MELISSA F LEHR

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner SIOUX FALLS, SD NPI 1639664014

General Payments — all program years on this page

$608.86

  • Category: General Payments
  • Program years: PY2021–2023
  • Record count: 46
  • As of (CMS publication): 2026-01-23

Latest program year (PY2023): $214.71 across 12 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 (PY2023) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $214.7112

By paying entity

Latest program year (PY2023) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $63.671
2022 $330.4833
2023 $214.7112

Records — PY2023 (12)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1004301569 GlaxoSmithKline, LLC. $16.40 01/24/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1011855029 Grifols USA, LLC $12.93 03/15/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1014630547 AstraZeneca Pharmaceuticals LP $20.33 05/03/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1015699041 AstraZeneca Pharmaceuticals LP $15.90 05/31/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1025865385 Gilead Sciences, Inc. $18.74 10/10/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1025895455 Gilead Sciences, Inc. $17.96 04/04/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1025948113 Gilead Sciences, Inc. $16.46 06/13/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1049933903 GENZYME CORPORATION $15.13 06/15/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
1058910405 Inspire Medical Systems, Inc. $27.36 01/11/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
996519223 Boehringer Ingelheim Pharmaceuticals, Inc. $18.81 02/08/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
999904793 Baxter Healthcare $15.26 06/20/2023 Food and Beverage Undisputed 01/23/2026 View at CMS
999904807 Baxter Healthcare $19.43 04/11/2023 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_PGYR2023_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.