Covered recipient · General Payments record

JAMES R PALEN

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1598902728
CMS profile: 163332
Location: CAPE GIRARDEAU, MO

General Payments · PY2018–2024

$9,575.96

Reported across 589 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,568.96

79 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 payment	Amount	Records
Food and Beverage	$1,568.96	79

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$474.15	21
Acerta Pharma LLC	$229.98	11
Novo Nordisk AS	$113.89	6
Lilly USA, LLC	$89.15	5
Lundbeck LLC	$76.45	4
Amgen Inc.	$73.85	4
Phathom Pharmaceuticals, Inc.	$68.25	4
Paratek Pharmaceuticals, Inc.	$48.01	3
Axsome Therapeutics, Inc.	$44.34	2
Mylan Specialty L.P.	$44.26	2
Janssen Pharmaceuticals, Inc	$42.34	2
Otsuka America Pharmaceutical, Inc.	$42.08	2
Sumitomo Pharma America, Inc.	$29.88	2
Averitas Pharma Inc.	$28.48	1
Takeda Pharmaceuticals U.S.A., Inc.	$22.24	1
Astellas Pharma US Inc	$20.07	1
PFIZER INC.	$16.93	1
Ardelyx, Inc.	$16.27	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.11	1
Teva Pharmaceuticals USA, Inc.	$15.98	1
ITI, Inc.	$15.07	1
Valinor Pharma, LLC	$14.55	1
Neurocrine BioSciences, Inc.	$13.33	1
GlaxoSmithKline, LLC.	$13.30	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,549.31	116
PY2019	$861.46	61
PY2020	$1,001.12	69
PY2021	$1,341.85	86
PY2022	$1,536.26	85
PY2023	$1,717.00	93
PY2024	$1,568.96	79

Payment records · PY2024 (79)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 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
ABBVIE INC.	$20.00	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1105171670	CMS
ABBVIE INC.	$9.43	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1105171672	CMS
ABBVIE INC.	$30.60	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1105171674	CMS
ABBVIE INC.	$23.43	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105171676	CMS
ABBVIE INC.	$5.61	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1105171678	CMS
ABBVIE INC.	$22.31	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1105171680	CMS
ABBVIE INC.	$14.24	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1105171682	CMS
ABBVIE INC.	$17.36	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1105171684	CMS
ABBVIE INC.	$22.50	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1105171686	CMS
ABBVIE INC.	$25.54	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1105171688	CMS
ABBVIE INC.	$18.93	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1105171690	CMS
ABBVIE INC.	$30.26	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1105171692	CMS
ABBVIE INC.	$15.50	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1105171694	CMS
ABBVIE INC.	$32.30	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1105171696	CMS
ABBVIE INC.	$19.00	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1105171698	CMS
ABBVIE INC.	$17.10	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1105171700	CMS
ABBVIE INC.	$20.84	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1105171702	CMS
ABBVIE INC.	$27.89	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1105171704	CMS
ABBVIE INC.	$33.76	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1105171706	CMS
ABBVIE INC.	$34.06	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1105171708	CMS
ABBVIE INC.	$33.49	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1105171710	CMS
Amgen Inc.	$15.47	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1117345812	CMS
Amgen Inc.	$18.15	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1117345814	CMS
Amgen Inc.	$20.70	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1117345816	CMS
Amgen Inc.	$19.53	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1117345818	CMS
Ardelyx, Inc.	$16.27	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1146699141	CMS
Astellas Pharma US Inc	$20.07	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1139312648	CMS
AstraZeneca Pharmaceuticals LP	$19.71	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1105553216	CMS
AstraZeneca Pharmaceuticals LP	$14.99	01/27/2024	Food and Beverage	Undisputed	01/23/2026	1105885417	CMS
AstraZeneca Pharmaceuticals LP	$66.26	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1104324910	CMS
AstraZeneca Pharmaceuticals LP	$18.60	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1105359820	CMS
AstraZeneca Pharmaceuticals LP	$14.15	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1104446163	CMS
AstraZeneca Pharmaceuticals LP	$22.29	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1104669127	CMS
AstraZeneca Pharmaceuticals LP	$13.69	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1105883115	CMS
AstraZeneca Pharmaceuticals LP	$14.49	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1105427244	CMS
AstraZeneca Pharmaceuticals LP	$16.54	11/02/2024	Food and Beverage	Undisputed	01/23/2026	1104350220	CMS
AstraZeneca Pharmaceuticals LP	$13.18	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1105224070	CMS
AstraZeneca Pharmaceuticals LP	$16.08	12/14/2024	Food and Beverage	Undisputed	01/23/2026	1105681039	CMS
Averitas Pharma Inc.	$28.48	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1133440140	CMS
Axsome Therapeutics, Inc.	$19.87	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1148287514	CMS
Axsome Therapeutics, Inc.	$24.47	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1148287512	CMS
GlaxoSmithKline, LLC.	$13.30	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1116587323	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.07	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1143291619	CMS
Janssen Pharmaceuticals, Inc	$19.68	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1078056672	CMS
Janssen Pharmaceuticals, Inc	$22.66	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1078056716	CMS
Lilly USA, LLC	$17.43	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1135023800	CMS
Lilly USA, LLC	$21.08	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1134996916	CMS
Lilly USA, LLC	$17.72	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1134996918	CMS
Lilly USA, LLC	$17.38	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1135024270	CMS
Lilly USA, LLC	$15.54	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1135042120	CMS
Lundbeck LLC	$22.87	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1145953369	CMS
Lundbeck LLC	$15.98	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1145953371	CMS
Lundbeck LLC	$16.60	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1145953373	CMS
Lundbeck LLC	$21.00	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1145953375	CMS
Mylan Specialty L.P.	$20.99	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1147337699	CMS
Mylan Specialty L.P.	$23.27	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1147355151	CMS
Neurocrine Biosciences, Inc.	$13.33	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1150878919	CMS
Novo Nordisk Inc	$18.76	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1096994953	CMS
Novo Nordisk Inc	$13.38	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1096574062	CMS
Novo Nordisk Inc	$22.34	05/18/2024	Food and Beverage	Undisputed	01/23/2026	1096926530	CMS
Novo Nordisk Inc	$16.77	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1097745875	CMS
Novo Nordisk Inc	$22.85	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1096635944	CMS
Novo Nordisk Inc	$19.79	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1096920580	CMS
Otsuka America Pharmaceutical, Inc.	$26.16	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1118955790	CMS
Otsuka America Pharmaceutical, Inc.	$15.92	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1118955792	CMS
Paratek Pharmaceuticals, Inc.	$15.14	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1113913099	CMS
Paratek Pharmaceuticals, Inc.	$19.28	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1113913101	CMS
Paratek Pharmaceuticals, Inc.	$13.59	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1113913103	CMS
PFIZER INC.	$16.93	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1131627910	CMS
Phathom Pharmaceuticals, Inc.	$16.94	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1151105645	CMS
Phathom Pharmaceuticals, Inc.	$16.64	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1151105647	CMS
Phathom Pharmaceuticals, Inc.	$18.00	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1151105649	CMS
Phathom Pharmaceuticals, Inc.	$16.67	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1151105651	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.11	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1153553193	CMS
Sumitomo Pharma America, Inc.	$14.93	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1148899973	CMS
Sumitomo Pharma America, Inc.	$14.95	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1148899975	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.24	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1137647626	CMS
Teva Pharmaceuticals USA, Inc.	$15.98	03/09/2024	Food and Beverage	Undisputed	01/23/2026	1151697842	CMS
Valinor Pharma, LLC	$14.55	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1130828330	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.