MICHAEL FLECK
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant PALM SPRINGS, CA NPI 1508958893
Browse related groups: Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant CA Acerta Pharma LLC All categories
General Payments — all program years on this page
$226.20
- Category: General Payments
- Program years: PY2024
- Record count: 5
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $226.20 across 5 records · disputed records: 0
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How this figure is 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
Latest program year (PY2024) · sorted by reported total.
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $226.20 | 5 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Acerta Pharma LLC | $111.96 | 1 |
| Averitas Pharma Inc. | $42.21 | 1 |
| Merz Pharmaceuticals, LLC | $35.25 | 1 |
| Amneal Pharmaceuticals LLC | $21.08 | 1 |
| JAZZ PHARMACEUTICALS INC. | $15.70 | 1 |
By program year
| Program year | Amount | Records |
|---|---|---|
| 2024 | $226.20 | 5 |
Records — PY2024 (5)
| Record ID | Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Source |
|---|---|---|---|---|---|---|---|
| 1105637894 | AstraZeneca Pharmaceuticals LP | $111.96 | 04/10/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1133457930 | Averitas Pharma Inc. | $42.21 | 02/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1137959180 | Merz Pharmaceuticals, LLC | $35.25 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1139209888 | Amneal Pharmaceuticals LLC | $21.08 | 01/31/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1151306884 | JAZZ PHARMACEUTICALS INC. | $15.70 | 02/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
Provenance & corrections
- Dataset: CMS Open Payments — General Payments
- Source: CMS Open Payments dataset (bulk file)
- Publisher of source data: Centers for Medicare & Medicaid Services
- Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.