Covered recipient · General Payments record

NATALIA MARKIE DETRICK

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI: 1700462025
CMS profile: 10710934
Location: FRESNO, CA

General Payments · PY2022–2024

$6,740.48

Reported across 192 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,483.36

96 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	$2,025.39	91
Education	$457.97	5

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Daiichi Sankyo Inc.	$272.99	14
Astellas Pharma US Inc	$236.26	4
Gilead Sciences, Inc.	$235.41	4
NOVARTIS PHARMACEUTICALS CORPORATION	$208.36	15
Exelixis Inc.	$195.84	7
Janssen Biotech, Inc.	$159.38	3
Incyte Corporation	$146.78	2
Acerta Pharma LLC	$101.09	4
GENZYME CORPORATION	$99.22	4
ABBVIE INC.	$86.59	4
Genentech USA, Inc.	$65.07	3
Takeda Pharmaceuticals U.S.A., Inc.	$63.67	3
Celgene Corporation	$58.09	3
SERVIER PHARMACEUTICALS LLC	$49.64	2
GlaxoSmithKline, LLC.	$48.02	3
Merck Sharp & Dohme Corporation	$43.33	2
SOBI, INC	$39.46	2
Lilly USA, LLC	$35.54	2
EISAI INC.	$32.57	1
PharmaEssentia USA Corporation	$28.82	1
Apellis Pharmaceuticals, Inc.	$27.81	1
Regeneron Healthcare Solutions, Inc.	$27.35	1
RECORDATI_RARE_DISEASES_INC.	$25.67	1
TAIHO ONCOLOGY, INC.	$25.50	1
ADC Therapeutics America, Inc.	$23.91	1
Genmab U.S., Inc.	$23.04	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.48	1
Alexion Pharmaceuticals, Inc.	$20.61	1
EMD Serono, Inc.	$19.52	1
ARRAY BIOPHARMA INC	$16.88	1
PFIZER INC.	$15.53	1
Deciphera Pharmaceuticals Inc.	$14.59	1
Stemline Therapeutics Inc.	$14.34	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2022	$1,237.58	24
PY2023	$3,019.54	72
PY2024	$2,483.36	96

Payment records · PY2024 (96)

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

Program year 2024 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.	$21.75	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1107015762	CMS
ABBVIE INC.	$20.73	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1107015764	CMS
ABBVIE INC.	$28.98	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1107015766	CMS
ABBVIE INC.	$15.13	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1107015768	CMS
ADC Therapeutics America, Inc.	$23.91	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1121190131	CMS
Alexion Pharmaceuticals, Inc.	$20.61	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1093996958	CMS
Apellis Pharmaceuticals, Inc.	$27.81	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1154032345	CMS
ARRAY BIOPHARMA INC	$16.88	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1131899753	CMS
Astellas Pharma US Inc	$16.71	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1139494388	CMS
Astellas Pharma US Inc	$99.00	05/10/2024	Education	Undisputed	01/23/2026	1139507853	CMS
Astellas Pharma US Inc	$99.00	05/10/2024	Education	Undisputed	01/23/2026	1139507875	CMS
Astellas Pharma US Inc	$21.55	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1139532966	CMS
AstraZeneca Pharmaceuticals LP	$32.46	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1104232885	CMS
AstraZeneca Pharmaceuticals LP	$14.52	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1105861452	CMS
AstraZeneca Pharmaceuticals LP	$22.76	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1104529786	CMS
AstraZeneca Pharmaceuticals LP	$31.35	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1104672061	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.48	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1118119281	CMS
Celgene Corporation	$15.76	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1101113570	CMS
Celgene Corporation	$23.00	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1101113574	CMS
Celgene Corporation	$19.33	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1101113598	CMS
Daiichi Sankyo Inc.	$17.92	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1089415290	CMS
Daiichi Sankyo Inc.	$19.61	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1089415292	CMS
Daiichi Sankyo Inc.	$15.80	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1089415286	CMS
Daiichi Sankyo Inc.	$7.92	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1089415288	CMS
Daiichi Sankyo Inc.	$9.72	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1089415284	CMS
Daiichi Sankyo Inc.	$99.99	05/06/2024	Education	Undisputed	01/23/2026	1089415294	CMS
Daiichi Sankyo Inc.	$6.45	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1089415298	CMS
Daiichi Sankyo Inc.	$18.93	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1089415296	CMS
Daiichi Sankyo Inc.	$10.27	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1089415274	CMS
Daiichi Sankyo Inc.	$16.92	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1089415300	CMS
Daiichi Sankyo Inc.	$10.65	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1089415276	CMS
Daiichi Sankyo Inc.	$11.89	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1089415280	CMS
Daiichi Sankyo Inc.	$9.87	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1089415282	CMS
Daiichi Sankyo Inc.	$17.05	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1089415278	CMS
Deciphera Pharmaceuticals Inc.	$14.59	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1145876679	CMS
Eisai Inc.	$32.57	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1110816604	CMS
EMD Serono, Inc.	$19.52	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1120229292	CMS
Exelixis Inc.	$13.70	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1138573409	CMS
Exelixis Inc.	$25.00	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1138573407	CMS
Exelixis Inc.	$74.99	07/31/2024	Education	Undisputed	01/23/2026	1138573405	CMS
Exelixis Inc.	$25.45	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1138573415	CMS
Exelixis Inc.	$11.36	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1138573417	CMS
Exelixis Inc.	$34.91	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1138573413	CMS
Exelixis Inc.	$10.43	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1138573411	CMS
Genentech USA, Inc.	$18.38	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1133178661	CMS
Genentech USA, Inc.	$25.56	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1133178657	CMS
Genentech USA, Inc.	$21.13	11/23/2024	Food and Beverage	Undisputed	01/23/2026	1133178664	CMS
Genmab U.S., Inc.	$23.04	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1126838388	CMS
GENZYME CORPORATION	$16.86	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1139570860	CMS
GENZYME CORPORATION	$30.70	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1139570846	CMS
GENZYME CORPORATION	$21.01	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1139570848	CMS
GENZYME CORPORATION	$30.65	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1139570886	CMS
Gilead Sciences, Inc.	$4.14	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1133710709	CMS
Gilead Sciences, Inc.	$21.29	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1133710711	CMS
Gilead Sciences, Inc.	$84.99	07/15/2024	Education	Undisputed	01/23/2026	1133890665	CMS
Gilead Sciences, Inc.	$124.99	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1133710713	CMS
GlaxoSmithKline, LLC.	$15.86	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1116469948	CMS
GlaxoSmithKline, LLC.	$17.85	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1116432477	CMS
GlaxoSmithKline, LLC.	$14.31	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1116376240	CMS
Incyte Corporation	$124.99	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1141282805	CMS
Incyte Corporation	$21.79	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1141315189	CMS
Janssen Biotech, Inc.	$121.84	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1078297333	CMS
Janssen Biotech, Inc.	$18.94	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1078296949	CMS
Janssen Biotech, Inc.	$18.60	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1078296989	CMS
Lilly USA, LLC	$16.17	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1135896802	CMS
Lilly USA, LLC	$19.37	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1135910333	CMS
Merck Sharp & Dohme LLC	$23.21	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1141611566	CMS
Merck Sharp & Dohme LLC	$20.12	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1141611568	CMS
Novartis Pharmaceuticals Corporation	$7.91	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1086838319	CMS
Novartis Pharmaceuticals Corporation	$0.21	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1086838321	CMS
Novartis Pharmaceuticals Corporation	$28.55	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1086838323	CMS
Novartis Pharmaceuticals Corporation	$19.78	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1086838325	CMS
Novartis Pharmaceuticals Corporation	$0.19	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1086838329	CMS
Novartis Pharmaceuticals Corporation	$7.89	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1086838331	CMS
Novartis Pharmaceuticals Corporation	$28.04	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1086838347	CMS
Novartis Pharmaceuticals Corporation	$24.49	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1086838341	CMS
Novartis Pharmaceuticals Corporation	$0.75	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1086838349	CMS
Novartis Pharmaceuticals Corporation	$6.84	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1086838351	CMS
Novartis Pharmaceuticals Corporation	$17.41	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1086838353	CMS
Novartis Pharmaceuticals Corporation	$18.04	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1086838355	CMS
Novartis Pharmaceuticals Corporation	$7.95	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1086838361	CMS
Novartis Pharmaceuticals Corporation	$30.47	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1086838367	CMS
Novartis Pharmaceuticals Corporation	$9.84	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1086838371	CMS
PFIZER INC.	$15.53	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1131899751	CMS
PharmaEssentia USA Corporation	$28.82	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1137305673	CMS
RECORDATI_RARE_DISEASES_INC.	$25.67	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1139168387	CMS
Regeneron Healthcare Solutions, Inc.	$27.35	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1114292589	CMS
SERVIER PHARMACEUTICALS LLC	$24.92	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1147267966	CMS
SERVIER PHARMACEUTICALS LLC	$24.72	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1147267964	CMS
SOBI, INC	$20.48	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1141426175	CMS
SOBI, INC	$18.98	12/14/2024	Food and Beverage	Undisputed	01/23/2026	1141411778	CMS
Stemline Therapeutics Inc.	$14.34	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1142969737	CMS
TAIHO ONCOLOGY, INC.	$25.50	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1137940450	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$27.13	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1144974430	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.03	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1144974432	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.51	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1144974434	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: 2022, 2023, 2024
Source files: Dataset page · Bulk file · 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.