Covered recipient · General Payments record

SARAH E GORAL

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1689986788
CMS profile: 10579863
Location: MITCHELL, SD

General Payments · PY2021–2024

$5,254.08

Reported across 426 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,370.24

89 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	$1,370.24	89

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Lilly USA, LLC	$256.00	16
Amgen Inc.	$209.33	16
PFIZER INC.	$176.36	17
Acerta Pharma LLC	$172.04	6
Astellas Pharma US Inc	$109.35	6
Boehringer Ingelheim Pharmaceuticals, Inc.	$70.62	5
Novo Nordisk AS	$60.86	4
Janssen Pharmaceuticals, Inc	$48.27	3
NOVARTIS PHARMACEUTICALS CORPORATION	$34.66	2
Takeda Pharmaceuticals U.S.A., Inc.	$33.62	2
Phathom Pharmaceuticals, Inc.	$31.60	2
Lundbeck LLC	$27.60	2
Exact Sciences Corporation	$27.52	2
Conetic Solutions, Inc.	$22.98	1
Actelion Pharmaceuticals US, Inc.	$20.95	1
MIMEDX Group, Inc.	$19.58	1
Bayer HealthCare Pharmaceuticals Inc.	$17.86	1
Abbott Laboratories	$16.82	1
Merck Sharp & Dohme Corporation	$14.22	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,441.83	142
PY2022	$1,214.77	105
PY2023	$1,227.24	90
PY2024	$1,370.24	89

Payment records · PY2024 (89)

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

Program year 2024 2021 2022 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
Abbott Laboratories	$16.82	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1125200526	CMS
Actelion Pharmaceuticals US, Inc.	$20.95	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1078912479	CMS
Amgen Inc.	$17.62	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1117263927	CMS
Amgen Inc.	$10.00	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1117263945	CMS
Amgen Inc.	$8.70	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1117565524	CMS
Amgen Inc.	$10.92	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1117263929	CMS
Amgen Inc.	$21.66	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1117263931	CMS
Amgen Inc.	$10.32	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1117565526	CMS
Amgen Inc.	$17.65	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1117263933	CMS
Amgen Inc.	$12.29	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1117263935	CMS
Amgen Inc.	$11.33	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1117565528	CMS
Amgen Inc.	$11.05	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1117263937	CMS
Amgen Inc.	$17.55	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1117263947	CMS
Amgen Inc.	$21.94	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1117263949	CMS
Amgen Inc.	$8.63	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1117263939	CMS
Amgen Inc.	$8.69	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1117263941	CMS
Amgen Inc.	$6.37	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1117565530	CMS
Amgen Inc.	$14.61	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1117263943	CMS
Astellas Pharma US Inc	$19.97	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1139481078	CMS
Astellas Pharma US Inc	$16.41	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1139482048	CMS
Astellas Pharma US Inc	$17.83	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1139514057	CMS
Astellas Pharma US Inc	$17.20	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1139515847	CMS
Astellas Pharma US Inc	$15.23	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1139463040	CMS
Astellas Pharma US Inc	$22.71	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1139542726	CMS
AstraZeneca Pharmaceuticals LP	$88.67	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1105586652	CMS
AstraZeneca Pharmaceuticals LP	$16.39	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1105588274	CMS
AstraZeneca Pharmaceuticals LP	$20.00	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1105484817	CMS
AstraZeneca Pharmaceuticals LP	$13.95	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1105560964	CMS
AstraZeneca Pharmaceuticals LP	$16.37	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1105645884	CMS
AstraZeneca Pharmaceuticals LP	$16.66	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1104535277	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.86	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1086325852	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.37	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1118113333	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.74	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1118113341	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.07	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1118113337	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.37	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1118113335	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.07	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1118113339	CMS
Conetic Solutions, Inc.	$22.98	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1096052910	CMS
Exact Sciences Corporation	$13.51	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1114448001	CMS
Exact Sciences Corporation	$14.01	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1114448005	CMS
Janssen Pharmaceuticals, Inc	$16.91	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1078180237	CMS
Janssen Pharmaceuticals, Inc	$17.42	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1078180231	CMS
Janssen Pharmaceuticals, Inc	$13.94	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1078180235	CMS
Lilly USA, LLC	$19.45	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1135944628	CMS
Lilly USA, LLC	$16.25	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1135903930	CMS
Lilly USA, LLC	$18.76	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1135931568	CMS
Lilly USA, LLC	$14.24	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135861947	CMS
Lilly USA, LLC	$18.19	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1135931570	CMS
Lilly USA, LLC	$19.84	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1135903934	CMS
Lilly USA, LLC	$11.59	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1135903932	CMS
Lilly USA, LLC	$15.87	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1135861951	CMS
Lilly USA, LLC	$17.64	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1135931574	CMS
Lilly USA, LLC	$13.90	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1135939586	CMS
Lilly USA, LLC	$12.10	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1135861943	CMS
Lilly USA, LLC	$18.76	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1135940104	CMS
Lilly USA, LLC	$15.01	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1135939588	CMS
Lilly USA, LLC	$13.28	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1135931572	CMS
Lilly USA, LLC	$14.72	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1135959861	CMS
Lilly USA, LLC	$16.40	12/26/2024	Food and Beverage	Undisputed	01/23/2026	1135959863	CMS
Lundbeck LLC	$13.07	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1146027692	CMS
Lundbeck LLC	$14.53	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1146027694	CMS
Merck Sharp & Dohme LLC	$14.22	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1141600291	CMS
MIMEDX Group, Inc.	$19.58	11/17/2024	Food and Beverage	Undisputed	01/23/2026	1140274334	CMS
Novartis Pharmaceuticals Corporation	$16.47	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1086909587	CMS
Novartis Pharmaceuticals Corporation	$18.19	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1086909589	CMS
Novo Nordisk Inc	$13.48	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1100572036	CMS
Novo Nordisk Inc	$16.69	04/28/2024	Food and Beverage	Undisputed	01/23/2026	1100241934	CMS
Novo Nordisk Inc	$14.54	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1100494373	CMS
Novo Nordisk Inc	$16.15	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1100574824	CMS
PFIZER INC.	$11.46	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1131234107	CMS
PFIZER INC.	$6.65	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1131257537	CMS
PFIZER INC.	$1.98	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1131257789	CMS
PFIZER INC.	$11.38	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1131257785	CMS
PFIZER INC.	$6.63	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1131233512	CMS
PFIZER INC.	$10.40	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1131233500	CMS
PFIZER INC.	$9.22	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1131232904	CMS
PFIZER INC.	$7.11	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1131233508	CMS
PFIZER INC.	$9.97	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1131232900	CMS
PFIZER INC.	$7.30	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1131233504	CMS
PFIZER INC.	$1.76	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1131234099	CMS
PFIZER INC.	$10.18	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1131234112	CMS
PFIZER INC.	$10.92	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1131233517	CMS
PFIZER INC.	$10.88	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1131234103	CMS
PFIZER INC.	$23.76	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1131257793	CMS
PFIZER INC.	$11.88	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1131234070	CMS
PFIZER INC.	$24.88	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1131257533	CMS
Phathom Pharmaceuticals, Inc.	$15.14	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1151169084	CMS
Phathom Pharmaceuticals, Inc.	$16.46	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1151169086	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.58	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1137754854	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.04	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1137754856	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

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.