Covered recipient · General Payments record

JULE U LESNESKI

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care

NPI: 1528470846
CMS profile: 10880337
Location: JOHNSTOWN, PA

General Payments · PY2021–2024

$4,619.80

Reported across 292 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,687.59

102 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	$1,687.59	102

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$316.70	21
PFIZER INC.	$241.95	16
Novo Nordisk AS	$188.35	12
Lilly USA, LLC	$151.25	9
Amgen Inc.	$142.21	8
Exact Sciences Corporation	$88.73	4
Bayer HealthCare Pharmaceuticals Inc.	$70.36	4
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$64.29	4
Phathom Pharmaceuticals, Inc.	$62.95	4
Acerta Pharma LLC	$62.82	4
Astellas Pharma US Inc	$61.02	3
DEXCOM, INC.	$57.65	3
Merck Sharp & Dohme Corporation	$44.14	2
Esperion Therapeutics, Inc.	$34.71	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$28.97	2
Otsuka America Pharmaceutical, Inc.	$26.91	1
BOSTON SCIENTIFIC CORPORATION	$15.61	1
iRhythm Technologies, Inc.	$15.42	1
GlaxoSmithKline, LLC.	$13.55	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$495.88	36
PY2022	$948.18	59
PY2023	$1,488.15	95
PY2024	$1,687.59	102

Payment records · PY2024 (102)

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

Program year 2024 2021 2022 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.	$4.67	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1107530813	CMS
ABBVIE INC.	$5.98	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1107530815	CMS
ABBVIE INC.	$24.69	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1107530817	CMS
ABBVIE INC.	$17.36	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1107530819	CMS
ABBVIE INC.	$12.10	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1107530821	CMS
ABBVIE INC.	$16.05	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1107530823	CMS
ABBVIE INC.	$24.09	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1107530825	CMS
ABBVIE INC.	$13.78	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1107530827	CMS
ABBVIE INC.	$5.49	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1107530829	CMS
ABBVIE INC.	$6.92	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1107530831	CMS
ABBVIE INC.	$18.18	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1107530833	CMS
ABBVIE INC.	$9.72	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1107530835	CMS
ABBVIE INC.	$19.35	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1107530837	CMS
ABBVIE INC.	$17.76	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1107530839	CMS
ABBVIE INC.	$11.42	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1107530841	CMS
ABBVIE INC.	$32.34	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1107530843	CMS
ABBVIE INC.	$17.08	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1107530845	CMS
ABBVIE INC.	$14.72	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1107530847	CMS
ABBVIE INC.	$16.04	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1107530849	CMS
ABBVIE INC.	$7.39	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1107530851	CMS
ABBVIE INC.	$21.57	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1107530853	CMS
Amgen Inc.	$19.56	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1117610093	CMS
Amgen Inc.	$11.39	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1117309367	CMS
Amgen Inc.	$16.43	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1117610095	CMS
Amgen Inc.	$17.01	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1117309369	CMS
Amgen Inc.	$23.43	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1117610097	CMS
Amgen Inc.	$16.80	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1117610099	CMS
Amgen Inc.	$18.59	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1117309371	CMS
Amgen Inc.	$19.00	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1117610101	CMS
Astellas Pharma US Inc	$15.60	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1139503405	CMS
Astellas Pharma US Inc	$24.90	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1139521142	CMS
Astellas Pharma US Inc	$20.52	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1139543574	CMS
AstraZeneca Pharmaceuticals LP	$14.76	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1104313056	CMS
AstraZeneca Pharmaceuticals LP	$14.45	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1105737923	CMS
AstraZeneca Pharmaceuticals LP	$14.19	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1104306064	CMS
AstraZeneca Pharmaceuticals LP	$19.42	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1104555868	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.12	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1086322006	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.32	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1086308847	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.63	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1086329158	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.29	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1086318174	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.36	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1118046848	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.61	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1118046850	CMS
Boston Scientific Corporation	$15.61	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1092306269	CMS
Dexcom, Inc.	$23.22	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1153368339	CMS
Dexcom, Inc.	$15.49	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1153368341	CMS
Dexcom, Inc.	$18.94	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1153368343	CMS
Esperion Therapeutics, Inc.	$19.75	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1129470978	CMS
Esperion Therapeutics, Inc.	$14.96	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1129470980	CMS
Exact Sciences Corporation	$19.80	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1114562737	CMS
Exact Sciences Corporation	$17.68	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1114562740	CMS
Exact Sciences Corporation	$16.49	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1114562744	CMS
Exact Sciences Corporation	$34.76	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1114562749	CMS
GlaxoSmithKline, LLC.	$13.55	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1116259825	CMS
iRhythm Technologies, Inc.	$15.42	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1154040477	CMS
Lilly USA, LLC	$18.68	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1135647505	CMS
Lilly USA, LLC	$17.65	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1135717774	CMS
Lilly USA, LLC	$13.57	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1135728869	CMS
Lilly USA, LLC	$20.27	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1135717772	CMS
Lilly USA, LLC	$17.88	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1135661575	CMS
Lilly USA, LLC	$19.95	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1135728867	CMS
Lilly USA, LLC	$15.83	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1135719836	CMS
Lilly USA, LLC	$15.46	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1135701834	CMS
Lilly USA, LLC	$11.96	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1135661577	CMS
Merck Sharp & Dohme LLC	$30.79	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1141749101	CMS
Merck Sharp & Dohme LLC	$13.35	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1141749099	CMS
Novo Nordisk Inc	$20.78	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1100550864	CMS
Novo Nordisk Inc	$16.86	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1100280696	CMS
Novo Nordisk Inc	$21.48	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1100545990	CMS
Novo Nordisk Inc	$16.95	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1100332230	CMS
Novo Nordisk Inc	$7.91	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1100287016	CMS
Novo Nordisk Inc	$14.16	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1100609276	CMS
Novo Nordisk Inc	$16.45	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1100271560	CMS
Novo Nordisk Inc	$16.95	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1100447735	CMS
Novo Nordisk Inc	$15.38	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1100398684	CMS
Novo Nordisk Inc	$11.29	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1100431807	CMS
Novo Nordisk Inc	$19.38	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1100439283	CMS
Novo Nordisk Inc	$10.76	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1100388545	CMS
Otsuka America Pharmaceutical, Inc.	$26.91	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1119121692	CMS
PFIZER INC.	$14.61	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1131030945	CMS
PFIZER INC.	$18.57	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1131166927	CMS
PFIZER INC.	$16.23	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1131251428	CMS
PFIZER INC.	$11.95	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1131691679	CMS
PFIZER INC.	$15.09	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1131315218	CMS
PFIZER INC.	$18.99	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1131696875	CMS
PFIZER INC.	$15.25	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1131610615	CMS
PFIZER INC.	$15.89	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1131655660	CMS
PFIZER INC.	$12.53	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1131696877	CMS
PFIZER INC.	$15.05	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1131838294	CMS
PFIZER INC.	$18.68	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1131934718	CMS
PFIZER INC.	$14.08	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1131876203	CMS
PFIZER INC.	$13.56	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1131939127	CMS
PFIZER INC.	$14.01	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1131968459	CMS
PFIZER INC.	$12.61	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1132116734	CMS
PFIZER INC.	$14.85	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1131227046	CMS
Phathom Pharmaceuticals, Inc.	$15.72	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1151183105	CMS
Phathom Pharmaceuticals, Inc.	$15.38	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1151183107	CMS
Phathom Pharmaceuticals, Inc.	$13.44	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1151183109	CMS
Phathom Pharmaceuticals, Inc.	$18.41	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1151183111	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.97	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1153568192	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.85	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1153440469	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.78	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1153628155	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.69	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1153473940	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

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.