Covered recipient · General Payments record

MELISSA H ACHAM

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI: 1659084481
CMS profile: 11400359
Location: PALM COAST, FL

General Payments · PY2023–2024

$3,394.58

Reported across 202 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,783.08

114 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	$1,770.93	113
Education	$12.15	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$427.17	35
ITI, Inc.	$226.15	14
Neurocrine BioSciences, Inc.	$214.40	5
Almatica Pharma Inc.	$214.38	12
Otsuka America Pharmaceutical, Inc.	$212.28	16
Takeda Pharmaceuticals U.S.A., Inc.	$138.69	16
Alkermes, Inc.	$88.01	3
Vanda Pharmaceuticals Inc.	$62.63	3
Supernus Pharmaceuticals, Inc.	$59.23	3
Bausch Health US, LLC	$56.16	3
Janssen Pharmaceuticals, Inc	$42.36	2
E.R. Squibb & Sons, L.L.C.	$22.89	1
Lundbeck LLC	$18.73	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$1,611.50	88
PY2024	$1,783.08	114

Payment records · PY2024 (114)

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

Program year 2024 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.	$7.14	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1106407773	CMS
ABBVIE INC.	$15.29	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1106407775	CMS
ABBVIE INC.	$5.86	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1106407777	CMS
ABBVIE INC.	$6.34	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1106407779	CMS
ABBVIE INC.	$15.31	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1106407781	CMS
ABBVIE INC.	$5.15	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1106407783	CMS
ABBVIE INC.	$10.28	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1106407785	CMS
ABBVIE INC.	$9.09	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1106407787	CMS
ABBVIE INC.	$6.96	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1106407789	CMS
ABBVIE INC.	$9.22	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1106407791	CMS
ABBVIE INC.	$9.92	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1106407793	CMS
ABBVIE INC.	$3.06	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1106407795	CMS
ABBVIE INC.	$5.19	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1106407797	CMS
ABBVIE INC.	$13.92	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1106407799	CMS
ABBVIE INC.	$6.60	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1106407801	CMS
ABBVIE INC.	$25.29	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1106407803	CMS
ABBVIE INC.	$9.04	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1106407805	CMS
ABBVIE INC.	$8.68	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1106407807	CMS
ABBVIE INC.	$7.78	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1106407809	CMS
ABBVIE INC.	$9.97	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1106407811	CMS
ABBVIE INC.	$9.57	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1106407813	CMS
ABBVIE INC.	$10.46	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1106407815	CMS
ABBVIE INC.	$6.21	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1106407817	CMS
ABBVIE INC.	$8.50	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1106407819	CMS
ABBVIE INC.	$22.62	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1106407821	CMS
ABBVIE INC.	$6.95	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1106407823	CMS
ABBVIE INC.	$7.09	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1106407825	CMS
ABBVIE INC.	$7.86	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1106407827	CMS
ABBVIE INC.	$12.78	09/29/2024	Food and Beverage	Undisputed	01/23/2026	1106407829	CMS
ABBVIE INC.	$6.63	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1106407831	CMS
ABBVIE INC.	$101.20	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1106407833	CMS
ABBVIE INC.	$5.74	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1106407835	CMS
ABBVIE INC.	$6.46	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1106407837	CMS
ABBVIE INC.	$17.25	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1106407839	CMS
ABBVIE INC.	$7.76	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1106407841	CMS
Alkermes, Inc.	$27.61	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1120453176	CMS
Alkermes, Inc.	$32.01	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1120453178	CMS
Alkermes, Inc.	$28.39	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1120453180	CMS
Almatica Pharma LLC	$16.52	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1137584040	CMS
Almatica Pharma LLC	$20.89	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1137584044	CMS
Almatica Pharma LLC	$12.92	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1137584048	CMS
Almatica Pharma LLC	$23.25	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1137584053	CMS
Almatica Pharma LLC	$22.91	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1137584057	CMS
Almatica Pharma LLC	$8.36	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1137584061	CMS
Almatica Pharma LLC	$21.02	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1137584066	CMS
Almatica Pharma LLC	$19.92	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1137584070	CMS
Almatica Pharma LLC	$29.18	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1137584074	CMS
Almatica Pharma LLC	$18.54	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1137584078	CMS
Almatica Pharma LLC	$17.44	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1137584083	CMS
Almatica Pharma LLC	$3.43	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1137584087	CMS
Bausch Health US, LLC	$19.54	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1148032362	CMS
Bausch Health US, LLC	$21.97	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1148032358	CMS
Bausch Health US, LLC	$14.65	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1148032360	CMS
E.R. Squibb & Sons, L.L.C.	$22.89	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1101842046	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.45	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1143351643	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$8.32	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1143351647	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.28	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1143351651	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.76	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1143351654	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$2.26	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1143351658	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$12.15	05/01/2024	Education	Undisputed	01/23/2026	1143351662	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.30	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1143351666	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$6.69	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1143351670	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.35	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1143351674	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.02	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1143351678	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.89	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1143351682	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$25.00	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1143351686	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.68	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1143351689	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$24.00	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1143351693	CMS
Janssen Pharmaceuticals, Inc	$27.40	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1077973832	CMS
Janssen Pharmaceuticals, Inc	$14.96	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1077973892	CMS
Lundbeck LLC	$18.73	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1145985269	CMS
Neurocrine Biosciences, Inc.	$22.38	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1150967433	CMS
Neurocrine Biosciences, Inc.	$20.06	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1150979412	CMS
Neurocrine Biosciences, Inc.	$122.08	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1150922077	CMS
Neurocrine Biosciences, Inc.	$23.50	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1150961674	CMS
Neurocrine Biosciences, Inc.	$26.38	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1150950123	CMS
Otsuka America Pharmaceutical, Inc.	$12.46	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1119010627	CMS
Otsuka America Pharmaceutical, Inc.	$20.40	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1119010629	CMS
Otsuka America Pharmaceutical, Inc.	$16.48	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1119010631	CMS
Otsuka America Pharmaceutical, Inc.	$1.42	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1119010633	CMS
Otsuka America Pharmaceutical, Inc.	$7.87	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1119010635	CMS
Otsuka America Pharmaceutical, Inc.	$7.52	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1119010637	CMS
Otsuka America Pharmaceutical, Inc.	$6.03	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1119010639	CMS
Otsuka America Pharmaceutical, Inc.	$11.52	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1119010641	CMS
Otsuka America Pharmaceutical, Inc.	$23.30	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1119010643	CMS
Otsuka America Pharmaceutical, Inc.	$7.57	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1119010645	CMS
Otsuka America Pharmaceutical, Inc.	$19.96	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1119010647	CMS
Otsuka America Pharmaceutical, Inc.	$17.62	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1119010649	CMS
Otsuka America Pharmaceutical, Inc.	$21.29	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1119010651	CMS
Otsuka America Pharmaceutical, Inc.	$11.75	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1119010653	CMS
Otsuka America Pharmaceutical, Inc.	$4.38	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1119010655	CMS
Otsuka America Pharmaceutical, Inc.	$22.71	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1119010657	CMS
Supernus Pharmaceuticals, Inc.	$13.99	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1147839001	CMS
Supernus Pharmaceuticals, Inc.	$16.31	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1147839003	CMS
Supernus Pharmaceuticals, Inc.	$28.93	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1147839005	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$7.72	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1137703893	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$5.65	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1137703895	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$29.30	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1137703897	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$9.22	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1137703899	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$5.04	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1137703901	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$5.85	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1137703903	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.34	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1137703905	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$6.04	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1137703907	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$9.94	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1137703909	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$5.45	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1137703911	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$3.86	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1137703913	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$10.30	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1137703915	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$4.67	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1137703917	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$0.67	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1137703919	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$8.69	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1137703921	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$7.95	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1137703923	CMS
Vanda Pharmaceuticals Inc.	$18.91	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1133927874	CMS
Vanda Pharmaceuticals Inc.	$24.37	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1133927876	CMS
Vanda Pharmaceuticals Inc.	$19.35	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1133927878	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: 2023, 2024
Source files: Dataset page · Bulk file · 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.