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

MARY GUELL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1619157591
CMS profile
10644637
Location
LITTLE ROCK, AR

General Payments · PY2021–2024

$3,690.17

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

Latest program year · PY2024

$1,625.27

70 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 $1,552.10 61
Education $73.17 9

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $566.75 28
PY2023 $1,498.15 68
PY2024 $1,625.27 70

Payment records · PY2024 (70)

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

Program year 2024 20212023 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
Amgen Inc. $18.88 01/09/2024 Food and Beverage Undisputed 01/23/2026 1117670335 CMS
Amgen Inc. $22.37 02/01/2024 Food and Beverage Undisputed 01/23/2026 1117369413 CMS
Amgen Inc. $24.95 02/19/2024 Food and Beverage Undisputed 01/23/2026 1117369415 CMS
Amgen Inc. $19.26 02/27/2024 Food and Beverage Undisputed 01/23/2026 1117670337 CMS
Amgen Inc. $27.39 03/11/2024 Food and Beverage Undisputed 01/23/2026 1117369417 CMS
Amgen Inc. $27.15 03/18/2024 Food and Beverage Undisputed 01/23/2026 1117670339 CMS
Amgen Inc. $26.61 04/09/2024 Food and Beverage Undisputed 01/23/2026 1117369419 CMS
Amgen Inc. $20.33 05/07/2024 Food and Beverage Undisputed 01/23/2026 1117670341 CMS
Amgen Inc. $24.98 05/13/2024 Food and Beverage Undisputed 01/23/2026 1117369421 CMS
Amgen Inc. $4.83 06/05/2024 Food and Beverage Undisputed 01/23/2026 1117369423 CMS
Amgen Inc. $17.18 06/17/2024 Food and Beverage Undisputed 01/23/2026 1117670343 CMS
Amgen Inc. $24.86 06/25/2024 Food and Beverage Undisputed 01/23/2026 1117369425 CMS
Amgen Inc. $34.87 07/09/2024 Food and Beverage Undisputed 01/23/2026 1117369427 CMS
Amgen Inc. $5.87 07/30/2024 Food and Beverage Undisputed 01/23/2026 1117369429 CMS
Amgen Inc. $14.23 08/06/2024 Food and Beverage Undisputed 01/23/2026 1117670345 CMS
Amgen Inc. $21.76 08/21/2024 Food and Beverage Undisputed 01/23/2026 1117369439 CMS
Amgen Inc. $23.13 09/24/2024 Food and Beverage Undisputed 01/23/2026 1117369431 CMS
Amgen Inc. $17.89 09/24/2024 Food and Beverage Undisputed 01/23/2026 1117369441 CMS
Amgen Inc. $22.03 10/29/2024 Food and Beverage Undisputed 01/23/2026 1117670347 CMS
Amgen Inc. $25.42 11/11/2024 Food and Beverage Undisputed 01/23/2026 1117369433 CMS
Amgen Inc. $15.41 12/02/2024 Food and Beverage Undisputed 01/23/2026 1117670349 CMS
Amgen Inc. $23.98 12/03/2024 Food and Beverage Undisputed 01/23/2026 1117369435 CMS
Amgen Inc. $26.71 12/03/2024 Food and Beverage Undisputed 01/23/2026 1117369437 CMS
Ardelyx, Inc. $23.74 01/30/2024 Food and Beverage Undisputed 01/23/2026 1146728888 CMS
Ardelyx, Inc. $30.44 11/20/2024 Food and Beverage Undisputed 01/23/2026 1146728890 CMS
AstraZeneca Pharmaceuticals LP $20.26 02/13/2024 Food and Beverage Undisputed 01/23/2026 1104459588 CMS
AstraZeneca Pharmaceuticals LP $18.87 02/13/2024 Food and Beverage Undisputed 01/23/2026 1105684205 CMS
AstraZeneca Pharmaceuticals LP $20.33 04/04/2024 Food and Beverage Undisputed 01/23/2026 1105603626 CMS
AstraZeneca Pharmaceuticals LP $35.72 07/17/2024 Food and Beverage Undisputed 01/23/2026 1105722056 CMS
AstraZeneca Pharmaceuticals LP $94.76 07/25/2024 Food and Beverage Undisputed 01/23/2026 1105668257 CMS
AstraZeneca Pharmaceuticals LP $13.63 09/09/2024 Food and Beverage Undisputed 01/23/2026 1104476276 CMS
AstraZeneca Pharmaceuticals LP $21.86 09/17/2024 Food and Beverage Undisputed 01/23/2026 1105819029 CMS
AstraZeneca Pharmaceuticals LP $16.33 09/19/2024 Food and Beverage Undisputed 01/23/2026 1105715740 CMS
AstraZeneca Pharmaceuticals LP $13.29 10/15/2024 Food and Beverage Undisputed 01/23/2026 1104506618 CMS
AstraZeneca Pharmaceuticals LP $13.53 11/04/2024 Food and Beverage Undisputed 01/23/2026 1105767776 CMS
CALLIDITAS THERAPEUTICS US INC. $24.11 12/10/2024 Food and Beverage Undisputed 01/23/2026 1141529173 CMS
Fresenius USA Marketing, Inc. $24.89 05/28/2024 Food and Beverage Undisputed 01/23/2026 1154204022 CMS
Fresenius USA Marketing, Inc. $23.81 07/29/2024 Food and Beverage Undisputed 01/23/2026 1154204018 CMS
Fresenius USA Marketing, Inc. $20.23 08/19/2024 Food and Beverage Undisputed 01/23/2026 1154204014 CMS
Fresenius USA Marketing, Inc. $24.04 09/16/2024 Food and Beverage Undisputed 01/23/2026 1154204020 CMS
Fresenius USA Marketing, Inc. $23.11 10/14/2024 Food and Beverage Undisputed 01/23/2026 1154204016 CMS
GENZYME CORPORATION $28.64 10/28/2024 Food and Beverage Undisputed 01/23/2026 1139798464 CMS
GlaxoSmithKline, LLC. $73.21 10/09/2024 Food and Beverage Undisputed 01/23/2026 1116360384 CMS
Mallinckrodt Hospital Products Inc. $31.30 02/06/2024 Food and Beverage Undisputed 01/23/2026 1145169832 CMS
Mallinckrodt Hospital Products Inc. $28.75 06/11/2024 Food and Beverage Undisputed 01/23/2026 1145169836 CMS
Mallinckrodt Hospital Products Inc. $25.63 07/17/2024 Food and Beverage Undisputed 01/23/2026 1145169840 CMS
Mallinckrodt Hospital Products Inc. $22.76 10/21/2024 Food and Beverage Undisputed 01/23/2026 1145169844 CMS
Mallinckrodt Hospital Products Inc. $30.78 12/16/2024 Food and Beverage Undisputed 01/23/2026 1145169849 CMS
Novartis Pharmaceuticals Corporation $30.75 01/23/2024 Food and Beverage Undisputed 01/23/2026 1086927035 CMS
Novartis Pharmaceuticals Corporation $26.90 02/05/2024 Food and Beverage Undisputed 01/23/2026 1086927037 CMS
Novartis Pharmaceuticals Corporation $18.35 04/02/2024 Food and Beverage Undisputed 01/23/2026 1086927049 CMS
Novartis Pharmaceuticals Corporation $21.62 05/21/2024 Food and Beverage Undisputed 01/23/2026 1086927055 CMS
Novartis Pharmaceuticals Corporation $24.47 08/26/2024 Food and Beverage Undisputed 01/23/2026 1086927065 CMS
OPKO Pharmaceuticals, LLC $16.24 01/31/2024 Education Undisputed 01/23/2026 1112852278 CMS
OPKO Pharmaceuticals, LLC $14.81 05/10/2024 Education Undisputed 01/23/2026 1112852280 CMS
OPKO Pharmaceuticals, LLC $15.80 07/16/2024 Education Undisputed 01/23/2026 1112852282 CMS
OPKO Pharmaceuticals, LLC $15.03 07/31/2024 Education Undisputed 01/23/2026 1112852284 CMS
SHIELD THERAPEUTICS INC $14.37 02/08/2024 Food and Beverage Undisputed 01/23/2026 1150120092 CMS
Travere Therapeutics, Inc. $27.57 05/02/2024 Food and Beverage Undisputed 01/23/2026 1149882110 CMS
Travere Therapeutics, Inc. $0.37 05/02/2024 Education Undisputed 01/23/2026 1149882133 CMS
Travere Therapeutics, Inc. $2.38 05/02/2024 Education Undisputed 01/23/2026 1149882137 CMS
Travere Therapeutics, Inc. $28.83 07/15/2024 Food and Beverage Undisputed 01/23/2026 1149882114 CMS
Travere Therapeutics, Inc. $3.08 07/15/2024 Education Undisputed 01/23/2026 1149882145 CMS
Travere Therapeutics, Inc. $25.62 08/20/2024 Food and Beverage Undisputed 01/23/2026 1149882106 CMS
Travere Therapeutics, Inc. $2.38 08/20/2024 Education Undisputed 01/23/2026 1149882141 CMS
Travere Therapeutics, Inc. $31.37 09/05/2024 Food and Beverage Undisputed 01/23/2026 1149882118 CMS
Travere Therapeutics, Inc. $3.08 10/01/2024 Education Undisputed 01/23/2026 1149882149 CMS
Travere Therapeutics, Inc. $34.43 10/08/2024 Food and Beverage Undisputed 01/23/2026 1149882122 CMS
Travere Therapeutics, Inc. $35.17 11/07/2024 Food and Beverage Undisputed 01/23/2026 1149882126 CMS
Travere Therapeutics, Inc. $38.54 12/05/2024 Food and Beverage Undisputed 01/23/2026 1149882130 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, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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