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

JOAN ALVIAR FRAINO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1487025375
CMS profile
10721954
Location
PLEASANTON, CA

General Payments · PY2021–2024

$3,323.26

  • Reported across 127 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$981.15

31 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 $953.88 30
Education $27.27 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,140.46 58
PY2022 $437.62 19
PY2023 $764.03 19
PY2024 $981.15 31

Payment records · PY2024 (31)

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
Alkermes, Inc. $5.94 02/20/2024 Food and Beverage Undisputed 01/23/2026 1120500452 CMS
Alkermes, Inc. $11.67 02/20/2024 Food and Beverage Undisputed 01/23/2026 1120500454 CMS
Alkermes, Inc. $20.00 05/01/2024 Food and Beverage Undisputed 01/23/2026 1120500456 CMS
Alkermes, Inc. $105.84 05/22/2024 Food and Beverage Undisputed 01/23/2026 1120500458 CMS
Alkermes, Inc. $22.73 12/13/2024 Food and Beverage Undisputed 01/23/2026 1120500460 CMS
E.R. Squibb & Sons, L.L.C. $8.17 08/22/2024 Food and Beverage Undisputed 01/23/2026 1101247288 CMS
E.R. Squibb & Sons, L.L.C. $113.95 09/17/2024 Food and Beverage Undisputed 01/23/2026 1101247298 CMS
E.R. Squibb & Sons, L.L.C. $109.02 11/05/2024 Food and Beverage Undisputed 01/23/2026 1101247318 CMS
E.R. Squibb & Sons, L.L.C. $27.27 11/14/2024 Education Undisputed 01/23/2026 1101247300 CMS
E.R. Squibb & Sons, L.L.C. $23.49 11/14/2024 Food and Beverage Undisputed 01/23/2026 1101247306 CMS
Lundbeck LLC $26.67 04/18/2024 Food and Beverage Undisputed 01/23/2026 1146022375 CMS
Novo Nordisk Inc $13.82 02/27/2024 Food and Beverage Undisputed 01/23/2026 1100652175 CMS
Novo Nordisk Inc $16.16 12/17/2024 Food and Beverage Undisputed 01/23/2026 1100339726 CMS
Organon Llc $25.39 03/21/2024 Food and Beverage Undisputed 01/23/2026 1136187898 CMS
Otsuka America Pharmaceutical, Inc. $26.48 06/13/2024 Food and Beverage Undisputed 01/23/2026 1119073546 CMS
Otsuka America Pharmaceutical, Inc. $18.36 10/17/2024 Food and Beverage Undisputed 01/23/2026 1119073548 CMS
Phadia US Inc. $18.30 05/16/2024 Food and Beverage Undisputed 01/23/2026 1067580444 CMS
SCILEX PHARMACEUTICALS INC. $23.38 03/26/2024 Food and Beverage Undisputed 01/23/2026 1136232465 CMS
SCILEX PHARMACEUTICALS INC. $24.11 05/14/2024 Food and Beverage Undisputed 01/23/2026 1136243965 CMS
SCILEX PHARMACEUTICALS INC. $24.68 07/11/2024 Food and Beverage Undisputed 01/23/2026 1136255922 CMS
SCILEX PHARMACEUTICALS INC. $22.54 08/13/2024 Food and Beverage Undisputed 01/23/2026 1136263684 CMS
SCILEX PHARMACEUTICALS INC. $22.47 08/29/2024 Food and Beverage Undisputed 01/23/2026 1136267763 CMS
SCILEX PHARMACEUTICALS INC. $23.45 11/01/2024 Food and Beverage Undisputed 01/23/2026 1136281617 CMS
SCILEX PHARMACEUTICALS INC. $22.32 12/05/2024 Food and Beverage Undisputed 01/23/2026 1136288295 CMS
SCILEX PHARMACEUTICALS INC. $22.77 12/24/2024 Food and Beverage Undisputed 01/23/2026 1136292667 CMS
Teva Pharmaceuticals USA, Inc. $31.51 09/26/2024 Food and Beverage Undisputed 01/23/2026 1151584343 CMS
Teva Pharmaceuticals USA, Inc. $13.43 10/03/2024 Food and Beverage Undisputed 01/23/2026 1151584345 CMS
Teva Pharmaceuticals USA, Inc. $17.32 10/03/2024 Food and Beverage Undisputed 01/23/2026 1151584347 CMS
Teva Pharmaceuticals USA, Inc. $41.31 11/22/2024 Food and Beverage Undisputed 01/23/2026 1151584379 CMS
Teva Pharmaceuticals USA, Inc. $78.09 12/03/2024 Food and Beverage Undisputed 01/23/2026 1151584381 CMS
Teva Pharmaceuticals USA, Inc. $20.51 12/12/2024 Food and Beverage Undisputed 01/23/2026 1151584383 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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