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

Covered recipient · General Payments record

KAREN J FRESHWATER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1467685982
CMS profile
10734168
Location
KALAMAZOO, MI

General Payments · PY2021–2025

$18,586.36

  • Reported across 339 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$5,372.36

54 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $2,782.00 1
Food and Beverage $2,038.95 51
Travel and Lodging $551.41 2

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
GENZYME CORPORATION $3,931.74 10
TG THERAPEUTICS, INC. $419.62 9
EMD Serono, Inc. $268.13 6
NOVARTIS PHARMACEUTICALS CORPORATION $229.85 9
ABBVIE INC. $179.66 7
MDD US Operations, LLC $100.85 1
EISAI INC. $49.26 2
Celgene Corporation $40.29 2
ACADIA Pharmaceuticals Inc $37.16 2
PFIZER INC. $30.34 2
UCB, Inc. $25.13 1
Genentech USA, Inc. $24.84 1
Neurelis, Inc. $19.35 1
Janssen Biotech, Inc. $16.14 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $2,071.76 57
PY2022 $2,879.18 76
PY2023 $6,604.55 95
PY2024 $1,658.51 57
PY2025 $5,372.36 54

Payment records · PY2025 (54)

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

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $6.43 03/25/2025 Food and Beverage Undisputed 06/30/2026 1203861687 CMS
ABBVIE INC. $7.17 05/01/2025 Food and Beverage Undisputed 06/30/2026 1203861693 CMS
ABBVIE INC. $15.90 08/26/2025 Food and Beverage Undisputed 06/30/2026 1203861699 CMS
ABBVIE INC. $22.93 10/28/2025 Food and Beverage Undisputed 06/30/2026 1203861704 CMS
ABBVIE INC. $6.77 11/25/2025 Food and Beverage Undisputed 06/30/2026 1203861710 CMS
ABBVIE INC. $114.81 12/01/2025 Food and Beverage Undisputed 06/30/2026 1203861715 CMS
ABBVIE INC. $5.65 12/02/2025 Food and Beverage Undisputed 06/30/2026 1203861721 CMS
ACADIA Pharmaceuticals Inc $22.71 04/22/2025 Food and Beverage Undisputed 06/30/2026 1247813735 CMS
ACADIA Pharmaceuticals Inc $14.45 07/22/2025 Food and Beverage Undisputed 06/30/2026 1247813737 CMS
Celgene Corporation $23.41 04/01/2025 Food and Beverage Undisputed 06/30/2026 1184855084 CMS
Celgene Corporation $16.88 11/18/2025 Food and Beverage Undisputed 06/30/2026 1184855180 CMS
Eisai Inc. $28.90 01/28/2025 Food and Beverage Undisputed 06/30/2026 1244537411 CMS
Eisai Inc. $20.36 11/26/2025 Food and Beverage Undisputed 06/30/2026 1244537413 CMS
EMD Serono, Inc. $12.39 01/15/2025 Food and Beverage Undisputed 06/30/2026 1236897790 CMS
EMD Serono, Inc. $100.49 05/08/2025 Food and Beverage Undisputed 06/30/2026 1236923484 CMS
EMD Serono, Inc. $30.79 05/30/2025 Food and Beverage Undisputed 06/30/2026 1236904019 CMS
EMD Serono, Inc. $4.15 11/19/2025 Food and Beverage Undisputed 06/30/2026 1236879380 CMS
EMD Serono, Inc. $114.97 11/20/2025 Food and Beverage Undisputed 06/30/2026 1236902294 CMS
EMD Serono, Inc. $5.34 12/19/2025 Food and Beverage Undisputed 06/30/2026 1236913798 CMS
Genentech USA, Inc. $24.84 12/08/2025 Food and Beverage Undisputed 06/30/2026 1211643822 CMS
GENZYME CORPORATION $71.89 01/07/2025 Food and Beverage Undisputed 06/30/2026 1233503663 CMS
GENZYME CORPORATION $86.07 03/04/2025 Food and Beverage Undisputed 06/30/2026 1233503677 CMS
GENZYME CORPORATION $32.79 05/28/2025 Food and Beverage Undisputed 06/30/2026 1233503703 CMS
GENZYME CORPORATION $16.16 08/11/2025 Food and Beverage Undisputed 06/30/2026 1233503747 CMS
GENZYME CORPORATION $277.79 09/13/2025 Food and Beverage Undisputed 06/30/2026 1233503789 CMS
GENZYME CORPORATION $2,782.00 09/13/2025 Consulting Fee Undisputed 06/30/2026 1233503791 CMS
GENZYME CORPORATION $163.19 09/13/2025 Travel and Lodging Undisputed 06/30/2026 1233503793 CMS
GENZYME CORPORATION $388.22 09/13/2025 Travel and Lodging Undisputed 06/30/2026 1233503795 CMS
GENZYME CORPORATION $91.74 10/30/2025 Food and Beverage Undisputed 06/30/2026 1233503779 CMS
GENZYME CORPORATION $21.89 11/04/2025 Food and Beverage Undisputed 06/30/2026 1233503771 CMS
Janssen Biotech, Inc. $16.14 06/17/2025 Food and Beverage Undisputed 06/30/2026 1174833763 CMS
MDD US Operations, LLC $100.85 05/15/2025 Food and Beverage Undisputed 06/30/2026 1241861973 CMS
Neurelis, Inc. $19.35 08/26/2025 Food and Beverage Undisputed 06/30/2026 1219208258 CMS
Novartis Pharmaceuticals Corporation $44.18 01/27/2025 Food and Beverage Undisputed 06/30/2026 1200325434 CMS
Novartis Pharmaceuticals Corporation $4.37 02/25/2025 Food and Beverage Undisputed 06/30/2026 1200325444 CMS
Novartis Pharmaceuticals Corporation $9.35 05/06/2025 Food and Beverage Undisputed 06/30/2026 1200325438 CMS
Novartis Pharmaceuticals Corporation $76.23 05/28/2025 Food and Beverage Undisputed 06/30/2026 1200325448 CMS
Novartis Pharmaceuticals Corporation $34.72 05/30/2025 Food and Beverage Undisputed 06/30/2026 1200325420 CMS
Novartis Pharmaceuticals Corporation $14.13 07/28/2025 Food and Beverage Undisputed 06/30/2026 1200325454 CMS
Novartis Pharmaceuticals Corporation $8.31 08/20/2025 Food and Beverage Undisputed 06/30/2026 1200325458 CMS
Novartis Pharmaceuticals Corporation $29.08 09/23/2025 Food and Beverage Undisputed 06/30/2026 1200325468 CMS
Novartis Pharmaceuticals Corporation $9.48 10/14/2025 Food and Beverage Undisputed 06/30/2026 1200325466 CMS
PFIZER INC. $16.29 06/24/2025 Food and Beverage Undisputed 06/30/2026 1229355249 CMS
PFIZER INC. $14.05 11/25/2025 Food and Beverage Undisputed 06/30/2026 1230863512 CMS
TG Therapeutics, Inc. $3.98 03/20/2025 Food and Beverage Undisputed 06/30/2026 1226264635 CMS
TG Therapeutics, Inc. $21.73 04/22/2025 Food and Beverage Undisputed 06/30/2026 1226264722 CMS
TG Therapeutics, Inc. $21.25 04/28/2025 Food and Beverage Undisputed 06/30/2026 1226264715 CMS
TG Therapeutics, Inc. $147.47 05/29/2025 Food and Beverage Undisputed 06/30/2026 1226264692 CMS
TG Therapeutics, Inc. $42.65 05/29/2025 Food and Beverage Undisputed 06/30/2026 1226264708 CMS
TG Therapeutics, Inc. $26.63 07/22/2025 Food and Beverage Undisputed 06/30/2026 1226264766 CMS
TG Therapeutics, Inc. $120.89 10/16/2025 Food and Beverage Undisputed 06/30/2026 1226264884 CMS
TG Therapeutics, Inc. $8.95 12/04/2025 Food and Beverage Undisputed 06/30/2026 1226264979 CMS
TG Therapeutics, Inc. $26.07 12/23/2025 Food and Beverage Undisputed 06/30/2026 1226264966 CMS
UCB, Inc. $25.13 07/15/2025 Food and Beverage Undisputed 06/30/2026 1248773380 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
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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