KARL M LETKO

Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant POCATELLO, ID NPI 1689977019

General Payments — all program years on this page

$3,002.86

Category: General Payments
Program years: PY2021–2024
Record count: 172
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $991.53 across 52 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 (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$991.53	52

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
ABBVIE INC.	$236.74	11
Teva Pharmaceuticals USA, Inc.	$221.57	17
Axsome Therapeutics, Inc.	$146.88	7
Otsuka America Pharmaceutical, Inc.	$107.41	5
ITI, Inc.	$76.76	3
Takeda Pharmaceuticals U.S.A., Inc.	$68.30	3
Janssen Pharmaceuticals, Inc	$43.35	2
Vanda Pharmaceuticals Inc.	$41.87	2
Alkermes, Inc.	$29.19	1
E.R. Squibb & Sons, L.L.C.	$19.46	1

By program year

Program year	Amount	Records
2021	$626.85	40
2022	$642.61	38
2023	$741.87	42
2024	$991.53	52

Records — PY2024 (52)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1078001760	Janssen Pharmaceuticals, Inc	$23.92	03/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1078001762	Janssen Pharmaceuticals, Inc	$19.43	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101420975	E.R. Squibb & Sons, L.L.C.	$19.46	11/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531839	ABBVIE INC.	$21.26	01/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531841	ABBVIE INC.	$30.19	02/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531843	ABBVIE INC.	$17.57	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531845	ABBVIE INC.	$13.67	02/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531847	ABBVIE INC.	$32.53	03/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531849	ABBVIE INC.	$24.51	04/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531851	ABBVIE INC.	$31.02	07/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531853	ABBVIE INC.	$14.11	07/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531855	ABBVIE INC.	$18.53	09/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531857	ABBVIE INC.	$21.65	11/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107531859	ABBVIE INC.	$11.70	11/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119121778	Otsuka America Pharmaceutical, Inc.	$26.24	03/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119121780	Otsuka America Pharmaceutical, Inc.	$18.67	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119121782	Otsuka America Pharmaceutical, Inc.	$23.55	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119121784	Otsuka America Pharmaceutical, Inc.	$14.71	09/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119121786	Otsuka America Pharmaceutical, Inc.	$24.24	11/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133340960	Alkermes, Inc.	$29.19	10/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133954148	Vanda Pharmaceuticals Inc.	$20.19	09/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133954150	Vanda Pharmaceuticals Inc.	$21.68	12/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137781112	Takeda Pharmaceuticals U.S.A., Inc.	$18.75	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137781114	Takeda Pharmaceuticals U.S.A., Inc.	$23.41	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137781116	Takeda Pharmaceuticals U.S.A., Inc.	$26.14	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143533512	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$24.06	04/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143533514	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.35	08/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143533516	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$32.35	09/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148374810	Axsome Therapeutics, Inc.	$23.34	01/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148374812	Axsome Therapeutics, Inc.	$33.40	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148374814	Axsome Therapeutics, Inc.	$30.98	03/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148374816	Axsome Therapeutics, Inc.	$2.43	09/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148374818	Axsome Therapeutics, Inc.	$31.44	09/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148374820	Axsome Therapeutics, Inc.	$4.06	10/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148374822	Axsome Therapeutics, Inc.	$21.23	10/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525495	Teva Pharmaceuticals USA, Inc.	$11.82	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525507	Teva Pharmaceuticals USA, Inc.	$17.22	02/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525519	Teva Pharmaceuticals USA, Inc.	$14.99	03/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525521	Teva Pharmaceuticals USA, Inc.	$17.56	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525537	Teva Pharmaceuticals USA, Inc.	$13.03	04/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525547	Teva Pharmaceuticals USA, Inc.	$13.04	04/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525549	Teva Pharmaceuticals USA, Inc.	$17.44	05/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525559	Teva Pharmaceuticals USA, Inc.	$13.24	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525561	Teva Pharmaceuticals USA, Inc.	$14.46	06/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525571	Teva Pharmaceuticals USA, Inc.	$12.23	07/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525573	Teva Pharmaceuticals USA, Inc.	$13.41	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525587	Teva Pharmaceuticals USA, Inc.	$11.49	08/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525603	Teva Pharmaceuticals USA, Inc.	$13.20	09/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525611	Teva Pharmaceuticals USA, Inc.	$9.55	10/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525613	Teva Pharmaceuticals USA, Inc.	$10.98	10/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525623	Teva Pharmaceuticals USA, Inc.	$4.14	11/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151525633	Teva Pharmaceuticals USA, Inc.	$13.77	12/04/2024	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_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.