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

MELISSA GEGG-GARZA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1467821710
CMS profile
10773821
Location
WESLACO, TX

General Payments · PY2021–2024

$819.69

  • Reported across 44 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$270.23

17 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 $270.23 17

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
SHIELD THERAPEUTICS INC $176.75 12
Astellas Pharma US Inc $53.31 3
Evofem Biosciences, Inc. $40.17 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $51.26 3
PY2022 $318.47 15
PY2023 $179.73 9
PY2024 $270.23 17

Payment records · PY2024 (17)

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
Astellas Pharma US Inc $16.14 03/13/2024 Food and Beverage Undisputed 01/23/2026 1139463162 CMS
Astellas Pharma US Inc $14.08 05/16/2024 Food and Beverage Undisputed 01/23/2026 1139500154 CMS
Astellas Pharma US Inc $23.09 07/24/2024 Food and Beverage Undisputed 01/23/2026 1139473138 CMS
Evofem Biosciences, Inc. $20.04 10/11/2024 Food and Beverage Undisputed 01/23/2026 1091274840 CMS
Evofem Biosciences, Inc. $20.13 11/25/2024 Food and Beverage Undisputed 01/23/2026 1091274842 CMS
SHIELD THERAPEUTICS INC $14.33 01/23/2024 Food and Beverage Undisputed 01/23/2026 1150117511 CMS
SHIELD THERAPEUTICS INC $15.21 02/05/2024 Food and Beverage Undisputed 01/23/2026 1150119525 CMS
SHIELD THERAPEUTICS INC $18.76 02/19/2024 Food and Beverage Undisputed 01/23/2026 1150121297 CMS
SHIELD THERAPEUTICS INC $20.09 03/06/2024 Food and Beverage Undisputed 01/23/2026 1150122733 CMS
SHIELD THERAPEUTICS INC $22.05 03/27/2024 Food and Beverage Undisputed 01/23/2026 1150125423 CMS
SHIELD THERAPEUTICS INC $4.50 04/23/2024 Food and Beverage Undisputed 01/23/2026 1150127820 CMS
SHIELD THERAPEUTICS INC $21.00 05/02/2024 Food and Beverage Undisputed 01/23/2026 1150129430 CMS
SHIELD THERAPEUTICS INC $9.00 05/18/2024 Food and Beverage Undisputed 01/23/2026 1150131463 CMS
SHIELD THERAPEUTICS INC $19.06 06/05/2024 Food and Beverage Undisputed 01/23/2026 1150133627 CMS
SHIELD THERAPEUTICS INC $17.50 07/10/2024 Food and Beverage Undisputed 01/23/2026 1150137303 CMS
SHIELD THERAPEUTICS INC $8.59 08/08/2024 Food and Beverage Undisputed 01/23/2026 1150141298 CMS
SHIELD THERAPEUTICS INC $6.66 11/09/2024 Food and Beverage Undisputed 01/23/2026 1150153330 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

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