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

KARA LINDSEY SIERRA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1568820389
CMS profile
10591443
Location
LITTLE ROCK, AR

General Payments · PY2021–2024

$5,689.71

  • Reported across 330 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,622.37

90 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 $1,608.61 89
Education $13.76 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,079.71 81
PY2022 $1,190.99 69
PY2023 $1,796.64 90
PY2024 $1,622.37 90

Payment records · PY2024 (90)

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. $8.20 01/23/2024 Food and Beverage Undisputed 01/23/2026 1108197122 CMS
ABBVIE INC. $19.34 02/21/2024 Food and Beverage Undisputed 01/23/2026 1108197124 CMS
ABBVIE INC. $18.62 02/26/2024 Food and Beverage Undisputed 01/23/2026 1108197126 CMS
ABBVIE INC. $8.63 02/29/2024 Food and Beverage Undisputed 01/23/2026 1108197128 CMS
ABBVIE INC. $13.82 03/26/2024 Food and Beverage Undisputed 01/23/2026 1108197130 CMS
ABBVIE INC. $15.28 04/30/2024 Food and Beverage Undisputed 01/23/2026 1108197132 CMS
ABBVIE INC. $14.58 05/04/2024 Food and Beverage Undisputed 01/23/2026 1108197134 CMS
ABBVIE INC. $9.18 05/16/2024 Food and Beverage Undisputed 01/23/2026 1108197136 CMS
ABBVIE INC. $9.04 05/16/2024 Food and Beverage Undisputed 01/23/2026 1108197138 CMS
ABBVIE INC. $16.27 05/21/2024 Food and Beverage Undisputed 01/23/2026 1108197140 CMS
ABBVIE INC. $25.91 05/29/2024 Food and Beverage Undisputed 01/23/2026 1108197142 CMS
ABBVIE INC. $15.03 06/04/2024 Food and Beverage Undisputed 01/23/2026 1108197144 CMS
ABBVIE INC. $7.52 06/28/2024 Food and Beverage Undisputed 01/23/2026 1108197146 CMS
ABBVIE INC. $22.61 07/10/2024 Food and Beverage Undisputed 01/23/2026 1108197148 CMS
ABBVIE INC. $10.71 07/17/2024 Food and Beverage Undisputed 01/23/2026 1108197150 CMS
ABBVIE INC. $6.72 08/07/2024 Food and Beverage Undisputed 01/23/2026 1108197152 CMS
ABBVIE INC. $1.78 08/13/2024 Food and Beverage Undisputed 01/23/2026 1108197154 CMS
ABBVIE INC. $8.43 08/20/2024 Food and Beverage Undisputed 01/23/2026 1108197156 CMS
ABBVIE INC. $15.82 08/23/2024 Food and Beverage Undisputed 01/23/2026 1108197158 CMS
ABBVIE INC. $7.72 09/18/2024 Food and Beverage Undisputed 01/23/2026 1108197160 CMS
ABBVIE INC. $22.45 09/23/2024 Food and Beverage Undisputed 01/23/2026 1108197162 CMS
ABBVIE INC. $6.51 10/09/2024 Food and Beverage Undisputed 01/23/2026 1108197164 CMS
ABBVIE INC. $22.57 10/15/2024 Food and Beverage Undisputed 01/23/2026 1108197166 CMS
ABBVIE INC. $13.52 10/22/2024 Food and Beverage Undisputed 01/23/2026 1108197168 CMS
ABBVIE INC. $16.29 11/06/2024 Food and Beverage Undisputed 01/23/2026 1108197170 CMS
ABBVIE INC. $19.88 11/08/2024 Food and Beverage Undisputed 01/23/2026 1108197172 CMS
ABBVIE INC. $7.23 11/13/2024 Food and Beverage Undisputed 01/23/2026 1108197174 CMS
AIMMUNE THERAPEUTICS, INC. $22.61 06/06/2024 Food and Beverage Undisputed 01/23/2026 1146979300 CMS
AIMMUNE THERAPEUTICS, INC. $14.01 10/01/2024 Food and Beverage Undisputed 01/23/2026 1146998506 CMS
AIMMUNE THERAPEUTICS, INC. $16.90 10/31/2024 Food and Beverage Undisputed 01/23/2026 1146988747 CMS
Endogastric Solutions, Inc $24.33 06/05/2024 Food and Beverage Undisputed 01/23/2026 1144678652 CMS
Enterra Medical, Inc. $8.06 02/28/2024 Food and Beverage Undisputed 01/23/2026 1154812709 CMS
Enterra Medical, Inc. $8.53 06/12/2024 Food and Beverage Undisputed 01/23/2026 1154812715 CMS
Enterra Medical, Inc. $21.62 06/18/2024 Food and Beverage Undisputed 01/23/2026 1154812719 CMS
Enterra Medical, Inc. $11.01 08/06/2024 Food and Beverage Undisputed 01/23/2026 1154812721 CMS
Enterra Medical, Inc. $161.76 09/13/2024 Food and Beverage Undisputed 01/23/2026 1154812725 CMS
Gilead Sciences, Inc. $25.59 08/28/2024 Food and Beverage Undisputed 01/23/2026 1133690176 CMS
Gilead Sciences, Inc. $21.62 09/18/2024 Food and Beverage Undisputed 01/23/2026 1133690178 CMS
Gilead Sciences, Inc. $23.59 10/25/2024 Food and Beverage Undisputed 01/23/2026 1133690180 CMS
Intercept Pharmaceuticals, Inc. $14.94 05/21/2024 Food and Beverage Undisputed 01/23/2026 1113650405 CMS
IRONWOOD PHARMACEUTICALS, INC $15.08 05/08/2024 Food and Beverage Undisputed 01/23/2026 1153738331 CMS
Janssen Biotech, Inc. $32.26 02/02/2024 Food and Beverage Undisputed 01/23/2026 1078270369 CMS
Janssen Biotech, Inc. $17.72 02/28/2024 Food and Beverage Undisputed 01/23/2026 1078269491 CMS
Janssen Biotech, Inc. $8.65 05/08/2024 Food and Beverage Undisputed 01/23/2026 1078270711 CMS
Janssen Biotech, Inc. $20.66 05/28/2024 Food and Beverage Undisputed 01/23/2026 1078270071 CMS
Janssen Biotech, Inc. $2.97 06/25/2024 Food and Beverage Undisputed 01/23/2026 1078270815 CMS
Janssen Biotech, Inc. $8.48 08/28/2024 Food and Beverage Undisputed 01/23/2026 1078269459 CMS
Janssen Biotech, Inc. $12.04 10/04/2024 Food and Beverage Undisputed 01/23/2026 1078270379 CMS
Janssen Biotech, Inc. $30.60 11/12/2024 Food and Beverage Undisputed 01/23/2026 1078269415 CMS
Lilly USA, LLC $21.78 07/24/2024 Food and Beverage Undisputed 01/23/2026 1135721409 CMS
Lilly USA, LLC $19.18 11/11/2024 Food and Beverage Undisputed 01/23/2026 1135664277 CMS
PFIZER INC. $17.74 01/10/2024 Food and Beverage Undisputed 01/23/2026 1131111292 CMS
PFIZER INC. $8.93 02/07/2024 Food and Beverage Undisputed 01/23/2026 1131815254 CMS
PFIZER INC. $8.51 04/01/2024 Food and Beverage Undisputed 01/23/2026 1131712708 CMS
PFIZER INC. $8.49 04/02/2024 Food and Beverage Undisputed 01/23/2026 1131713110 CMS
PFIZER INC. $121.64 04/02/2024 Food and Beverage Undisputed 01/23/2026 1131815252 CMS
PFIZER INC. $7.89 05/24/2024 Food and Beverage Undisputed 01/23/2026 1131722580 CMS
PFIZER INC. $10.51 06/07/2024 Food and Beverage Undisputed 01/23/2026 1131735156 CMS
Phathom Pharmaceuticals, Inc. $91.14 04/10/2024 Food and Beverage Undisputed 01/23/2026 1151205441 CMS
Phathom Pharmaceuticals, Inc. $6.42 04/16/2024 Food and Beverage Undisputed 01/23/2026 1151205443 CMS
Phathom Pharmaceuticals, Inc. $14.16 05/14/2024 Food and Beverage Undisputed 01/23/2026 1151205445 CMS
Phathom Pharmaceuticals, Inc. $7.72 06/04/2024 Food and Beverage Undisputed 01/23/2026 1151205447 CMS
Phathom Pharmaceuticals, Inc. $6.22 06/18/2024 Food and Beverage Undisputed 01/23/2026 1151205449 CMS
Phathom Pharmaceuticals, Inc. $7.11 06/26/2024 Food and Beverage Undisputed 01/23/2026 1151205451 CMS
Phathom Pharmaceuticals, Inc. $7.84 07/16/2024 Food and Beverage Undisputed 01/23/2026 1151205453 CMS
Phathom Pharmaceuticals, Inc. $6.47 07/23/2024 Food and Beverage Undisputed 01/23/2026 1151205455 CMS
Phathom Pharmaceuticals, Inc. $9.35 08/06/2024 Food and Beverage Undisputed 01/23/2026 1151205457 CMS
Phathom Pharmaceuticals, Inc. $7.87 08/28/2024 Food and Beverage Undisputed 01/23/2026 1151205459 CMS
Phathom Pharmaceuticals, Inc. $6.33 09/17/2024 Food and Beverage Undisputed 01/23/2026 1151205461 CMS
Phathom Pharmaceuticals, Inc. $6.25 09/24/2024 Food and Beverage Undisputed 01/23/2026 1151205463 CMS
Phathom Pharmaceuticals, Inc. $7.54 10/16/2024 Food and Beverage Undisputed 01/23/2026 1151205465 CMS
Regeneron Healthcare Solutions, Inc. $25.29 01/31/2024 Food and Beverage Undisputed 01/23/2026 1114372301 CMS
Regeneron Healthcare Solutions, Inc. $16.71 09/04/2024 Food and Beverage Undisputed 01/23/2026 1114372303 CMS
Regeneron Healthcare Solutions, Inc. $24.35 10/16/2024 Food and Beverage Undisputed 01/23/2026 1114372305 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $6.95 01/11/2024 Food and Beverage Undisputed 01/23/2026 1153690564 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $8.34 03/06/2024 Food and Beverage Undisputed 01/23/2026 1153570370 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.42 04/17/2024 Food and Beverage Undisputed 01/23/2026 1153523501 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.50 05/13/2024 Food and Beverage Undisputed 01/23/2026 1153530149 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.54 06/04/2024 Food and Beverage Undisputed 01/23/2026 1153567566 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.82 06/06/2024 Food and Beverage Undisputed 01/23/2026 1153462910 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $5.14 07/10/2024 Food and Beverage Undisputed 01/23/2026 1153393774 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.93 07/10/2024 Food and Beverage Undisputed 01/23/2026 1153493761 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.64 07/31/2024 Food and Beverage Undisputed 01/23/2026 1153563204 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.83 08/21/2024 Food and Beverage Undisputed 01/23/2026 1153629433 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.23 09/18/2024 Food and Beverage Undisputed 01/23/2026 1153441315 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.45 10/04/2024 Food and Beverage Undisputed 01/23/2026 1153691568 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.38 11/04/2024 Food and Beverage Undisputed 01/23/2026 1153736753 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.76 03/28/2024 Education Undisputed 01/23/2026 1137824002 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.71 07/16/2024 Food and Beverage Undisputed 01/23/2026 1137824004 CMS
VIVUS LLC $16.60 12/18/2024 Food and Beverage Undisputed 01/23/2026 1129421163 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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