Covered recipient · General Payments record

DENISE J APPRILL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI: 1700036993
CMS profile: 11223535
Location: SAINT LOUIS, MO

General Payments · PY2021–2024

$7,111.74

Reported across 396 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,954.49

131 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	$1,946.04	130
Education	$8.45	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$373.69	30
Janssen Biotech, Inc.	$307.13	17
Dermavant Sciences, Inc.	$197.72	34
E.R. Squibb & Sons, L.L.C.	$138.18	14
NOVARTIS PHARMACEUTICALS CORPORATION	$134.60	9
Incyte Corporation	$128.57	5
LEO Pharma Inc.	$109.85	1
REVANCE THERAPEUTICS, INC.	$106.79	2
GENZYME CORPORATION	$92.95	3
Amgen Inc.	$74.98	3
Lilly USA, LLC	$56.22	3
SUN PHARMACEUTICAL INDUSTRIES INC.	$49.50	2
Sensus Healthcare, Inc.	$42.86	1
Almirall LLC	$41.68	2
PFIZER INC.	$40.20	2
Regeneron Healthcare Solutions, Inc.	$26.23	1
Arcutis Biotherapeutics, Inc.	$18.83	1
Galderma Laboratories, L.P.	$14.51	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,583.03	73
PY2022	$1,450.75	73
PY2023	$2,123.47	119
PY2024	$1,954.49	131

Payment records · PY2024 (131)

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
ABBVIE INC.	$27.53	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1106448300	CMS
ABBVIE INC.	$2.62	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1106448302	CMS
ABBVIE INC.	$15.34	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1106448304	CMS
ABBVIE INC.	$3.27	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1106448306	CMS
ABBVIE INC.	$25.93	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1106448308	CMS
ABBVIE INC.	$20.43	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1106448310	CMS
ABBVIE INC.	$8.24	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1106448312	CMS
ABBVIE INC.	$3.53	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1106448314	CMS
ABBVIE INC.	$15.33	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1106448316	CMS
ABBVIE INC.	$19.61	04/06/2024	Food and Beverage	Undisputed	01/23/2026	1106448318	CMS
ABBVIE INC.	$4.35	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1106448320	CMS
ABBVIE INC.	$25.16	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1106448322	CMS
ABBVIE INC.	$18.13	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1106448324	CMS
ABBVIE INC.	$32.27	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1106448326	CMS
ABBVIE INC.	$3.65	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1106448328	CMS
ABBVIE INC.	$21.63	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1106448330	CMS
ABBVIE INC.	$8.45	06/24/2024	Education	Undisputed	01/23/2026	1106448332	CMS
ABBVIE INC.	$9.46	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1106448334	CMS
ABBVIE INC.	$3.28	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1106448336	CMS
ABBVIE INC.	$5.07	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1106448338	CMS
ABBVIE INC.	$17.52	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1106448340	CMS
ABBVIE INC.	$6.40	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1106448342	CMS
ABBVIE INC.	$4.59	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1106448344	CMS
ABBVIE INC.	$2.61	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1106448346	CMS
ABBVIE INC.	$5.70	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1106448348	CMS
ABBVIE INC.	$13.50	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1106448350	CMS
ABBVIE INC.	$3.37	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1106448352	CMS
ABBVIE INC.	$25.26	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1106448354	CMS
ABBVIE INC.	$2.44	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1106448356	CMS
ABBVIE INC.	$19.02	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1106448358	CMS
Almirall LLC	$17.06	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1120637237	CMS
Almirall LLC	$24.62	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1120637311	CMS
Amgen Inc.	$18.85	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1117495858	CMS
Amgen Inc.	$22.18	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1117495860	CMS
Amgen Inc.	$33.95	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1117495862	CMS
Arcutis Biotherapeutics, Inc.	$18.83	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1121091769	CMS
Dermavant Sciences, Inc.	$2.25	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1127950197	CMS
Dermavant Sciences, Inc.	$2.12	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1127950199	CMS
Dermavant Sciences, Inc.	$4.67	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1127950201	CMS
Dermavant Sciences, Inc.	$4.30	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1127950203	CMS
Dermavant Sciences, Inc.	$5.36	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1127950205	CMS
Dermavant Sciences, Inc.	$5.83	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1127950207	CMS
Dermavant Sciences, Inc.	$4.86	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1127950209	CMS
Dermavant Sciences, Inc.	$2.56	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1127950211	CMS
Dermavant Sciences, Inc.	$17.62	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1127950213	CMS
Dermavant Sciences, Inc.	$2.22	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1127950215	CMS
Dermavant Sciences, Inc.	$4.57	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1127950217	CMS
Dermavant Sciences, Inc.	$2.60	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1127950219	CMS
Dermavant Sciences, Inc.	$3.72	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1127950221	CMS
Dermavant Sciences, Inc.	$20.62	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1127950223	CMS
Dermavant Sciences, Inc.	$4.75	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1127950225	CMS
Dermavant Sciences, Inc.	$5.02	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1127950227	CMS
Dermavant Sciences, Inc.	$5.13	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1127950229	CMS
Dermavant Sciences, Inc.	$3.25	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1127950231	CMS
Dermavant Sciences, Inc.	$17.98	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1127950233	CMS
Dermavant Sciences, Inc.	$4.49	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1127950235	CMS
Dermavant Sciences, Inc.	$5.10	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1127950237	CMS
Dermavant Sciences, Inc.	$4.87	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1127950239	CMS
Dermavant Sciences, Inc.	$2.81	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1127950241	CMS
Dermavant Sciences, Inc.	$2.78	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1127950243	CMS
Dermavant Sciences, Inc.	$2.61	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1127950245	CMS
Dermavant Sciences, Inc.	$2.28	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1127950247	CMS
Dermavant Sciences, Inc.	$4.38	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1127950249	CMS
Dermavant Sciences, Inc.	$4.27	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1127950251	CMS
Dermavant Sciences, Inc.	$3.98	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1127950253	CMS
Dermavant Sciences, Inc.	$1.30	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1127950255	CMS
Dermavant Sciences, Inc.	$1.50	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1127950257	CMS
Dermavant Sciences, Inc.	$1.62	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1127950259	CMS
Dermavant Sciences, Inc.	$16.57	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1127950261	CMS
Dermavant Sciences, Inc.	$19.73	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1127950263	CMS
E.R. Squibb & Sons, L.L.C.	$12.36	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1101741464	CMS
E.R. Squibb & Sons, L.L.C.	$21.01	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1101741468	CMS
E.R. Squibb & Sons, L.L.C.	$8.69	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1101741480	CMS
E.R. Squibb & Sons, L.L.C.	$8.27	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1101741487	CMS
E.R. Squibb & Sons, L.L.C.	$2.23	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1101741491	CMS
E.R. Squibb & Sons, L.L.C.	$0.57	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1101741495	CMS
E.R. Squibb & Sons, L.L.C.	$6.82	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1101741520	CMS
E.R. Squibb & Sons, L.L.C.	$2.61	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1101741524	CMS
E.R. Squibb & Sons, L.L.C.	$7.01	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1101741539	CMS
E.R. Squibb & Sons, L.L.C.	$4.91	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1101741543	CMS
E.R. Squibb & Sons, L.L.C.	$11.80	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1101741528	CMS
E.R. Squibb & Sons, L.L.C.	$15.20	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1101741550	CMS
E.R. Squibb & Sons, L.L.C.	$26.80	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1101741571	CMS
E.R. Squibb & Sons, L.L.C.	$9.90	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1101741585	CMS
Galderma Laboratories, L.P.	$14.51	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1145339379	CMS
GENZYME CORPORATION	$30.64	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1139813355	CMS
GENZYME CORPORATION	$27.76	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1139813411	CMS
GENZYME CORPORATION	$34.55	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1139813447	CMS
Incyte Corporation	$17.56	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1141265453	CMS
Incyte Corporation	$28.99	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1141308395	CMS
Incyte Corporation	$25.12	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1141189935	CMS
Incyte Corporation	$27.87	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1141190255	CMS
Incyte Corporation	$29.03	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1141171751	CMS
Janssen Biotech, Inc.	$11.90	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1078792646	CMS
Janssen Biotech, Inc.	$18.85	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1078794342	CMS
Janssen Biotech, Inc.	$20.71	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1078797590	CMS
Janssen Biotech, Inc.	$28.18	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1078797291	CMS
Janssen Biotech, Inc.	$3.35	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1078795213	CMS
Janssen Biotech, Inc.	$39.14	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1078796016	CMS
Janssen Biotech, Inc.	$9.15	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1078797121	CMS
Janssen Biotech, Inc.	$12.23	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1078797025	CMS
Janssen Biotech, Inc.	$10.12	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1078794563	CMS
Janssen Biotech, Inc.	$24.41	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1078796118	CMS
Janssen Biotech, Inc.	$21.05	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1078794864	CMS
Janssen Biotech, Inc.	$24.38	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1078794410	CMS
Janssen Biotech, Inc.	$13.38	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1078794920	CMS
Janssen Biotech, Inc.	$10.25	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1078796640	CMS
Janssen Biotech, Inc.	$20.29	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1078793247	CMS
Janssen Biotech, Inc.	$30.26	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1078793511	CMS
Janssen Biotech, Inc.	$9.48	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1078796035	CMS
LEO Pharma Inc.	$109.85	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1152657997	CMS
Lilly USA, LLC	$21.43	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1135622029	CMS
Lilly USA, LLC	$16.88	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1135548885	CMS
Lilly USA, LLC	$17.91	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1135628925	CMS
Novartis Pharmaceuticals Corporation	$18.99	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1086734057	CMS
Novartis Pharmaceuticals Corporation	$25.80	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1086734061	CMS
Novartis Pharmaceuticals Corporation	$6.62	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1086734063	CMS
Novartis Pharmaceuticals Corporation	$17.66	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1086734071	CMS
Novartis Pharmaceuticals Corporation	$1.44	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1086734073	CMS
Novartis Pharmaceuticals Corporation	$23.44	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1086734075	CMS
Novartis Pharmaceuticals Corporation	$19.05	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1086734077	CMS
Novartis Pharmaceuticals Corporation	$17.13	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1086734079	CMS
Novartis Pharmaceuticals Corporation	$4.47	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1086734081	CMS
PFIZER INC.	$22.35	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1131215109	CMS
PFIZER INC.	$17.85	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1132094782	CMS
Regeneron Healthcare Solutions, Inc.	$26.23	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1114266691	CMS
REVANCE THERAPEUTICS, INC.	$76.32	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1147933144	CMS
REVANCE THERAPEUTICS, INC.	$30.47	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1147933146	CMS
Sensus Healthcare, Inc.	$42.86	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1111747923	CMS
SUN PHARMACEUTICAL INDUSTRIES INC.	$27.99	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1152229515	CMS
SUN PHARMACEUTICAL INDUSTRIES INC.	$21.51	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1152229517	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.