Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JOELLE GIRON

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1548958093
CMS profile
11488690
Location
NEW BRAUNFELS, TX

General Payments · PY2023–2024

$346.63

  • Reported across 11 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$155.35

9 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 paymentAmountRecords
Food and Beverage $155.35 9

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Lilly USA, LLC $37.66 2
Exact Sciences Corporation $19.74 1
Teva Pharmaceuticals USA, Inc. $18.80 1
Nevro Corp. $16.81 1
Sumitomo Pharma America, Inc. $16.42 1
DEXCOM, INC. $16.33 1
Medtronic, Inc. $15.20 1
Antares Pharma, Inc. $14.39 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $191.28 2
PY2024 $155.35 9

Payment records · PY2024 (9)

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
Antares Pharma, Inc. $14.39 11/06/2024 Food and Beverage Undisputed 01/23/2026 1146506036 CMS
Dexcom, Inc. $16.33 12/12/2024 Food and Beverage Undisputed 01/23/2026 1153367405 CMS
Exact Sciences Corporation $19.74 11/19/2024 Food and Beverage Undisputed 01/23/2026 1114675462 CMS
Lilly USA, LLC $19.58 09/27/2024 Food and Beverage Undisputed 01/23/2026 1135695046 CMS
Lilly USA, LLC $18.08 11/14/2024 Food and Beverage Undisputed 01/23/2026 1135695048 CMS
Medtronic, Inc. $15.20 11/13/2024 Food and Beverage Undisputed 01/23/2026 1116961108 CMS
Nevro Corp. $16.81 08/26/2024 Food and Beverage Undisputed 01/23/2026 1130777615 CMS
Sumitomo Pharma America, Inc. $16.42 10/10/2024 Food and Beverage Undisputed 01/23/2026 1148962820 CMS
Teva Pharmaceuticals USA, Inc. $18.80 09/03/2024 Food and Beverage Undisputed 01/23/2026 1151594807 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

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