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

FRANK KLIMA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1467756809
CMS profile
10865899
Location
FREDERICKTOWN, MO

General Payments · PY2021–2024

$3,590.49

  • Reported across 111 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,578.69

69 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 program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,150.76 32
PY2022 $403.29 5
PY2023 $457.75 5
PY2024 $1,578.69 69

Payment records · PY2024 (69)

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
ABBVIE INC. $27.72 02/22/2024 Food and Beverage Undisputed 01/23/2026 1107472048 CMS
ABBVIE INC. $16.18 06/28/2024 Food and Beverage Undisputed 01/23/2026 1107472050 CMS
ABBVIE INC. $22.40 09/09/2024 Food and Beverage Undisputed 01/23/2026 1107472052 CMS
ABBVIE INC. $16.57 10/10/2024 Food and Beverage Undisputed 01/23/2026 1107472054 CMS
ABBVIE INC. $16.00 11/04/2024 Food and Beverage Undisputed 01/23/2026 1107472056 CMS
ABBVIE INC. $15.31 12/10/2024 Food and Beverage Undisputed 01/23/2026 1107472058 CMS
ABBVIE INC. $16.99 12/19/2024 Food and Beverage Undisputed 01/23/2026 1107472060 CMS
AIMMUNE THERAPEUTICS, INC. $16.75 12/09/2024 Food and Beverage Undisputed 01/23/2026 1146989433 CMS
Amgen Inc. $15.30 06/04/2024 Food and Beverage Undisputed 01/23/2026 1117599956 CMS
Amgen Inc. $20.68 07/15/2024 Food and Beverage Undisputed 01/23/2026 1117599958 CMS
Amgen Inc. $20.33 09/03/2024 Food and Beverage Undisputed 01/23/2026 1117599960 CMS
Amgen Inc. $16.66 10/24/2024 Food and Beverage Undisputed 01/23/2026 1115819558 CMS
Amgen Inc. $20.68 10/31/2024 Food and Beverage Undisputed 01/23/2026 1115819566 CMS
Ardelyx, Inc. $17.61 05/14/2024 Food and Beverage Undisputed 01/23/2026 1146733440 CMS
Ardelyx, Inc. $18.84 08/13/2024 Food and Beverage Undisputed 01/23/2026 1146733442 CMS
Astellas Pharma US Inc $15.12 09/26/2024 Food and Beverage Undisputed 01/23/2026 1139538172 CMS
AstraZeneca Pharmaceuticals LP $124.07 02/08/2024 Food and Beverage Undisputed 01/23/2026 1104641749 CMS
AstraZeneca Pharmaceuticals LP $18.54 03/02/2024 Food and Beverage Undisputed 01/23/2026 1104734083 CMS
AstraZeneca Pharmaceuticals LP $44.05 04/09/2024 Food and Beverage Undisputed 01/23/2026 1104215627 CMS
AstraZeneca Pharmaceuticals LP $15.12 05/08/2024 Food and Beverage Undisputed 01/23/2026 1105865704 CMS
AstraZeneca Pharmaceuticals LP $13.81 08/12/2024 Food and Beverage Undisputed 01/23/2026 1105771442 CMS
AstraZeneca Pharmaceuticals LP $14.60 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105733531 CMS
AstraZeneca Pharmaceuticals LP $14.09 11/12/2024 Food and Beverage Undisputed 01/23/2026 1105481533 CMS
Axsome Therapeutics, Inc. $15.35 03/25/2024 Food and Beverage Undisputed 01/23/2026 1148359806 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.70 07/01/2024 Food and Beverage Undisputed 01/23/2026 1086317908 CMS
Bayer Healthcare Pharmaceuticals Inc. $81.91 11/15/2024 Food and Beverage Undisputed 01/23/2026 1086286646 CMS
Dexcom, Inc. $31.19 05/07/2024 Food and Beverage Undisputed 01/23/2026 1153361252 CMS
Exact Sciences Corporation $20.29 11/25/2024 Food and Beverage Undisputed 01/23/2026 1114737738 CMS
GENZYME CORPORATION $22.32 06/24/2024 Food and Beverage Undisputed 01/23/2026 1139859430 CMS
Gilead Sciences, Inc. $51.39 01/11/2024 Food and Beverage Undisputed 01/23/2026 1133687991 CMS
GlaxoSmithKline, LLC. $13.38 03/06/2024 Food and Beverage Undisputed 01/23/2026 1116666059 CMS
GlaxoSmithKline, LLC. $13.14 04/18/2024 Food and Beverage Undisputed 01/23/2026 1116507739 CMS
GlaxoSmithKline, LLC. $14.27 06/06/2024 Food and Beverage Undisputed 01/23/2026 1116178717 CMS
IRONWOOD PHARMACEUTICALS, INC $17.55 04/23/2024 Food and Beverage Undisputed 01/23/2026 1153755834 CMS
IRONWOOD PHARMACEUTICALS, INC $22.49 11/21/2024 Food and Beverage Undisputed 01/23/2026 1153764795 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.58 03/21/2024 Food and Beverage Undisputed 01/23/2026 1143526683 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.30 06/25/2024 Food and Beverage Undisputed 01/23/2026 1143526685 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.95 10/10/2024 Food and Beverage Undisputed 01/23/2026 1143526687 CMS
Janssen Pharmaceuticals, Inc $22.96 07/25/2024 Food and Beverage Undisputed 01/23/2026 1078057870 CMS
Janssen Pharmaceuticals, Inc $15.60 12/02/2024 Food and Beverage Undisputed 01/23/2026 1078057874 CMS
Lilly USA, LLC $71.83 04/11/2024 Food and Beverage Undisputed 01/23/2026 1135687956 CMS
Lilly USA, LLC $25.32 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135638940 CMS
Lilly USA, LLC $20.76 08/01/2024 Food and Beverage Undisputed 01/23/2026 1135672380 CMS
Lilly USA, LLC $17.34 10/02/2024 Food and Beverage Undisputed 01/23/2026 1135659857 CMS
Lilly USA, LLC $22.90 11/18/2024 Food and Beverage Undisputed 01/23/2026 1135650817 CMS
Merck Sharp & Dohme LLC $22.83 04/15/2024 Food and Beverage Undisputed 01/23/2026 1141859080 CMS
Mylan Specialty L.P. $21.27 12/31/2024 Food and Beverage Undisputed 01/23/2026 1147370425 CMS
Nevro Corp. $13.26 02/28/2024 Food and Beverage Undisputed 01/23/2026 1130763633 CMS
Nevro Corp. $28.81 08/29/2024 Food and Beverage Undisputed 01/23/2026 1130763615 CMS
Novartis Pharmaceuticals Corporation $14.84 03/11/2024 Food and Beverage Undisputed 01/23/2026 1087132488 CMS
Novartis Pharmaceuticals Corporation $18.03 04/22/2024 Food and Beverage Undisputed 01/23/2026 1087132500 CMS
Novartis Pharmaceuticals Corporation $18.40 06/11/2024 Food and Beverage Undisputed 01/23/2026 1087132502 CMS
Novo Nordisk Inc $13.56 03/19/2024 Food and Beverage Undisputed 01/23/2026 1100236574 CMS
Novo Nordisk Inc $13.35 04/11/2024 Food and Beverage Undisputed 01/23/2026 1100653859 CMS
Otsuka America Pharmaceutical, Inc. $15.60 03/12/2024 Food and Beverage Undisputed 01/23/2026 1119113697 CMS
Otsuka America Pharmaceutical, Inc. $19.07 05/20/2024 Food and Beverage Undisputed 01/23/2026 1119113699 CMS
Otsuka America Pharmaceutical, Inc. $29.38 10/29/2024 Food and Beverage Undisputed 01/23/2026 1119113701 CMS
Otsuka America Pharmaceutical, Inc. $22.05 11/11/2024 Food and Beverage Undisputed 01/23/2026 1119113703 CMS
Phathom Pharmaceuticals, Inc. $15.70 08/22/2024 Food and Beverage Undisputed 01/23/2026 1151180336 CMS
Philips North America LLC $17.47 03/13/2024 Food and Beverage Undisputed 01/23/2026 1146852955 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.96 06/13/2024 Food and Beverage Undisputed 01/23/2026 1153416234 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $13.85 09/26/2024 Food and Beverage Undisputed 01/23/2026 1153676186 CMS
SANOFI-AVENTIS U.S. LLC $27.84 10/07/2024 Food and Beverage Undisputed 01/23/2026 1139859508 CMS
Sumitomo Pharma America, Inc. $19.67 09/10/2024 Food and Beverage Undisputed 01/23/2026 1148972768 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.56 03/18/2024 Food and Beverage Undisputed 01/23/2026 1137775597 CMS
Takeda Pharmaceuticals U.S.A., Inc. $20.83 06/17/2024 Food and Beverage Undisputed 01/23/2026 1137775599 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.12 09/30/2024 Food and Beverage Undisputed 01/23/2026 1137775601 CMS
Valinor Pharma, LLC $16.95 07/09/2024 Food and Beverage Undisputed 01/23/2026 1130831856 CMS
Xeris Pharmaceuticals, Inc. $17.35 12/17/2024 Food and Beverage Undisputed 01/23/2026 1144626269 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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