Covered recipient · General Payments record
ELSA M CASIANO RIVERA
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2022–2025
$1,994.81
- Reported across 43 records
- CMS publication 2026-06-30
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 | $1,911.56 | 41 |
| Education | $10.48 | 1 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Janssen Biotech, Inc. | $458.81 | 12 |
| Madrigal Pharmaceuticals | $391.90 | 3 |
| ABBVIE INC. | $308.74 | 12 |
| Gilead Sciences, Inc. | $192.79 | 7 |
| Ipsen Biopharmaceuticals, Inc | $145.28 | 2 |
| Novo Nordisk AS | $144.11 | 2 |
| Takeda Pharmaceuticals U.S.A., Inc. | $124.99 | 1 |
| Lilly USA, LLC | $116.34 | 1 |
| Regeneron Healthcare Solutions, Inc. | $28.60 | 1 |
| Janssen Pharmaceuticals, Inc | $10.48 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (42)
Sorted by paying entity, then date · as published by 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
- 2022, 2025
- Source files
- Dataset page · Bulk file · PY2022 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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