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

CARLOS A LIRA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

NPI
1568925683
CMS profile
10565351
Location
BROWNSVILLE, TX

General Payments · PY2021–2024

$5,458.87

  • Reported across 166 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$959.28

38 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 $959.28 38

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $359.81 8
Lilly USA, LLC $339.14 14
Novo Nordisk AS $142.56 10
Bayer HealthCare Pharmaceuticals Inc. $45.52 2
DEXCOM, INC. $22.93 1
Boehringer Ingelheim Pharmaceuticals, Inc. $21.74 1
ABBVIE INC. $13.80 1
PFIZER INC. $13.78 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,711.05 49
PY2022 $1,543.41 39
PY2023 $1,245.13 40
PY2024 $959.28 38

Payment records · PY2024 (38)

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. $13.80 02/01/2024 Food and Beverage Undisputed 01/23/2026 1107544198 CMS
AstraZeneca Pharmaceuticals LP $13.31 02/22/2024 Food and Beverage Undisputed 01/23/2026 1105387718 CMS
AstraZeneca Pharmaceuticals LP $15.60 03/06/2024 Food and Beverage Undisputed 01/23/2026 1105347508 CMS
AstraZeneca Pharmaceuticals LP $113.98 03/14/2024 Food and Beverage Undisputed 01/23/2026 1104466804 CMS
AstraZeneca Pharmaceuticals LP $40.81 03/27/2024 Food and Beverage Undisputed 01/23/2026 1104379709 CMS
AstraZeneca Pharmaceuticals LP $17.54 07/04/2024 Food and Beverage Undisputed 01/23/2026 1104534169 CMS
AstraZeneca Pharmaceuticals LP $131.72 07/30/2024 Food and Beverage Undisputed 01/23/2026 1104415441 CMS
AstraZeneca Pharmaceuticals LP $13.78 08/27/2024 Food and Beverage Undisputed 01/23/2026 1105622959 CMS
AstraZeneca Pharmaceuticals LP $13.07 12/18/2024 Food and Beverage Undisputed 01/23/2026 1104533889 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.10 09/18/2024 Food and Beverage Undisputed 01/23/2026 1086320958 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.42 11/06/2024 Food and Beverage Undisputed 01/23/2026 1086326512 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.74 10/09/2024 Food and Beverage Undisputed 01/23/2026 1118063500 CMS
Dexcom, Inc. $22.93 12/10/2024 Food and Beverage Undisputed 01/23/2026 1153353110 CMS
Lilly USA, LLC $13.94 01/08/2024 Food and Beverage Undisputed 01/23/2026 1135583852 CMS
Lilly USA, LLC $101.93 01/17/2024 Food and Beverage Undisputed 01/23/2026 1135614335 CMS
Lilly USA, LLC $125.00 02/20/2024 Food and Beverage Undisputed 01/23/2026 1135588761 CMS
Lilly USA, LLC $4.17 03/04/2024 Food and Beverage Undisputed 01/23/2026 1135543363 CMS
Lilly USA, LLC $5.94 04/30/2024 Food and Beverage Undisputed 01/23/2026 1135598657 CMS
Lilly USA, LLC $13.91 06/19/2024 Food and Beverage Undisputed 01/23/2026 1135598659 CMS
Lilly USA, LLC $7.51 07/23/2024 Food and Beverage Undisputed 01/23/2026 1135554970 CMS
Lilly USA, LLC $15.16 07/31/2024 Food and Beverage Undisputed 01/23/2026 1135583854 CMS
Lilly USA, LLC $4.44 08/07/2024 Food and Beverage Undisputed 01/23/2026 1135588763 CMS
Lilly USA, LLC $15.37 10/18/2024 Food and Beverage Undisputed 01/23/2026 1135588765 CMS
Lilly USA, LLC $11.50 10/24/2024 Food and Beverage Undisputed 01/23/2026 1135614337 CMS
Lilly USA, LLC $9.58 10/31/2024 Food and Beverage Undisputed 01/23/2026 1135598661 CMS
Lilly USA, LLC $0.84 10/31/2024 Food and Beverage Undisputed 01/23/2026 1135598663 CMS
Lilly USA, LLC $9.85 11/22/2024 Food and Beverage Undisputed 01/23/2026 1135576402 CMS
Novo Nordisk Inc $2.89 01/18/2024 Food and Beverage Undisputed 01/23/2026 1100394252 CMS
Novo Nordisk Inc $8.77 01/30/2024 Food and Beverage Undisputed 01/23/2026 1100491149 CMS
Novo Nordisk Inc $19.26 02/28/2024 Food and Beverage Undisputed 01/23/2026 1100376825 CMS
Novo Nordisk Inc $23.36 04/03/2024 Food and Beverage Undisputed 01/23/2026 1100461788 CMS
Novo Nordisk Inc $4.65 05/23/2024 Food and Beverage Undisputed 01/23/2026 1100238684 CMS
Novo Nordisk Inc $17.27 07/17/2024 Food and Beverage Undisputed 01/23/2026 1100244583 CMS
Novo Nordisk Inc $15.69 08/08/2024 Food and Beverage Undisputed 01/23/2026 1100391570 CMS
Novo Nordisk Inc $10.12 10/10/2024 Food and Beverage Undisputed 01/23/2026 1100436887 CMS
Novo Nordisk Inc $22.68 10/17/2024 Food and Beverage Undisputed 01/23/2026 1100607272 CMS
Novo Nordisk Inc $17.87 10/30/2024 Food and Beverage Undisputed 01/23/2026 1100267990 CMS
PFIZER INC. $13.78 06/05/2024 Food and Beverage Undisputed 01/23/2026 1132007180 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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