Covered recipient · General Payments record
ASHLEY MARIE FLETCHER
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2023
$398.95
- Reported across 21 records
- CMS publication 2026-01-23
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
PY2023 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $256.52 | 12 |
By paying entity
PY2023 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| USWM, LLC | $107.08 | 4 |
| Lilly USA, LLC | $58.45 | 3 |
| Alkermes, Inc. | $26.20 | 1 |
| Indivior Inc. | $19.78 | 1 |
| ABBVIE INC. | $17.29 | 1 |
| Astellas Pharma US Inc | $14.19 | 1 |
| Exact Sciences Corporation | $13.53 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2023 (12)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| ABBVIE INC. | $17.29 | 09/26/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1004060617 | CMS |
| Alkermes, Inc. | $26.20 | 09/21/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1022816645 | CMS |
| Astellas Pharma US Inc | $14.19 | 06/20/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1034199717 | CMS |
| Exact Sciences Corporation | $13.53 | 02/21/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1026831273 | CMS |
| Indivior Inc. | $19.78 | 10/13/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1034318935 | CMS |
| Lilly USA, LLC | $18.75 | 01/10/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1032717279 | CMS |
| Lilly USA, LLC | $20.26 | 05/14/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1032518901 | CMS |
| Lilly USA, LLC | $19.44 | 06/20/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1032518909 | CMS |
| USWM, LLC | $21.89 | 04/17/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1028825835 | CMS |
| USWM, LLC | $21.89 | 04/17/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1028960545 | CMS |
| USWM, LLC | $31.65 | 08/16/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1028825931 | CMS |
| USWM, LLC | $31.65 | 08/16/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1028960703 | 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
- Source files
- Dataset page · Bulk file · PY2021 , PY2022 , PY2023
- Generated from
- OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv
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