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

JOSHUA TWITO

NPI
1598384448
CMS profile
11550746
Location
SHREVEPORT, LA

General Payments · PY2023–2024

$1,211.46

  • Reported across 45 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$917.38

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 $855.39 37
Education $61.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $294.08 7
PY2024 $917.38 38

Payment records · PY2024 (38)

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
Actelion Pharmaceuticals US, Inc. $14.97 04/12/2024 Food and Beverage Undisputed 01/23/2026 1078905507 CMS
Actelion Pharmaceuticals US, Inc. $16.46 06/14/2024 Food and Beverage Undisputed 01/23/2026 1078905523 CMS
Actelion Pharmaceuticals US, Inc. $61.99 06/14/2024 Education Undisputed 01/23/2026 1078905551 CMS
Actelion Pharmaceuticals US, Inc. $15.97 11/01/2024 Food and Beverage Undisputed 01/23/2026 1078905521 CMS
Actelion Pharmaceuticals US, Inc. $45.89 11/21/2024 Food and Beverage Undisputed 01/23/2026 1078905491 CMS
Alexion Pharmaceuticals, Inc. $22.29 06/14/2024 Food and Beverage Undisputed 01/23/2026 1110513436 CMS
AstraZeneca Pharmaceuticals LP $39.04 01/19/2024 Food and Beverage Undisputed 01/23/2026 1110507622 CMS
AstraZeneca Pharmaceuticals LP $13.33 01/19/2024 Food and Beverage Undisputed 01/23/2026 1110516600 CMS
AstraZeneca Pharmaceuticals LP $19.22 02/16/2024 Food and Beverage Undisputed 01/23/2026 1110510238 CMS
AstraZeneca Pharmaceuticals LP $18.67 02/23/2024 Food and Beverage Undisputed 01/23/2026 1110508460 CMS
AstraZeneca Pharmaceuticals LP $13.32 05/10/2024 Food and Beverage Undisputed 01/23/2026 1110512060 CMS
AstraZeneca Pharmaceuticals LP $13.92 06/07/2024 Food and Beverage Undisputed 01/23/2026 1110515210 CMS
AstraZeneca Pharmaceuticals LP $18.94 08/02/2024 Food and Beverage Undisputed 01/23/2026 1110509484 CMS
AstraZeneca Pharmaceuticals LP $17.45 08/30/2024 Food and Beverage Undisputed 01/23/2026 1110510324 CMS
AstraZeneca Pharmaceuticals LP $13.08 09/20/2024 Food and Beverage Undisputed 01/23/2026 1110507020 CMS
AstraZeneca Pharmaceuticals LP $14.57 10/18/2024 Food and Beverage Undisputed 01/23/2026 1110507892 CMS
AstraZeneca Pharmaceuticals LP $14.66 12/10/2024 Food and Beverage Undisputed 01/23/2026 1110511492 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.66 03/22/2024 Food and Beverage Undisputed 01/23/2026 1118073832 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $28.67 12/06/2024 Food and Beverage Undisputed 01/23/2026 1118073834 CMS
Daiichi Sankyo Inc. $22.84 09/05/2024 Food and Beverage Undisputed 01/23/2026 1089493048 CMS
GlaxoSmithKline, LLC. $13.37 03/08/2024 Food and Beverage Undisputed 01/23/2026 1115798553 CMS
GlaxoSmithKline, LLC. $17.86 09/13/2024 Food and Beverage Undisputed 01/23/2026 1116672640 CMS
Insmed, Inc. $17.66 02/15/2024 Food and Beverage Undisputed 01/23/2026 1089566807 CMS
Insmed, Inc. $18.77 04/11/2024 Food and Beverage Undisputed 01/23/2026 1089566805 CMS
Insmed, Inc. $17.04 07/12/2024 Food and Beverage Undisputed 01/23/2026 1089566853 CMS
Janssen Pharmaceuticals, Inc $14.23 02/01/2024 Food and Beverage Undisputed 01/23/2026 1078119260 CMS
Janssen Pharmaceuticals, Inc $14.47 06/06/2024 Food and Beverage Undisputed 01/23/2026 1078119342 CMS
La Jolla Pharmaceutical Company $15.28 09/12/2024 Food and Beverage Undisputed 01/23/2026 1154251596 CMS
Merck Sharp & Dohme LLC $20.65 06/20/2024 Food and Beverage Undisputed 01/23/2026 1141690010 CMS
Merck Sharp & Dohme LLC $15.87 10/24/2024 Food and Beverage Undisputed 01/23/2026 1141690006 CMS
Merck Sharp & Dohme LLC $17.81 11/14/2024 Food and Beverage Undisputed 01/23/2026 1141690008 CMS
Merck Sharp & Dohme LLC $21.20 12/05/2024 Food and Beverage Undisputed 01/23/2026 1141866150 CMS
Olympus America Inc. $58.81 09/22/2024 Food and Beverage Undisputed 01/23/2026 1108468734 CMS
Olympus America Inc. $137.06 10/17/2024 Food and Beverage Undisputed 01/23/2026 1108468736 CMS
Regeneron Healthcare Solutions, Inc. $19.62 09/27/2024 Food and Beverage Undisputed 01/23/2026 1114227745 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.74 03/28/2024 Food and Beverage Undisputed 01/23/2026 1137690157 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.41 06/27/2024 Food and Beverage Undisputed 01/23/2026 1137690159 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.59 10/31/2024 Food and Beverage Undisputed 01/23/2026 1137690161 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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