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

DEREK J KLEIER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1568955466
CMS profile
10828499
Location
GRAND ISLAND, NE

General Payments · PY2021–2024

$920.09

  • Reported across 78 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$413.59

32 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 $413.59 32

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $250.99 23
Lilly USA, LLC $28.01 2
Acerta Pharma LLC $27.41 1
DEXCOM, INC. $21.92 1
Novo Nordisk AS $19.78 1
Exact Sciences Corporation $19.36 1
Ardelyx, Inc. $16.63 1
Otsuka America Pharmaceutical, Inc. $14.90 1
Janssen Pharmaceuticals, Inc $14.59 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $14.13 1
PY2022 $94.53 6
PY2023 $397.84 39
PY2024 $413.59 32

Payment records · PY2024 (32)

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. $7.63 01/10/2024 Food and Beverage Undisputed 01/23/2026 1107471398 CMS
ABBVIE INC. $28.25 01/30/2024 Food and Beverage Undisputed 01/23/2026 1107471400 CMS
ABBVIE INC. $7.60 02/09/2024 Food and Beverage Undisputed 01/23/2026 1107471402 CMS
ABBVIE INC. $4.39 03/28/2024 Food and Beverage Undisputed 01/23/2026 1107471404 CMS
ABBVIE INC. $33.41 04/02/2024 Food and Beverage Undisputed 01/23/2026 1107471406 CMS
ABBVIE INC. $6.59 04/03/2024 Food and Beverage Undisputed 01/23/2026 1107471408 CMS
ABBVIE INC. $8.46 04/16/2024 Food and Beverage Undisputed 01/23/2026 1107471410 CMS
ABBVIE INC. $6.63 04/26/2024 Food and Beverage Undisputed 01/23/2026 1107471412 CMS
ABBVIE INC. $6.22 04/26/2024 Food and Beverage Undisputed 01/23/2026 1107471414 CMS
ABBVIE INC. $15.33 05/02/2024 Food and Beverage Undisputed 01/23/2026 1107471416 CMS
ABBVIE INC. $8.15 05/16/2024 Food and Beverage Undisputed 01/23/2026 1107471418 CMS
ABBVIE INC. $18.15 05/21/2024 Food and Beverage Undisputed 01/23/2026 1107471420 CMS
ABBVIE INC. $8.44 05/23/2024 Food and Beverage Undisputed 01/23/2026 1107471422 CMS
ABBVIE INC. $7.01 06/05/2024 Food and Beverage Undisputed 01/23/2026 1107471424 CMS
ABBVIE INC. $2.69 06/06/2024 Food and Beverage Undisputed 01/23/2026 1107471426 CMS
ABBVIE INC. $34.18 07/26/2024 Food and Beverage Undisputed 01/23/2026 1107471428 CMS
ABBVIE INC. $11.38 08/13/2024 Food and Beverage Undisputed 01/23/2026 1107471430 CMS
ABBVIE INC. $6.68 08/23/2024 Food and Beverage Undisputed 01/23/2026 1107471432 CMS
ABBVIE INC. $3.15 09/03/2024 Food and Beverage Undisputed 01/23/2026 1107471434 CMS
ABBVIE INC. $4.00 10/25/2024 Food and Beverage Undisputed 01/23/2026 1107471436 CMS
ABBVIE INC. $9.06 10/31/2024 Food and Beverage Undisputed 01/23/2026 1107471438 CMS
ABBVIE INC. $6.29 11/21/2024 Food and Beverage Undisputed 01/23/2026 1107471440 CMS
ABBVIE INC. $7.30 12/10/2024 Food and Beverage Undisputed 01/23/2026 1107471442 CMS
Ardelyx, Inc. $16.63 09/28/2024 Food and Beverage Undisputed 01/23/2026 1146733420 CMS
AstraZeneca Pharmaceuticals LP $27.41 11/12/2024 Food and Beverage Undisputed 01/23/2026 1104664567 CMS
Dexcom, Inc. $21.92 08/20/2024 Food and Beverage Undisputed 01/23/2026 1153357821 CMS
Exact Sciences Corporation $19.36 01/18/2024 Food and Beverage Undisputed 01/23/2026 1114471261 CMS
Janssen Pharmaceuticals, Inc $14.59 06/04/2024 Food and Beverage Undisputed 01/23/2026 1078085372 CMS
Lilly USA, LLC $13.86 01/12/2024 Food and Beverage Undisputed 01/23/2026 1135634458 CMS
Lilly USA, LLC $14.15 05/15/2024 Food and Beverage Undisputed 01/23/2026 1135608845 CMS
Novo Nordisk Inc $19.78 05/14/2024 Food and Beverage Undisputed 01/23/2026 1100395632 CMS
Otsuka America Pharmaceutical, Inc. $14.90 06/20/2024 Food and Beverage Undisputed 01/23/2026 1119113585 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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