Covered recipient · General Payments record

MISTY MELERINE BREAKFIELD

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI: 1508854993
CMS profile: 11154881
Location: COVINGTON, LA

General Payments · PY2023–2024

$2,548.24

Reported across 151 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,950.77

121 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 payment	Amount	Records
Food and Beverage	$1,950.77	121

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Novo Nordisk AS	$373.07	23
Lilly USA, LLC	$265.83	19
ABBVIE INC.	$257.64	16
PFIZER INC.	$252.05	15
Amgen Inc.	$218.80	15
Takeda Pharmaceuticals U.S.A., Inc.	$97.11	5
Paratek Pharmaceuticals, Inc.	$93.64	6
TOLMAR, INC.	$82.37	5
IBSA Pharma Inc.	$62.49	3
NOVARTIS PHARMACEUTICALS CORPORATION	$29.36	2
Antares Pharma, Inc.	$29.14	1
INTRA-SANA LABORATORIES	$27.46	2
Esperion Therapeutics, Inc.	$22.38	1
Exact Sciences Corporation	$19.94	1
Acella Pharmaceuticals, LLC	$19.85	1
GENZYME CORPORATION	$18.90	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.42	1
Alexion Pharmaceuticals, Inc.	$18.18	1
GlaxoSmithKline, LLC.	$17.43	1
Acerta Pharma LLC	$13.62	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.09	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$597.47	30
PY2024	$1,950.77	121

Payment records · PY2024 (121)

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

Program year 2024 2023 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.	$19.38	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1106818231	CMS
ABBVIE INC.	$14.77	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1106818233	CMS
ABBVIE INC.	$9.58	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1106818235	CMS
ABBVIE INC.	$21.61	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1106818237	CMS
ABBVIE INC.	$8.10	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1106818239	CMS
ABBVIE INC.	$17.27	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1106818241	CMS
ABBVIE INC.	$16.23	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1106818243	CMS
ABBVIE INC.	$1.00	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1106818245	CMS
ABBVIE INC.	$28.88	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1106818247	CMS
ABBVIE INC.	$11.94	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1106818249	CMS
ABBVIE INC.	$26.20	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1106818251	CMS
ABBVIE INC.	$22.77	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1106818253	CMS
ABBVIE INC.	$12.44	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1106818255	CMS
ABBVIE INC.	$22.65	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1106818257	CMS
ABBVIE INC.	$10.89	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1106818259	CMS
ABBVIE INC.	$13.93	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1106818261	CMS
Acella Pharmaceuticals, LLC	$19.85	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1126638298	CMS
Alexion Pharmaceuticals, Inc.	$18.18	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1093983396	CMS
Amgen Inc.	$23.28	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1117513151	CMS
Amgen Inc.	$5.50	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1117513153	CMS
Amgen Inc.	$19.59	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1117513155	CMS
Amgen Inc.	$17.03	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1117513157	CMS
Amgen Inc.	$12.29	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1117209584	CMS
Amgen Inc.	$20.67	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1117513159	CMS
Amgen Inc.	$9.31	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1117209586	CMS
Amgen Inc.	$15.37	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1117209588	CMS
Amgen Inc.	$13.68	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1117513161	CMS
Amgen Inc.	$17.56	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1117209590	CMS
Amgen Inc.	$9.80	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1117209592	CMS
Amgen Inc.	$12.44	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1117513163	CMS
Amgen Inc.	$11.18	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1117209594	CMS
Amgen Inc.	$14.23	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1117513165	CMS
Amgen Inc.	$16.87	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1117513167	CMS
Antares Pharma, Inc.	$29.14	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1146497337	CMS
AstraZeneca Pharmaceuticals LP	$13.62	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1104278607	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.09	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1118038634	CMS
Esperion Therapeutics, Inc.	$22.38	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1129462982	CMS
Exact Sciences Corporation	$19.94	02/17/2024	Food and Beverage	Undisputed	01/23/2026	1114531732	CMS
GENZYME CORPORATION	$18.90	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1139660338	CMS
GlaxoSmithKline, LLC.	$17.43	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1116610132	CMS
IBSA Pharma Inc.	$22.93	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1142985942	CMS
IBSA Pharma Inc.	$24.35	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1142985944	CMS
IBSA Pharma Inc.	$15.21	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1142987850	CMS
Intra-Sana Laboratories	$13.88	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1138621152	CMS
Intra-Sana Laboratories	$13.58	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1138621154	CMS
Lilly USA, LLC	$16.40	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1135902912	CMS
Lilly USA, LLC	$11.21	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1135902910	CMS
Lilly USA, LLC	$11.53	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1135907082	CMS
Lilly USA, LLC	$11.62	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135907438	CMS
Lilly USA, LLC	$14.97	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1135848235	CMS
Lilly USA, LLC	$17.87	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1135907440	CMS
Lilly USA, LLC	$7.11	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1135872139	CMS
Lilly USA, LLC	$18.64	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1135839972	CMS
Lilly USA, LLC	$18.23	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1135839983	CMS
Lilly USA, LLC	$9.69	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1135907080	CMS
Lilly USA, LLC	$12.39	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1135839975	CMS
Lilly USA, LLC	$3.09	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1135848239	CMS
Lilly USA, LLC	$18.33	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1135927114	CMS
Lilly USA, LLC	$15.49	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1135902914	CMS
Lilly USA, LLC	$18.93	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1135895969	CMS
Lilly USA, LLC	$18.88	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1135839979	CMS
Lilly USA, LLC	$4.64	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1135927116	CMS
Lilly USA, LLC	$20.55	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1135895971	CMS
Lilly USA, LLC	$16.26	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1135872143	CMS
Novartis Pharmaceuticals Corporation	$13.52	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1086771211	CMS
Novartis Pharmaceuticals Corporation	$15.84	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1086771215	CMS
Novo Nordisk Inc	$18.88	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1100619804	CMS
Novo Nordisk Inc	$12.90	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1100261869	CMS
Novo Nordisk Inc	$15.23	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1100442331	CMS
Novo Nordisk Inc	$17.33	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1100286706	CMS
Novo Nordisk Inc	$0.89	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1100224994	CMS
Novo Nordisk Inc	$18.18	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1100569588	CMS
Novo Nordisk Inc	$14.25	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1100598971	CMS
Novo Nordisk Inc	$16.02	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1100599927	CMS
Novo Nordisk Inc	$20.50	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1100346290	CMS
Novo Nordisk Inc	$15.72	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1100323694	CMS
Novo Nordisk Inc	$18.96	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1100260603	CMS
Novo Nordisk Inc	$0.93	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1100576472	CMS
Novo Nordisk Inc	$21.53	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1100578790	CMS
Novo Nordisk Inc	$18.91	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1100373246	CMS
Novo Nordisk Inc	$17.48	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1100355104	CMS
Novo Nordisk Inc	$12.94	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1100500939	CMS
Novo Nordisk Inc	$22.92	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1100362471	CMS
Novo Nordisk Inc	$16.77	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1100366387	CMS
Novo Nordisk Inc	$18.76	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1100324328	CMS
Novo Nordisk Inc	$18.46	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1100520701	CMS
Novo Nordisk Inc	$19.87	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1100410115	CMS
Novo Nordisk Inc	$19.39	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1100430333	CMS
Novo Nordisk Inc	$16.25	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1100250402	CMS
Paratek Pharmaceuticals, Inc.	$13.26	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1113925646	CMS
Paratek Pharmaceuticals, Inc.	$16.99	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1113925648	CMS
Paratek Pharmaceuticals, Inc.	$16.67	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1113925650	CMS
Paratek Pharmaceuticals, Inc.	$13.87	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1113925652	CMS
Paratek Pharmaceuticals, Inc.	$16.94	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1113925654	CMS
Paratek Pharmaceuticals, Inc.	$15.91	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1113925656	CMS
PFIZER INC.	$21.35	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1131804735	CMS
PFIZER INC.	$18.48	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1131809371	CMS
PFIZER INC.	$18.61	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1131805885	CMS
PFIZER INC.	$18.70	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1131807865	CMS
PFIZER INC.	$5.49	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1131819690	CMS
PFIZER INC.	$16.49	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1131817554	CMS
PFIZER INC.	$21.21	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1131819343	CMS
PFIZER INC.	$10.05	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1131817348	CMS
PFIZER INC.	$17.83	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1131818784	CMS
PFIZER INC.	$17.63	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1131831192	CMS
PFIZER INC.	$18.10	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1131829773	CMS
PFIZER INC.	$18.41	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1131859543	CMS
PFIZER INC.	$20.76	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1132071451	CMS
PFIZER INC.	$13.61	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1131190047	CMS
PFIZER INC.	$15.33	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1131405047	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.42	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1153520616	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.84	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1137717548	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$14.03	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1137717550	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.19	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1137717552	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.71	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1137717554	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.34	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1137717556	CMS
Tolmar, Inc.	$17.84	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1138720614	CMS
Tolmar, Inc.	$18.48	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1138717162	CMS
Tolmar, Inc.	$14.59	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1138717168	CMS
Tolmar, Inc.	$15.10	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1138717164	CMS
Tolmar, Inc.	$16.36	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1138717166	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: 2023, 2024
Source files: Dataset page · Bulk file · 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.

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.