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

JULIE K MARHEFKA

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

NPI
1699077123
CMS profile
11210571
Location
OCEANSIDE, CA

General Payments · PY2023–2024

$1,357.98

  • Reported across 58 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$638.74

28 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 $611.47 27
Education $27.27 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $719.24 30
PY2024 $638.74 28

Payment records · PY2024 (28)

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. $17.89 03/01/2024 Food and Beverage Undisputed 01/23/2026 1107589995 CMS
Alkermes, Inc. $24.98 04/10/2024 Food and Beverage Undisputed 01/23/2026 1120547764 CMS
Alkermes, Inc. $16.29 06/12/2024 Food and Beverage Undisputed 01/23/2026 1120547766 CMS
Alkermes, Inc. $21.92 07/24/2024 Food and Beverage Undisputed 01/23/2026 1120547768 CMS
Alkermes, Inc. $15.44 09/18/2024 Food and Beverage Undisputed 01/23/2026 1120547770 CMS
Alkermes, Inc. $21.72 11/13/2024 Food and Beverage Undisputed 01/23/2026 1120547772 CMS
Alkermes, Inc. $22.93 12/11/2024 Food and Beverage Undisputed 01/23/2026 1120547774 CMS
E.R. Squibb & Sons, L.L.C. $24.02 09/05/2024 Food and Beverage Undisputed 01/23/2026 1101638262 CMS
E.R. Squibb & Sons, L.L.C. $27.27 10/30/2024 Education Undisputed 01/23/2026 1101638283 CMS
E.R. Squibb & Sons, L.L.C. $22.62 10/30/2024 Food and Beverage Undisputed 01/23/2026 1101638291 CMS
E.R. Squibb & Sons, L.L.C. $31.25 12/18/2024 Food and Beverage Undisputed 01/23/2026 1101638305 CMS
Indivior Inc. $27.29 04/17/2024 Food and Beverage Undisputed 01/23/2026 1144561669 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.99 11/05/2024 Food and Beverage Undisputed 01/23/2026 1143540512 CMS
Janssen Pharmaceuticals, Inc $23.61 01/03/2024 Food and Beverage Undisputed 01/23/2026 1077933185 CMS
Janssen Pharmaceuticals, Inc $26.12 02/21/2024 Food and Beverage Undisputed 01/23/2026 1077933155 CMS
Janssen Pharmaceuticals, Inc $23.89 05/23/2024 Food and Beverage Undisputed 01/23/2026 1077933165 CMS
Lundbeck LLC $17.35 08/13/2024 Food and Beverage Undisputed 01/23/2026 1146056081 CMS
Lundbeck LLC $14.05 09/24/2024 Food and Beverage Undisputed 01/23/2026 1146056083 CMS
Noven Therapeutics, LLC $13.07 05/08/2024 Food and Beverage Undisputed 01/23/2026 1084833100 CMS
Otsuka America Pharmaceutical, Inc. $24.28 01/31/2024 Food and Beverage Undisputed 01/23/2026 1119129624 CMS
Otsuka America Pharmaceutical, Inc. $21.47 05/29/2024 Food and Beverage Undisputed 01/23/2026 1119129626 CMS
Otsuka America Pharmaceutical, Inc. $23.36 10/10/2024 Food and Beverage Undisputed 01/23/2026 1119129628 CMS
Otsuka America Pharmaceutical, Inc. $20.95 12/03/2024 Food and Beverage Undisputed 01/23/2026 1119129630 CMS
Teva Pharmaceuticals USA, Inc. $14.04 06/26/2024 Food and Beverage Undisputed 01/23/2026 1151735415 CMS
Teva Pharmaceuticals USA, Inc. $24.61 11/20/2024 Food and Beverage Undisputed 01/23/2026 1151735471 CMS
Vanda Pharmaceuticals Inc. $37.32 07/17/2024 Food and Beverage Undisputed 01/23/2026 1133956112 CMS
Vanda Pharmaceuticals Inc. $25.31 10/02/2024 Food and Beverage Undisputed 01/23/2026 1133956114 CMS
Vanda Pharmaceuticals Inc. $38.70 11/27/2024 Food and Beverage Undisputed 01/23/2026 1133956116 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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