MICHELLE GUERRA

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family RIO GRANDE CITY, TX NPI 1598544330

General Payments — all program years on this page

$268.19

  • Category: General Payments
  • Program years: PY2023–2024
  • Record count: 10
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $247.07 across 9 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $247.079

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2023 $21.121
2024 $247.079

Records — PY2024 (9)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1086367045 Bayer Healthcare Pharmaceuticals Inc. $19.56 07/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107261569 ABBVIE INC. $16.70 08/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114685356 Exact Sciences Corporation $23.42 05/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118074114 Boehringer Ingelheim Pharmaceuticals, Inc. $94.69 11/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131889199 PFIZER INC. $17.87 08/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135758738 Lilly USA, LLC $28.12 07/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135836292 Lilly USA, LLC $15.99 09/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141977180 Merck Sharp & Dohme LLC $13.68 07/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148964290 Sumitomo Pharma America, Inc. $17.04 06/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • 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.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.