Covered recipient · General Payments record

ANDRANIK AVAKIAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI: 1528599982
CMS profile: 10512578
Location: FRESNO, CA

General Payments · PY2021–2024

$6,725.55

Reported across 462 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,969.47

119 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	$1,969.47	119

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$371.67	32
Otsuka America Pharmaceutical, Inc.	$316.02	20
ITI, Inc.	$279.88	18
Lundbeck LLC	$216.27	12
Alkermes, Inc.	$197.75	10
Vanda Pharmaceuticals Inc.	$96.69	6
Axsome Therapeutics, Inc.	$95.99	4
Teva Pharmaceuticals USA, Inc.	$69.61	3
IRONSHORE PHARMACEUTICALS INC.	$65.75	3
Janssen Pharmaceuticals, Inc	$61.21	2
Corium, Inc.	$46.60	2
Supernus Pharmaceuticals, Inc.	$40.09	2
Tempus AI, Inc	$29.41	1
E.R. Squibb & Sons, L.L.C.	$24.01	1
Sage Therapeutics, Inc.	$21.10	1
Azurity Pharmaceuticals, Inc.	$20.49	1
Neurocrine BioSciences, Inc.	$16.93	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,747.59	132
PY2022	$1,430.19	110
PY2023	$1,578.30	101
PY2024	$1,969.47	119

Payment records · PY2024 (119)

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.	$33.24	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1106462618	CMS
ABBVIE INC.	$8.15	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1106462620	CMS
ABBVIE INC.	$9.73	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1106462622	CMS
ABBVIE INC.	$6.76	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1106462624	CMS
ABBVIE INC.	$12.18	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1106462626	CMS
ABBVIE INC.	$6.81	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1106462628	CMS
ABBVIE INC.	$34.83	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1106462630	CMS
ABBVIE INC.	$4.44	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1106462632	CMS
ABBVIE INC.	$11.21	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1106462634	CMS
ABBVIE INC.	$5.11	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1106462636	CMS
ABBVIE INC.	$4.70	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1106462638	CMS
ABBVIE INC.	$12.67	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1106462640	CMS
ABBVIE INC.	$18.22	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1106462642	CMS
ABBVIE INC.	$5.36	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1106462644	CMS
ABBVIE INC.	$6.84	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1106462646	CMS
ABBVIE INC.	$11.17	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1106462648	CMS
ABBVIE INC.	$23.35	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1106462650	CMS
ABBVIE INC.	$4.81	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1106462652	CMS
ABBVIE INC.	$5.37	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1106462654	CMS
ABBVIE INC.	$9.93	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1106462656	CMS
ABBVIE INC.	$22.70	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1106462658	CMS
ABBVIE INC.	$4.34	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1106462660	CMS
ABBVIE INC.	$6.42	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1106462662	CMS
ABBVIE INC.	$14.44	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1106462664	CMS
ABBVIE INC.	$7.12	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1106462666	CMS
ABBVIE INC.	$9.82	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1106462668	CMS
ABBVIE INC.	$5.25	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1106462670	CMS
ABBVIE INC.	$5.67	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1106462672	CMS
ABBVIE INC.	$15.06	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1106462674	CMS
ABBVIE INC.	$5.96	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1106462676	CMS
ABBVIE INC.	$17.63	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1106462678	CMS
ABBVIE INC.	$22.38	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1106462680	CMS
Alkermes, Inc.	$25.43	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1120460561	CMS
Alkermes, Inc.	$3.51	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1120460563	CMS
Alkermes, Inc.	$12.42	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1120460565	CMS
Alkermes, Inc.	$21.80	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1120460567	CMS
Alkermes, Inc.	$18.47	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1120460569	CMS
Alkermes, Inc.	$22.93	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1120460571	CMS
Alkermes, Inc.	$23.24	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1120460573	CMS
Alkermes, Inc.	$30.82	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1120460575	CMS
Alkermes, Inc.	$25.51	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1120460577	CMS
Alkermes, Inc.	$13.62	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1120460579	CMS
Axsome Therapeutics, Inc.	$24.15	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1148335201	CMS
Axsome Therapeutics, Inc.	$20.65	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1148335203	CMS
Axsome Therapeutics, Inc.	$31.74	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1148335205	CMS
Axsome Therapeutics, Inc.	$19.45	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1148335207	CMS
Azurity Pharmaceuticals, Inc.	$20.49	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1134015217	CMS
Corium, LLC	$19.31	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1100175722	CMS
Corium, LLC	$27.29	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1100196274	CMS
E.R. Squibb & Sons, L.L.C.	$24.01	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1101677470	CMS
IRONSHORE PHARMACEUTICALS INC.	$17.98	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1146275138	CMS
IRONSHORE PHARMACEUTICALS INC.	$23.48	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1146275326	CMS
IRONSHORE PHARMACEUTICALS INC.	$24.29	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1146328051	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$6.98	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1143364363	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.87	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1143364367	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$11.95	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1143364371	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.59	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1143364375	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.50	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1143364378	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$24.32	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1143364382	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.30	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1143364386	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.03	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1143364389	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$10.61	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1143364393	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.88	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1143364397	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.92	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1143364400	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.99	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1143364404	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.61	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1143364408	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$13.42	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1143364411	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.27	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1143364415	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.80	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1143364419	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$10.48	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1143364422	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$14.36	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1143364426	CMS
Janssen Pharmaceuticals, Inc	$36.94	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1077924299	CMS
Janssen Pharmaceuticals, Inc	$24.27	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1077924379	CMS
Lundbeck LLC	$3.78	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1145989974	CMS
Lundbeck LLC	$21.77	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1145989976	CMS
Lundbeck LLC	$18.55	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1145989978	CMS
Lundbeck LLC	$34.00	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1145989980	CMS
Lundbeck LLC	$21.57	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1145989982	CMS
Lundbeck LLC	$2.00	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1145989984	CMS
Lundbeck LLC	$2.00	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1145989986	CMS
Lundbeck LLC	$2.00	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1145989988	CMS
Lundbeck LLC	$33.37	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1145989990	CMS
Lundbeck LLC	$23.71	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1145989992	CMS
Lundbeck LLC	$21.89	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1145989994	CMS
Lundbeck LLC	$31.63	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1145989996	CMS
Neurocrine Biosciences, Inc.	$16.93	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1150995286	CMS
Otsuka America Pharmaceutical, Inc.	$19.86	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1119018922	CMS
Otsuka America Pharmaceutical, Inc.	$20.48	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1119018924	CMS
Otsuka America Pharmaceutical, Inc.	$0.64	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1119018926	CMS
Otsuka America Pharmaceutical, Inc.	$6.66	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1119018928	CMS
Otsuka America Pharmaceutical, Inc.	$6.00	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1119018930	CMS
Otsuka America Pharmaceutical, Inc.	$1.06	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1119018932	CMS
Otsuka America Pharmaceutical, Inc.	$22.26	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1119018934	CMS
Otsuka America Pharmaceutical, Inc.	$9.18	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1119018936	CMS
Otsuka America Pharmaceutical, Inc.	$21.30	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1119018938	CMS
Otsuka America Pharmaceutical, Inc.	$20.67	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1119018940	CMS
Otsuka America Pharmaceutical, Inc.	$26.55	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1119018942	CMS
Otsuka America Pharmaceutical, Inc.	$19.69	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1119018944	CMS
Otsuka America Pharmaceutical, Inc.	$12.71	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1119018946	CMS
Otsuka America Pharmaceutical, Inc.	$19.58	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1119018948	CMS
Otsuka America Pharmaceutical, Inc.	$7.28	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1119018950	CMS
Otsuka America Pharmaceutical, Inc.	$25.57	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1119018952	CMS
Otsuka America Pharmaceutical, Inc.	$13.97	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1119018954	CMS
Otsuka America Pharmaceutical, Inc.	$23.76	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1119018956	CMS
Otsuka America Pharmaceutical, Inc.	$15.65	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1119018958	CMS
Otsuka America Pharmaceutical, Inc.	$23.15	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1119018960	CMS
Sage Therapeutics, Inc.	$21.10	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1120398395	CMS
Supernus Pharmaceuticals, Inc.	$20.00	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1147782852	CMS
Supernus Pharmaceuticals, Inc.	$20.09	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1147782854	CMS
Tempus AI, Inc	$29.41	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1150178283	CMS
Teva Pharmaceuticals USA, Inc.	$21.31	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1151523563	CMS
Teva Pharmaceuticals USA, Inc.	$28.18	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1151523575	CMS
Teva Pharmaceuticals USA, Inc.	$20.12	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1151523595	CMS
Vanda Pharmaceuticals Inc.	$15.81	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1133929836	CMS
Vanda Pharmaceuticals Inc.	$14.88	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1133929838	CMS
Vanda Pharmaceuticals Inc.	$17.31	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1133929840	CMS
Vanda Pharmaceuticals Inc.	$16.55	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1133929842	CMS
Vanda Pharmaceuticals Inc.	$15.03	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1133929844	CMS
Vanda Pharmaceuticals Inc.	$17.11	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1133929846	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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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.