IndustryPayments
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

MARIANNE Y ALFARO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1558949990
CMS profile
10643151
Location
SPRING HILL, FL

General Payments · PY2021–2024

$4,753.31

  • Reported across 248 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,301.65

115 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.

Related groups: Psychiatric/Mental Health FL All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,301.65 115

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Vanda Pharmaceuticals Inc. $556.70 20
Otsuka America Pharmaceutical, Inc. $326.37 18
ABBVIE INC. $293.16 23
Janssen Pharmaceuticals, Inc $234.77 9
Alkermes, Inc. $161.38 11
Lundbeck LLC $102.46 5
Teva Pharmaceuticals USA, Inc. $97.22 4
Noven Therapeutics, LLC $94.23 4
Corium, Inc. $92.05 4
Neurocrine BioSciences, Inc. $65.16 2
IRONSHORE PHARMACEUTICALS INC. $60.47 3
Almatica Pharma Inc. $48.91 3
IDORSIA PHARMACEUTICALS US INC $34.40 2
ITI, Inc. $32.82 2
Neos Therapeutics, LP $32.00 2
Bausch Health US, LLC $25.17 1
Takeda Pharmaceuticals U.S.A., Inc. $23.87 1
E.R. Squibb & Sons, L.L.C. $20.51 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $49.55 2
PY2022 $418.63 22
PY2023 $1,983.48 109
PY2024 $2,301.65 115

Payment records · PY2024 (115)

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

Program year 2024 202120222023 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. $19.40 01/04/2024 Food and Beverage Undisputed 01/23/2026 1106425754 CMS
ABBVIE INC. $9.74 01/16/2024 Food and Beverage Undisputed 01/23/2026 1106425756 CMS
ABBVIE INC. $15.01 01/23/2024 Food and Beverage Undisputed 01/23/2026 1106425758 CMS
ABBVIE INC. $4.36 01/30/2024 Food and Beverage Undisputed 01/23/2026 1106425760 CMS
ABBVIE INC. $15.54 02/06/2024 Food and Beverage Undisputed 01/23/2026 1106425762 CMS
ABBVIE INC. $3.39 02/12/2024 Food and Beverage Undisputed 01/23/2026 1106425764 CMS
ABBVIE INC. $7.63 03/08/2024 Food and Beverage Undisputed 01/23/2026 1106425766 CMS
ABBVIE INC. $5.09 03/20/2024 Food and Beverage Undisputed 01/23/2026 1106425768 CMS
ABBVIE INC. $3.16 04/15/2024 Food and Beverage Undisputed 01/23/2026 1106425770 CMS
ABBVIE INC. $2.80 04/24/2024 Food and Beverage Undisputed 01/23/2026 1106425772 CMS
ABBVIE INC. $7.32 05/08/2024 Food and Beverage Undisputed 01/23/2026 1106425774 CMS
ABBVIE INC. $8.34 06/05/2024 Food and Beverage Undisputed 01/23/2026 1106425776 CMS
ABBVIE INC. $25.66 06/13/2024 Food and Beverage Undisputed 01/23/2026 1106425778 CMS
ABBVIE INC. $15.11 06/20/2024 Food and Beverage Undisputed 01/23/2026 1106425780 CMS
ABBVIE INC. $21.82 07/02/2024 Food and Beverage Undisputed 01/23/2026 1106425782 CMS
ABBVIE INC. $5.58 07/31/2024 Food and Beverage Undisputed 01/23/2026 1106425784 CMS
ABBVIE INC. $34.43 08/08/2024 Food and Beverage Undisputed 01/23/2026 1106425786 CMS
ABBVIE INC. $7.66 08/20/2024 Food and Beverage Undisputed 01/23/2026 1106425788 CMS
ABBVIE INC. $14.81 08/29/2024 Food and Beverage Undisputed 01/23/2026 1106425790 CMS
ABBVIE INC. $21.27 09/04/2024 Food and Beverage Undisputed 01/23/2026 1106425792 CMS
ABBVIE INC. $10.07 09/10/2024 Food and Beverage Undisputed 01/23/2026 1106425794 CMS
ABBVIE INC. $7.60 11/18/2024 Food and Beverage Undisputed 01/23/2026 1106425796 CMS
ABBVIE INC. $27.37 11/22/2024 Food and Beverage Undisputed 01/23/2026 1106425798 CMS
Alkermes, Inc. $17.50 01/04/2024 Food and Beverage Undisputed 01/23/2026 1120456167 CMS
Alkermes, Inc. $16.82 02/01/2024 Food and Beverage Undisputed 01/23/2026 1120456169 CMS
Alkermes, Inc. $22.62 02/21/2024 Food and Beverage Undisputed 01/23/2026 1120456171 CMS
Alkermes, Inc. $7.98 03/21/2024 Food and Beverage Undisputed 01/23/2026 1120456173 CMS
Alkermes, Inc. $11.80 04/10/2024 Food and Beverage Undisputed 01/23/2026 1120456175 CMS
Alkermes, Inc. $10.05 05/21/2024 Food and Beverage Undisputed 01/23/2026 1120456177 CMS
Alkermes, Inc. $12.70 05/29/2024 Food and Beverage Undisputed 01/23/2026 1120456179 CMS
Alkermes, Inc. $9.84 10/23/2024 Food and Beverage Undisputed 01/23/2026 1120456181 CMS
Alkermes, Inc. $22.26 11/06/2024 Food and Beverage Undisputed 01/23/2026 1120456183 CMS
Alkermes, Inc. $16.36 11/21/2024 Food and Beverage Undisputed 01/23/2026 1120456185 CMS
Alkermes, Inc. $13.45 12/05/2024 Food and Beverage Undisputed 01/23/2026 1120456187 CMS
Almatica Pharma LLC $18.93 05/02/2024 Food and Beverage Undisputed 01/23/2026 1137584475 CMS
Almatica Pharma LLC $13.75 07/02/2024 Food and Beverage Undisputed 01/23/2026 1137584479 CMS
Almatica Pharma LLC $16.23 09/17/2024 Food and Beverage Undisputed 01/23/2026 1137584483 CMS
Bausch Health US, LLC $25.17 11/27/2024 Food and Beverage Undisputed 01/23/2026 1148031954 CMS
Corium, LLC $24.34 07/09/2024 Food and Beverage Undisputed 01/23/2026 1100190009 CMS
Corium, LLC $3.15 08/27/2024 Food and Beverage Undisputed 01/23/2026 1100142763 CMS
Corium, LLC $31.49 08/27/2024 Food and Beverage Undisputed 01/23/2026 1100202678 CMS
Corium, LLC $33.07 10/31/2024 Food and Beverage Undisputed 01/23/2026 1100204342 CMS
E.R. Squibb & Sons, L.L.C. $20.51 10/16/2024 Food and Beverage Undisputed 01/23/2026 1101303477 CMS
IDORSIA PHARMACEUTICALS US INC $14.21 11/14/2024 Food and Beverage Undisputed 01/23/2026 1146784616 CMS
IDORSIA PHARMACEUTICALS US INC $20.19 12/06/2024 Food and Beverage Undisputed 01/23/2026 1146783000 CMS
IRONSHORE PHARMACEUTICALS INC. $20.09 01/25/2024 Food and Beverage Undisputed 01/23/2026 1146247915 CMS
IRONSHORE PHARMACEUTICALS INC. $23.81 05/30/2024 Food and Beverage Undisputed 01/23/2026 1146286974 CMS
IRONSHORE PHARMACEUTICALS INC. $16.57 09/30/2024 Food and Beverage Undisputed 01/23/2026 1146295396 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.41 11/13/2024 Food and Beverage Undisputed 01/23/2026 1143356101 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.41 12/08/2024 Food and Beverage Undisputed 01/23/2026 1143356105 CMS
Janssen Pharmaceuticals, Inc $22.69 01/30/2024 Food and Beverage Undisputed 01/23/2026 1077977412 CMS
Janssen Pharmaceuticals, Inc $24.86 02/20/2024 Food and Beverage Undisputed 01/23/2026 1077977382 CMS
Janssen Pharmaceuticals, Inc $20.02 04/03/2024 Food and Beverage Undisputed 01/23/2026 1077977402 CMS
Janssen Pharmaceuticals, Inc $27.93 06/13/2024 Food and Beverage Undisputed 01/23/2026 1077977392 CMS
Janssen Pharmaceuticals, Inc $22.99 07/12/2024 Food and Beverage Undisputed 01/23/2026 1077977424 CMS
Janssen Pharmaceuticals, Inc $34.01 07/19/2024 Food and Beverage Undisputed 01/23/2026 1077977384 CMS
Janssen Pharmaceuticals, Inc $31.22 08/15/2024 Food and Beverage Undisputed 01/23/2026 1077977386 CMS
Janssen Pharmaceuticals, Inc $27.54 09/06/2024 Food and Beverage Undisputed 01/23/2026 1077977410 CMS
Janssen Pharmaceuticals, Inc $23.51 10/03/2024 Food and Beverage Undisputed 01/23/2026 1077977406 CMS
Lundbeck LLC $20.68 02/22/2024 Food and Beverage Undisputed 01/23/2026 1145987020 CMS
Lundbeck LLC $19.15 03/07/2024 Food and Beverage Undisputed 01/23/2026 1145987022 CMS
Lundbeck LLC $19.94 10/14/2024 Food and Beverage Undisputed 01/23/2026 1145987024 CMS
Lundbeck LLC $15.91 11/26/2024 Food and Beverage Undisputed 01/23/2026 1145987026 CMS
Lundbeck LLC $26.78 12/16/2024 Food and Beverage Undisputed 01/23/2026 1145987028 CMS
Neos Therapeutics, LP $17.69 02/13/2024 Food and Beverage Undisputed 01/23/2026 1082667049 CMS
Neos Therapeutics, LP $14.31 04/30/2024 Food and Beverage Undisputed 01/23/2026 1082665687 CMS
Neurocrine Biosciences, Inc. $28.39 09/18/2024 Food and Beverage Undisputed 01/23/2026 1150943907 CMS
Neurocrine Biosciences, Inc. $36.77 11/21/2024 Food and Beverage Undisputed 01/23/2026 1150930491 CMS
Noven Therapeutics, LLC $24.23 01/31/2024 Food and Beverage Undisputed 01/23/2026 1084835302 CMS
Noven Therapeutics, LLC $22.07 04/18/2024 Food and Beverage Undisputed 01/23/2026 1084835306 CMS
Noven Therapeutics, LLC $23.63 05/21/2024 Food and Beverage Undisputed 01/23/2026 1084835304 CMS
Noven Therapeutics, LLC $24.30 08/29/2024 Food and Beverage Undisputed 01/23/2026 1084835308 CMS
Otsuka America Pharmaceutical, Inc. $24.44 01/17/2024 Food and Beverage Undisputed 01/23/2026 1119013554 CMS
Otsuka America Pharmaceutical, Inc. $25.93 02/29/2024 Food and Beverage Undisputed 01/23/2026 1119013556 CMS
Otsuka America Pharmaceutical, Inc. $18.15 03/21/2024 Food and Beverage Undisputed 01/23/2026 1119013558 CMS
Otsuka America Pharmaceutical, Inc. $25.03 04/03/2024 Food and Beverage Undisputed 01/23/2026 1119013560 CMS
Otsuka America Pharmaceutical, Inc. $15.82 04/19/2024 Food and Beverage Undisputed 01/23/2026 1119013562 CMS
Otsuka America Pharmaceutical, Inc. $25.45 05/22/2024 Food and Beverage Undisputed 01/23/2026 1119013564 CMS
Otsuka America Pharmaceutical, Inc. $21.27 07/11/2024 Food and Beverage Undisputed 01/23/2026 1119013566 CMS
Otsuka America Pharmaceutical, Inc. $28.32 08/15/2024 Food and Beverage Undisputed 01/23/2026 1119013568 CMS
Otsuka America Pharmaceutical, Inc. $5.82 08/15/2024 Food and Beverage Undisputed 01/23/2026 1119013570 CMS
Otsuka America Pharmaceutical, Inc. $22.81 08/22/2024 Food and Beverage Undisputed 01/23/2026 1119013572 CMS
Otsuka America Pharmaceutical, Inc. $9.62 08/27/2024 Food and Beverage Undisputed 01/23/2026 1119013574 CMS
Otsuka America Pharmaceutical, Inc. $10.24 09/19/2024 Food and Beverage Undisputed 01/23/2026 1119013576 CMS
Otsuka America Pharmaceutical, Inc. $18.40 10/17/2024 Food and Beverage Undisputed 01/23/2026 1119013578 CMS
Otsuka America Pharmaceutical, Inc. $21.99 10/24/2024 Food and Beverage Undisputed 01/23/2026 1119013580 CMS
Otsuka America Pharmaceutical, Inc. $2.69 10/24/2024 Food and Beverage Undisputed 01/23/2026 1119013582 CMS
Otsuka America Pharmaceutical, Inc. $9.14 11/06/2024 Food and Beverage Undisputed 01/23/2026 1119013584 CMS
Otsuka America Pharmaceutical, Inc. $24.87 11/13/2024 Food and Beverage Undisputed 01/23/2026 1119013586 CMS
Otsuka America Pharmaceutical, Inc. $16.38 12/11/2024 Food and Beverage Undisputed 01/23/2026 1119013588 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.87 04/24/2024 Food and Beverage Undisputed 01/23/2026 1137705357 CMS
Teva Pharmaceuticals USA, Inc. $17.32 02/05/2024 Food and Beverage Undisputed 01/23/2026 1151655377 CMS
Teva Pharmaceuticals USA, Inc. $25.75 04/16/2024 Food and Beverage Undisputed 01/23/2026 1151655447 CMS
Teva Pharmaceuticals USA, Inc. $21.45 06/11/2024 Food and Beverage Undisputed 01/23/2026 1151655501 CMS
Teva Pharmaceuticals USA, Inc. $32.70 07/16/2024 Food and Beverage Undisputed 01/23/2026 1151655519 CMS
Vanda Pharmaceuticals Inc. $28.04 01/19/2024 Food and Beverage Undisputed 01/23/2026 1133928530 CMS
Vanda Pharmaceuticals Inc. $32.40 02/02/2024 Food and Beverage Undisputed 01/23/2026 1133928532 CMS
Vanda Pharmaceuticals Inc. $33.84 03/22/2024 Food and Beverage Undisputed 01/23/2026 1133928534 CMS
Vanda Pharmaceuticals Inc. $28.23 04/17/2024 Food and Beverage Undisputed 01/23/2026 1133928536 CMS
Vanda Pharmaceuticals Inc. $25.01 04/26/2024 Food and Beverage Undisputed 01/23/2026 1133928538 CMS
Vanda Pharmaceuticals Inc. $29.53 06/01/2024 Food and Beverage Undisputed 01/23/2026 1133928540 CMS
Vanda Pharmaceuticals Inc. $7.65 06/04/2024 Food and Beverage Undisputed 01/23/2026 1133928542 CMS
Vanda Pharmaceuticals Inc. $26.93 06/11/2024 Food and Beverage Undisputed 01/23/2026 1133928544 CMS
Vanda Pharmaceuticals Inc. $35.80 06/22/2024 Food and Beverage Undisputed 01/23/2026 1133928546 CMS
Vanda Pharmaceuticals Inc. $32.31 07/12/2024 Food and Beverage Undisputed 01/23/2026 1133928548 CMS
Vanda Pharmaceuticals Inc. $9.14 09/11/2024 Food and Beverage Undisputed 01/23/2026 1133928550 CMS
Vanda Pharmaceuticals Inc. $26.44 09/14/2024 Food and Beverage Undisputed 01/23/2026 1133928552 CMS
Vanda Pharmaceuticals Inc. $39.61 09/25/2024 Food and Beverage Undisputed 01/23/2026 1133928554 CMS
Vanda Pharmaceuticals Inc. $24.58 10/15/2024 Food and Beverage Undisputed 01/23/2026 1133928556 CMS
Vanda Pharmaceuticals Inc. $39.89 10/22/2024 Food and Beverage Undisputed 01/23/2026 1133928558 CMS
Vanda Pharmaceuticals Inc. $31.99 11/02/2024 Food and Beverage Undisputed 01/23/2026 1133928560 CMS
Vanda Pharmaceuticals Inc. $29.53 11/22/2024 Food and Beverage Undisputed 01/23/2026 1133928562 CMS
Vanda Pharmaceuticals Inc. $8.08 11/26/2024 Food and Beverage Undisputed 01/23/2026 1133928564 CMS
Vanda Pharmaceuticals Inc. $33.23 12/14/2024 Food and Beverage Undisputed 01/23/2026 1133928566 CMS
Vanda Pharmaceuticals Inc. $34.47 12/19/2024 Food and Beverage Undisputed 01/23/2026 1133928568 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.

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