc. $14.37 11/20/2024 Food and Beverage Undisputed 01/23/2026 1117552071 CMS
AstraZeneca Pharmaceuticals LP $18.26 01/11/2024 Food and Beverage Undisputed 01/23/2026 1104590408 CMS
AstraZeneca Pharmaceuticals LP $21.11 02/13/2024 Food and Beverage Undisputed 01/23/2026 1105577980 CMS
AstraZeneca Pharmaceuticals LP $16.66 02/15/2024 Food and Beverage Undisputed 01/23/2026 1105876065 CMS
AstraZeneca Pharmaceuticals LP $78.90 05/02/2024 Food and Beverage Undisputed 01/23/2026 1104516266 CMS
AstraZeneca Pharmaceuticals LP $13.60 07/16/2024 Food and Beverage Undisputed 01/23/2026 1104502502 CMS
AstraZeneca Pharmaceuticals LP $17.59 08/29/2024 Food and Beverage Undisputed 01/23/2026 1105503838 CMS
AstraZeneca Pharmaceuticals LP $19.08 10/29/2024 Food and Beverage Undisputed 01/23/2026 1105593368 CMS
Baxter Healthcare $25.92 02/19/2024 Food and Beverage Undisputed 01/23/2026 1120531368 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.04 08/09/2024 Food and Beverage Undisputed 01/23/2026 1086309337 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.23 01/18/2024 Food and Beverage Undisputed 01/23/2026 1118017767 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.52 02/13/2024 Food and Beverage Undisputed 01/23/2026 1118017765 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.34 04/02/2024 Food and Beverage Undisputed 01/23/2026 1118017771 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.86 05/07/2024 Food and Beverage Undisputed 01/23/2026 1118017769 CMS
CorMedix Inc. $30.79 08/28/2024 Food and Beverage Undisputed 01/23/2026 1082025314 CMS
Fresenius USA Marketing, Inc. $9.33 01/03/2024 Food and Beverage Undisputed 01/23/2026 1154195990 CMS
Fresenius USA Marketing, Inc. $16.31 01/12/2024 Food and Beverage Undisputed 01/23/2026 1154196002 CMS
Fresenius USA Marketing, Inc. $8.93 03/22/2024 Food and Beverage Undisputed 01/23/2026 1154195986 CMS
Fresenius USA Marketing, Inc. $12.83 04/18/2024 Food and Beverage Undisputed 01/23/2026 1154195994 CMS
Fresenius USA Marketing, Inc. $9.32 04/23/2024 Food and Beverage Undisputed 01/23/2026 1154195988 CMS
Fresenius USA Marketing, Inc. $14.32 04/26/2024 Food and Beverage Undisputed 01/23/2026 1154195996 CMS
Fresenius USA Marketing, Inc. $17.65 07/29/2024 Food and Beverage Undisputed 01/23/2026 1154200778 CMS
Fresenius USA Marketing, Inc. $15.07 08/28/2024 Food and Beverage Undisputed 01/23/2026 1154195998 CMS
Fresenius USA Marketing, Inc. $16.55 09/05/2024 Food and Beverage Undisputed 01/23/2026 1154196004 CMS
Fresenius USA Marketing, Inc. $110.18 09/05/2024 Food and Beverage Undisputed 01/23/2026 1154200780 CMS
Fresenius USA Marketing, Inc. $8.73 10/10/2024 Food and Beverage Undisputed 01/23/2026 1154195984 CMS
Fresenius USA Marketing, Inc. $15.93 10/24/2024 Food and Beverage Undisputed 01/23/2026 1154196000 CMS
Fresenius USA Marketing, Inc. $11.31 11/08/2024 Food and Beverage Undisputed 01/23/2026 1154195992 CMS
Merck Sharp & Dohme LLC $19.70 03/19/2024 Food and Beverage Undisputed 01/23/2026 1141770000 CMS
Takeda Pharmaceuticals U.S.A., Inc. $32.78 12/10/2024 Food and Beverage Undisputed 01/23/2026 1137741722 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.

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