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

JANINE RACHAEL ZENER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1649718883
CMS profile
10591730
Location
HOUSTON, TX

General Payments · PY2021–2024

$2,753.21

  • Reported across 137 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$660.84

30 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 $660.84 30

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $657.43 41
PY2022 $735.82 36
PY2023 $699.12 30
PY2024 $660.84 30

Payment records · PY2024 (30)

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

Program year 2024 202120222023 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. $21.65 09/25/2024 Food and Beverage Undisputed 01/23/2026 1078915639 CMS
Amgen Inc. $19.44 04/03/2024 Food and Beverage Undisputed 01/23/2026 1116223032 CMS
Amgen Inc. $16.41 07/24/2024 Food and Beverage Undisputed 01/23/2026 1116223036 CMS
Amgen Inc. $23.21 09/18/2024 Food and Beverage Undisputed 01/23/2026 1116223040 CMS
AstraZeneca Pharmaceuticals LP $25.80 04/25/2024 Food and Beverage Undisputed 01/23/2026 1104289396 CMS
Boston Scientific Corporation $45.65 03/07/2024 Food and Beverage Undisputed 01/23/2026 1092626857 CMS
Boston Scientific Corporation $37.78 07/17/2024 Food and Beverage Undisputed 01/23/2026 1092626867 CMS
Boston Scientific Corporation $28.32 08/19/2024 Food and Beverage Undisputed 01/23/2026 1092626863 CMS
Boston Scientific Corporation $31.64 10/23/2024 Food and Beverage Undisputed 01/23/2026 1092626865 CMS
Esperion Therapeutics, Inc. $17.83 02/20/2024 Food and Beverage Undisputed 01/23/2026 1129479564 CMS
Kiniksa Pharmaceuticals International, plc $27.20 05/01/2024 Food and Beverage Undisputed 01/23/2026 1154864527 CMS
Kiniksa Pharmaceuticals International, plc $31.83 06/12/2024 Food and Beverage Undisputed 01/23/2026 1154864571 CMS
Kiniksa Pharmaceuticals International, plc $23.76 10/09/2024 Food and Beverage Undisputed 01/23/2026 1154864623 CMS
Merck Sharp & Dohme LLC $26.11 05/30/2024 Food and Beverage Undisputed 01/23/2026 1141941921 CMS
Merck Sharp & Dohme LLC $22.12 10/08/2024 Food and Beverage Undisputed 01/23/2026 1141952253 CMS
Merck Sharp & Dohme LLC $23.97 11/06/2024 Food and Beverage Undisputed 01/23/2026 1141775729 CMS
Novartis Pharmaceuticals Corporation $6.66 01/19/2024 Food and Beverage Undisputed 01/23/2026 1087413214 CMS
Novartis Pharmaceuticals Corporation $21.65 02/21/2024 Food and Beverage Undisputed 01/23/2026 1087413220 CMS
Novartis Pharmaceuticals Corporation $23.16 04/17/2024 Food and Beverage Undisputed 01/23/2026 1087413224 CMS
Novartis Pharmaceuticals Corporation $12.80 05/01/2024 Food and Beverage Undisputed 01/23/2026 1087413228 CMS
Novartis Pharmaceuticals Corporation $5.36 05/08/2024 Food and Beverage Undisputed 01/23/2026 1087413226 CMS
Novartis Pharmaceuticals Corporation $23.00 06/24/2024 Food and Beverage Undisputed 01/23/2026 1087413234 CMS
Novartis Pharmaceuticals Corporation $24.50 07/03/2024 Food and Beverage Undisputed 01/23/2026 1087413256 CMS
Novartis Pharmaceuticals Corporation $21.65 08/07/2024 Food and Beverage Undisputed 01/23/2026 1087413272 CMS
Novartis Pharmaceuticals Corporation $5.27 08/28/2024 Food and Beverage Undisputed 01/23/2026 1087413274 CMS
Novartis Pharmaceuticals Corporation $4.92 09/13/2024 Food and Beverage Undisputed 01/23/2026 1087413276 CMS
Novartis Pharmaceuticals Corporation $20.56 10/30/2024 Food and Beverage Undisputed 01/23/2026 1087413288 CMS
Novartis Pharmaceuticals Corporation $21.69 12/12/2024 Food and Beverage Undisputed 01/23/2026 1087413306 CMS
Novartis Pharmaceuticals Corporation $17.96 12/18/2024 Food and Beverage Undisputed 01/23/2026 1087413304 CMS
Novo Nordisk Inc $28.94 10/29/2024 Food and Beverage Undisputed 01/23/2026 1100271199 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, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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