Covered recipient · General Payments record

MARLENE HERRERA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1477195527
CMS profile: 10747349
Location: LA VERNIA, TX

General Payments · PY2021–2025

$4,977.48

Reported across 281 records
CMS publication 2026-06-30

Latest program year · PY2025

$1,539.51

93 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 payment	Amount	Records
Food and Beverage	$1,539.51	93

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$296.83	20
Bayer HealthCare Pharmaceuticals Inc.	$266.42	13
Novo Nordisk AS	$198.65	13
PFIZER INC.	$156.24	12
Amgen Inc.	$140.32	11
Acerta Pharma LLC	$135.57	6
Axsome Therapeutics, Inc.	$72.82	4
Lilly USA, LLC	$52.59	2
TOLMAR, INC.	$45.18	3
Exact Sciences Corporation	$39.64	2
Merck Sharp & Dohme Corporation	$37.76	2
Alnylam Pharmaceuticals Inc.	$27.92	1
Antares Pharma, Inc.	$20.67	1
NOVARTIS PHARMACEUTICALS CORPORATION	$19.48	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.91	1
Phathom Pharmaceuticals, Inc.	$10.51	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$375.81	23
PY2022	$531.92	31
PY2023	$973.94	54
PY2024	$1,556.30	80
PY2025	$1,539.51	93

Payment records · PY2025 (93)

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

Program year 2025 2021 2022 2023 2024 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.	$14.72	01/29/2025	Food and Beverage	Undisputed	06/30/2026	1204279465	CMS
ABBVIE INC.	$8.95	03/06/2025	Food and Beverage	Undisputed	06/30/2026	1204279471	CMS
ABBVIE INC.	$16.96	03/20/2025	Food and Beverage	Undisputed	06/30/2026	1204279476	CMS
ABBVIE INC.	$19.66	03/26/2025	Food and Beverage	Undisputed	06/30/2026	1204279480	CMS
ABBVIE INC.	$12.69	04/23/2025	Food and Beverage	Undisputed	06/30/2026	1204279487	CMS
ABBVIE INC.	$9.09	04/30/2025	Food and Beverage	Undisputed	06/30/2026	1204279493	CMS
ABBVIE INC.	$4.69	05/15/2025	Food and Beverage	Undisputed	06/30/2026	1204279498	CMS
ABBVIE INC.	$14.87	06/03/2025	Food and Beverage	Undisputed	06/30/2026	1204279504	CMS
ABBVIE INC.	$30.06	06/30/2025	Food and Beverage	Undisputed	06/30/2026	1204279509	CMS
ABBVIE INC.	$12.78	07/07/2025	Food and Beverage	Undisputed	06/30/2026	1204279513	CMS
ABBVIE INC.	$7.39	07/16/2025	Food and Beverage	Undisputed	06/30/2026	1204279517	CMS
ABBVIE INC.	$8.12	08/07/2025	Food and Beverage	Undisputed	06/30/2026	1204279523	CMS
ABBVIE INC.	$14.31	08/11/2025	Food and Beverage	Undisputed	06/30/2026	1204279528	CMS
ABBVIE INC.	$3.63	09/03/2025	Food and Beverage	Undisputed	06/30/2026	1204279534	CMS
ABBVIE INC.	$31.82	09/18/2025	Food and Beverage	Undisputed	06/30/2026	1204279539	CMS
ABBVIE INC.	$15.01	10/03/2025	Food and Beverage	Undisputed	06/30/2026	1204279545	CMS
ABBVIE INC.	$24.10	10/22/2025	Food and Beverage	Undisputed	06/30/2026	1204279553	CMS
ABBVIE INC.	$16.92	11/05/2025	Food and Beverage	Undisputed	06/30/2026	1204279560	CMS
ABBVIE INC.	$14.32	11/13/2025	Food and Beverage	Undisputed	06/30/2026	1204279566	CMS
ABBVIE INC.	$16.74	11/18/2025	Food and Beverage	Undisputed	06/30/2026	1204279571	CMS
Alnylam Pharmaceuticals Inc.	$27.92	04/02/2025	Food and Beverage	Undisputed	06/30/2026	1212784626	CMS
Amgen Inc.	$14.71	01/09/2025	Food and Beverage	Undisputed	06/30/2026	1229211467	CMS
Amgen Inc.	$15.86	02/24/2025	Food and Beverage	Undisputed	06/30/2026	1229211477	CMS
Amgen Inc.	$14.88	03/31/2025	Food and Beverage	Undisputed	06/30/2026	1229211531	CMS
Amgen Inc.	$13.13	04/25/2025	Food and Beverage	Undisputed	06/30/2026	1229211520	CMS
Amgen Inc.	$11.88	06/16/2025	Food and Beverage	Undisputed	06/30/2026	1229211492	CMS
Amgen Inc.	$13.50	08/20/2025	Food and Beverage	Undisputed	06/30/2026	1229211499	CMS
Amgen Inc.	$11.88	09/26/2025	Food and Beverage	Undisputed	06/30/2026	1229211484	CMS
Amgen Inc.	$5.50	10/28/2025	Food and Beverage	Undisputed	06/30/2026	1229211539	CMS
Amgen Inc.	$15.73	11/12/2025	Food and Beverage	Undisputed	06/30/2026	1229211561	CMS
Amgen Inc.	$13.33	12/12/2025	Food and Beverage	Undisputed	06/30/2026	1229211510	CMS
Amgen Inc.	$9.92	12/17/2025	Food and Beverage	Undisputed	06/30/2026	1229211548	CMS
Antares Pharma, Inc.	$20.67	09/19/2025	Food and Beverage	Undisputed	06/30/2026	1235907688	CMS
AstraZeneca Pharmaceuticals LP	$15.32	01/16/2025	Food and Beverage	Undisputed	06/30/2026	1206133062	CMS
AstraZeneca Pharmaceuticals LP	$17.27	03/05/2025	Food and Beverage	Undisputed	06/30/2026	1206175392	CMS
AstraZeneca Pharmaceuticals LP	$51.07	04/03/2025	Food and Beverage	Undisputed	06/30/2026	1206994109	CMS
AstraZeneca Pharmaceuticals LP	$15.16	06/04/2025	Food and Beverage	Undisputed	06/30/2026	1206921251	CMS
AstraZeneca Pharmaceuticals LP	$14.31	11/20/2025	Food and Beverage	Undisputed	06/30/2026	1206515468	CMS
AstraZeneca Pharmaceuticals LP	$22.44	12/04/2025	Food and Beverage	Undisputed	06/30/2026	1206340484	CMS
Axsome Therapeutics, Inc.	$14.60	04/25/2025	Food and Beverage	Undisputed	06/30/2026	1235728700	CMS
Axsome Therapeutics, Inc.	$14.51	07/25/2025	Food and Beverage	Undisputed	06/30/2026	1235467073	CMS
Axsome Therapeutics, Inc.	$20.68	11/07/2025	Food and Beverage	Undisputed	06/30/2026	1235601216	CMS
Axsome Therapeutics, Inc.	$23.03	12/09/2025	Food and Beverage	Undisputed	06/30/2026	1235656943	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.15	01/07/2025	Food and Beverage	Undisputed	06/30/2026	1225574834	CMS
Bayer Healthcare Pharmaceuticals Inc.	$25.76	02/04/2025	Food and Beverage	Undisputed	06/30/2026	1225574830	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.38	02/26/2025	Food and Beverage	Undisputed	06/30/2026	1225574836	CMS
Bayer Healthcare Pharmaceuticals Inc.	$8.13	04/30/2025	Food and Beverage	Undisputed	06/30/2026	1225574832	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.99	05/19/2025	Food and Beverage	Undisputed	06/30/2026	1225574828	CMS
Bayer Healthcare Pharmaceuticals Inc.	$11.50	08/07/2025	Food and Beverage	Undisputed	06/30/2026	1225574838	CMS
Bayer Healthcare Pharmaceuticals Inc.	$32.15	08/21/2025	Food and Beverage	Undisputed	06/30/2026	1225574840	CMS
Bayer Healthcare Pharmaceuticals Inc.	$11.11	09/24/2025	Food and Beverage	Undisputed	06/30/2026	1225574842	CMS
Bayer Healthcare Pharmaceuticals Inc.	$26.79	10/01/2025	Food and Beverage	Undisputed	06/30/2026	1225574846	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.23	10/21/2025	Food and Beverage	Undisputed	06/30/2026	1225574844	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.23	11/04/2025	Food and Beverage	Undisputed	06/30/2026	1225574848	CMS
Bayer Healthcare Pharmaceuticals Inc.	$26.57	12/02/2025	Food and Beverage	Undisputed	06/30/2026	1225574850	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.43	12/15/2025	Food and Beverage	Undisputed	06/30/2026	1225574852	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.91	02/19/2025	Food and Beverage	Undisputed	06/30/2026	1222746917	CMS
Exact Sciences Corporation	$20.06	03/26/2025	Food and Beverage	Undisputed	06/30/2026	1235419407	CMS
Exact Sciences Corporation	$19.58	06/24/2025	Food and Beverage	Undisputed	06/30/2026	1235419411	CMS
Lilly USA, LLC	$20.67	01/28/2025	Food and Beverage	Undisputed	06/30/2026	1187197562	CMS
Lilly USA, LLC	$31.92	05/27/2025	Food and Beverage	Undisputed	06/30/2026	1187217967	CMS
Merck Sharp & Dohme LLC	$20.80	02/18/2025	Food and Beverage	Undisputed	06/30/2026	1238246977	CMS
Merck Sharp & Dohme LLC	$16.96	10/14/2025	Food and Beverage	Undisputed	06/30/2026	1238246975	CMS
Novartis Pharmaceuticals Corporation	$19.48	05/06/2025	Food and Beverage	Undisputed	06/30/2026	1200375038	CMS
Novo Nordisk Inc	$27.73	01/24/2025	Food and Beverage	Undisputed	06/30/2026	1188910721	CMS
Novo Nordisk Inc	$12.13	02/13/2025	Food and Beverage	Undisputed	06/30/2026	1188295223	CMS
Novo Nordisk Inc	$14.80	02/20/2025	Food and Beverage	Undisputed	06/30/2026	1189023274	CMS
Novo Nordisk Inc	$13.70	04/14/2025	Food and Beverage	Undisputed	06/30/2026	1188228020	CMS
Novo Nordisk Inc	$19.72	04/23/2025	Food and Beverage	Undisputed	06/30/2026	1189099981	CMS
Novo Nordisk Inc	$15.37	05/15/2025	Food and Beverage	Undisputed	06/30/2026	1188710774	CMS
Novo Nordisk Inc	$18.41	06/03/2025	Food and Beverage	Undisputed	06/30/2026	1188266577	CMS
Novo Nordisk Inc	$6.99	07/17/2025	Food and Beverage	Undisputed	06/30/2026	1188597880	CMS
Novo Nordisk Inc	$13.95	08/18/2025	Food and Beverage	Undisputed	06/30/2026	1188445510	CMS
Novo Nordisk Inc	$20.99	09/06/2025	Food and Beverage	Undisputed	06/30/2026	1188778801	CMS
Novo Nordisk Inc	$22.21	10/02/2025	Food and Beverage	Undisputed	06/30/2026	1188369021	CMS
Novo Nordisk Inc	$5.16	10/23/2025	Food and Beverage	Undisputed	06/30/2026	1188297867	CMS
Novo Nordisk Inc	$7.49	11/20/2025	Food and Beverage	Undisputed	06/30/2026	1188359264	CMS
PFIZER INC.	$8.57	01/09/2025	Food and Beverage	Undisputed	06/30/2026	1230901560	CMS
PFIZER INC.	$4.33	01/29/2025	Food and Beverage	Undisputed	06/30/2026	1230986426	CMS
PFIZER INC.	$6.41	02/20/2025	Food and Beverage	Undisputed	06/30/2026	1231023386	CMS
PFIZER INC.	$15.56	03/17/2025	Food and Beverage	Undisputed	06/30/2026	1228896586	CMS
PFIZER INC.	$16.39	05/01/2025	Food and Beverage	Undisputed	06/30/2026	1228924772	CMS
PFIZER INC.	$3.70	05/01/2025	Food and Beverage	Undisputed	06/30/2026	1230857655	CMS
PFIZER INC.	$0.25	05/01/2025	Food and Beverage	Undisputed	06/30/2026	1230931324	CMS
PFIZER INC.	$23.68	07/17/2025	Food and Beverage	Undisputed	06/30/2026	1229362820	CMS
PFIZER INC.	$23.35	08/22/2025	Food and Beverage	Undisputed	06/30/2026	1229716664	CMS
PFIZER INC.	$26.38	10/15/2025	Food and Beverage	Undisputed	06/30/2026	1230693224	CMS
PFIZER INC.	$23.08	12/08/2025	Food and Beverage	Undisputed	06/30/2026	1230846629	CMS
PFIZER INC.	$4.54	12/18/2025	Food and Beverage	Undisputed	06/30/2026	1230940021	CMS
Phathom Pharmaceuticals, Inc.	$10.51	06/16/2025	Food and Beverage	Undisputed	06/30/2026	1219341396	CMS
TOLMAR, INC.	$15.89	04/01/2025	Food and Beverage	Undisputed	06/30/2026	1237011303	CMS
TOLMAR, INC.	$15.76	04/29/2025	Food and Beverage	Undisputed	06/30/2026	1237011327	CMS
TOLMAR, INC.	$13.53	07/10/2025	Food and Beverage	Undisputed	06/30/2026	1237011337	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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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.