Covered recipient · General Payments record

JOSLINE RACHEL ALEX

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI: 1669189429
CMS profile: 11407880
Location: FLOWER MOUND, TX

General Payments · PY2023–2024

$3,999.77

Reported across 180 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,480.80

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	$2,415.81	113
Education	$64.99	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Genentech USA, Inc.	$276.46	10
ABBVIE INC.	$264.21	18
Sumitomo Pharma America, Inc.	$213.37	12
EISAI INC.	$178.11	6
HARMONY BIOSCIENCES LLC	$159.38	8
SK Life Science, Inc.	$149.25	8
UCB, Inc.	$139.20	6
Lundbeck LLC	$131.28	6
GENZYME CORPORATION	$128.96	1
Teva Pharmaceuticals USA, Inc.	$106.98	4
Merz Pharmaceuticals, LLC	$92.44	3
NOVARTIS PHARMACEUTICALS CORPORATION	$72.49	4
ACADIA Pharmaceuticals Inc	$70.12	3
Neurocrine BioSciences, Inc.	$55.13	2
PFIZER INC.	$47.05	3
Lilly USA, LLC	$44.36	3
ARGENX US, INC.	$41.57	2
Grifols USA, LLC	$40.41	2
Inspire Medical Systems, Inc.	$37.11	1
Biogen, Inc.	$28.38	1
Avadel CNS Pharmaceuticals, LLC	$27.50	2
JAZZ PHARMACEUTICALS INC.	$25.39	1
Axsome Therapeutics, Inc.	$24.15	1
Ipsen Biopharmaceuticals, Inc	$23.74	1
Neurelis, Inc.	$20.81	1
Takeda Pharmaceuticals U.S.A., Inc.	$19.39	1
CSL Behring	$19.20	1
ANI Pharmaceuticals, Inc.	$15.02	1
Celgene Corporation	$14.84	1
TG THERAPEUTICS, INC.	$14.50	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$1,518.97	66
PY2024	$2,480.80	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.	$21.71	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1106424112	CMS
ABBVIE INC.	$21.47	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1106424114	CMS
ABBVIE INC.	$18.43	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1106424116	CMS
ABBVIE INC.	$13.05	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1106424118	CMS
ABBVIE INC.	$11.76	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1106424120	CMS
ABBVIE INC.	$16.41	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1106424122	CMS
ABBVIE INC.	$10.05	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1106424124	CMS
ABBVIE INC.	$14.94	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1106424126	CMS
ABBVIE INC.	$23.43	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1106424128	CMS
ABBVIE INC.	$13.94	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1106424130	CMS
ABBVIE INC.	$13.52	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1106424132	CMS
ABBVIE INC.	$13.53	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1106424134	CMS
ABBVIE INC.	$9.17	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1106424136	CMS
ABBVIE INC.	$8.29	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1106424138	CMS
ABBVIE INC.	$20.62	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1106424140	CMS
ABBVIE INC.	$15.44	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1106424142	CMS
ABBVIE INC.	$3.59	11/09/2024	Food and Beverage	Undisputed	01/23/2026	1106424144	CMS
ABBVIE INC.	$14.86	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1106424146	CMS
ACADIA Pharmaceuticals Inc	$26.34	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1147998613	CMS
ACADIA Pharmaceuticals Inc	$18.08	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1147998615	CMS
ACADIA Pharmaceuticals Inc	$25.70	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1147998617	CMS
ANI Pharmaceuticals, Inc.	$15.02	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1091131831	CMS
ARGENX US, INC.	$28.37	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1142147232	CMS
ARGENX US, INC.	$13.20	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1142150853	CMS
Avadel CNS Pharmaceuticals, LLC	$13.90	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1123390070	CMS
Avadel CNS Pharmaceuticals, LLC	$13.60	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1123390072	CMS
Axsome Therapeutics, Inc.	$24.15	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1148372535	CMS
Biogen, Inc.	$28.38	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1104859586	CMS
Celgene Corporation	$14.84	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1101180228	CMS
CSL Behring	$19.20	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1134616947	CMS
Eisai Inc.	$26.11	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1110806948	CMS
Eisai Inc.	$18.76	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1110806944	CMS
Eisai Inc.	$17.73	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1110806940	CMS
Eisai Inc.	$31.70	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1110806938	CMS
Eisai Inc.	$39.00	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1110806942	CMS
Eisai Inc.	$44.81	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1110806946	CMS
Genentech USA, Inc.	$26.58	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1133165576	CMS
Genentech USA, Inc.	$25.48	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1133165578	CMS
Genentech USA, Inc.	$29.99	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1133165588	CMS
Genentech USA, Inc.	$23.95	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1133165580	CMS
Genentech USA, Inc.	$24.56	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1133165582	CMS
Genentech USA, Inc.	$26.65	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1133165584	CMS
Genentech USA, Inc.	$29.86	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1133165586	CMS
Genentech USA, Inc.	$29.71	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1133165590	CMS
Genentech USA, Inc.	$29.77	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1133165594	CMS
Genentech USA, Inc.	$29.91	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1133165592	CMS
GENZYME CORPORATION	$128.96	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1140010770	CMS
Grifols USA, LLC	$21.35	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1124753826	CMS
Grifols USA, LLC	$19.06	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1124753824	CMS
Harmony Biosciences Llc	$3.33	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1141469756	CMS
Harmony Biosciences Llc	$14.47	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1141472426	CMS
HARMONY BIOSCIENCES LLC	$29.82	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1126091505	CMS
HARMONY BIOSCIENCES LLC	$24.81	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1126091507	CMS
HARMONY BIOSCIENCES LLC	$1.69	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1126091511	CMS
HARMONY BIOSCIENCES LLC	$64.99	05/22/2024	Education	Undisputed	01/23/2026	1126091503	CMS
HARMONY BIOSCIENCES LLC	$19.46	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1126091509	CMS
HARMONY BIOSCIENCES LLC	$0.81	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1126091513	CMS
Inspire Medical Systems, Inc.	$37.11	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1148131383	CMS
Ipsen Biopharmaceuticals, Inc	$23.74	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1091969987	CMS
JAZZ PHARMACEUTICALS INC.	$25.39	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1151311027	CMS
Lilly USA, LLC	$16.26	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1135719054	CMS
Lilly USA, LLC	$14.70	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1135717066	CMS
Lilly USA, LLC	$13.40	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1135647003	CMS
Lundbeck LLC	$11.29	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1145986936	CMS
Lundbeck LLC	$20.10	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1145986938	CMS
Lundbeck LLC	$27.13	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1145986940	CMS
Lundbeck LLC	$31.63	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1145986942	CMS
Lundbeck LLC	$20.83	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1145986944	CMS
Lundbeck LLC	$20.30	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1145986946	CMS
Merz Pharmaceuticals, LLC	$23.93	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1137958086	CMS
Merz Pharmaceuticals, LLC	$28.95	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1137958088	CMS
Merz Pharmaceuticals, LLC	$39.56	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1137958090	CMS
Neurelis, Inc.	$20.81	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1145659658	CMS
Neurocrine Biosciences, Inc.	$34.59	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1150932446	CMS
Neurocrine Biosciences, Inc.	$20.54	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1150976995	CMS
Novartis Pharmaceuticals Corporation	$19.44	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1086695141	CMS
Novartis Pharmaceuticals Corporation	$13.37	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1086695143	CMS
Novartis Pharmaceuticals Corporation	$20.48	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1086695145	CMS
Novartis Pharmaceuticals Corporation	$19.20	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1086695169	CMS
PFIZER INC.	$15.87	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1130950630	CMS
PFIZER INC.	$17.29	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1131078153	CMS
PFIZER INC.	$13.89	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1131242397	CMS
SK Life Science, Inc.	$10.25	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1154127426	CMS
SK Life Science, Inc.	$16.20	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1154127461	CMS
SK Life Science, Inc.	$25.00	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1154127524	CMS
SK Life Science, Inc.	$31.08	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1154127536	CMS
SK Life Science, Inc.	$28.02	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1154127552	CMS
SK Life Science, Inc.	$16.40	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1154127592	CMS
SK Life Science, Inc.	$1.08	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1154127594	CMS
SK Life Science, Inc.	$21.22	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1154127620	CMS
Sumitomo Pharma America, Inc.	$13.47	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1148940867	CMS
Sumitomo Pharma America, Inc.	$22.49	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1148940869	CMS
Sumitomo Pharma America, Inc.	$8.42	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1148940871	CMS
Sumitomo Pharma America, Inc.	$22.97	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1148940873	CMS
Sumitomo Pharma America, Inc.	$6.86	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1148940875	CMS
Sumitomo Pharma America, Inc.	$15.22	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1148940877	CMS
Sumitomo Pharma America, Inc.	$18.87	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1148940879	CMS
Sumitomo Pharma America, Inc.	$16.47	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1148940881	CMS
Sumitomo Pharma America, Inc.	$28.58	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1148940883	CMS
Sumitomo Pharma America, Inc.	$20.06	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1148940885	CMS
Sumitomo Pharma America, Inc.	$29.30	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1148940887	CMS
Sumitomo Pharma America, Inc.	$10.66	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1148940889	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.39	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1137705229	CMS
Teva Pharmaceuticals USA, Inc.	$17.68	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1151727455	CMS
Teva Pharmaceuticals USA, Inc.	$24.36	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1151727487	CMS
Teva Pharmaceuticals USA, Inc.	$24.20	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1151727527	CMS
Teva Pharmaceuticals USA, Inc.	$40.74	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1151727581	CMS
TG Therapeutics, Inc.	$14.50	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1136878652	CMS
UCB, Inc.	$25.33	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1143052977	CMS
UCB, Inc.	$24.71	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1143052979	CMS
UCB, Inc.	$11.58	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1143052981	CMS
UCB, Inc.	$38.73	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1143052983	CMS
UCB, Inc.	$18.95	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1143052985	CMS
UCB, Inc.	$19.90	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1143052987	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

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.