Covered recipient · General Payments record

CARA L FIRCH

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1730585514
CMS profile: 11040432
Location: STERLING, IL

General Payments · PY2021–2024

$4,030.00

Reported across 293 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,603.58

103 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	$1,603.58	103

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Janssen Biotech, Inc.	$465.86	30
ABBVIE INC.	$268.48	19
Takeda Pharmaceuticals U.S.A., Inc.	$203.64	10
AIMMUNE THERAPEUTICS, INC.	$189.37	15
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$180.85	13
Merck Sharp & Dohme Corporation	$107.65	6
Phathom Pharmaceuticals, Inc.	$57.15	2
Madrigal Pharmaceuticals	$56.94	3
Gilead Sciences, Inc.	$47.17	3
Celgene Corporation	$26.47	2

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$586.41	49
PY2022	$481.77	44
PY2023	$1,358.24	97
PY2024	$1,603.58	103

Payment records · PY2024 (103)

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.	$25.39	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1107105849	CMS
ABBVIE INC.	$19.49	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1107105851	CMS
ABBVIE INC.	$4.05	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1107105853	CMS
ABBVIE INC.	$7.59	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1107105855	CMS
ABBVIE INC.	$5.98	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1107105857	CMS
ABBVIE INC.	$19.95	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1107105859	CMS
ABBVIE INC.	$6.71	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1107105861	CMS
ABBVIE INC.	$13.08	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1107105863	CMS
ABBVIE INC.	$6.85	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1107105865	CMS
ABBVIE INC.	$28.30	07/13/2024	Food and Beverage	Undisputed	01/23/2026	1107105867	CMS
ABBVIE INC.	$12.35	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1107105869	CMS
ABBVIE INC.	$5.89	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1107105871	CMS
ABBVIE INC.	$34.03	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1107105873	CMS
ABBVIE INC.	$6.52	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1107105875	CMS
ABBVIE INC.	$9.83	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1107105877	CMS
ABBVIE INC.	$21.75	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1107105879	CMS
ABBVIE INC.	$6.37	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1107105881	CMS
ABBVIE INC.	$28.57	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1107105883	CMS
ABBVIE INC.	$5.78	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1107105885	CMS
AIMMUNE THERAPEUTICS, INC.	$6.73	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1147013950	CMS
AIMMUNE THERAPEUTICS, INC.	$7.35	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1147014180	CMS
AIMMUNE THERAPEUTICS, INC.	$6.89	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1147014244	CMS
AIMMUNE THERAPEUTICS, INC.	$6.54	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1147013732	CMS
AIMMUNE THERAPEUTICS, INC.	$7.49	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1146977152	CMS
AIMMUNE THERAPEUTICS, INC.	$5.57	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1146976866	CMS
AIMMUNE THERAPEUTICS, INC.	$7.21	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1146977728	CMS
AIMMUNE THERAPEUTICS, INC.	$6.00	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1146962569	CMS
AIMMUNE THERAPEUTICS, INC.	$39.54	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1146977977	CMS
AIMMUNE THERAPEUTICS, INC.	$8.74	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1146967407	CMS
AIMMUNE THERAPEUTICS, INC.	$7.17	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1146977859	CMS
AIMMUNE THERAPEUTICS, INC.	$58.24	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1146991716	CMS
AIMMUNE THERAPEUTICS, INC.	$6.77	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1146991638	CMS
AIMMUNE THERAPEUTICS, INC.	$6.20	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1146992225	CMS
AIMMUNE THERAPEUTICS, INC.	$8.93	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1146991964	CMS
Celgene Corporation	$13.20	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1101104140	CMS
Celgene Corporation	$13.27	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1101104146	CMS
Gilead Sciences, Inc.	$15.94	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1133719285	CMS
Gilead Sciences, Inc.	$16.80	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1133719287	CMS
Gilead Sciences, Inc.	$14.43	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1133719289	CMS
Janssen Biotech, Inc.	$6.46	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1078606984	CMS
Janssen Biotech, Inc.	$4.11	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1078606850	CMS
Janssen Biotech, Inc.	$32.76	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1078606904	CMS
Janssen Biotech, Inc.	$6.99	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1078607012	CMS
Janssen Biotech, Inc.	$19.93	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1078607067	CMS
Janssen Biotech, Inc.	$20.68	03/02/2024	Food and Beverage	Undisputed	01/23/2026	1078606871	CMS
Janssen Biotech, Inc.	$5.88	03/10/2024	Food and Beverage	Undisputed	01/23/2026	1078606966	CMS
Janssen Biotech, Inc.	$38.71	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1078607092	CMS
Janssen Biotech, Inc.	$4.02	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1078607055	CMS
Janssen Biotech, Inc.	$1.03	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1078606786	CMS
Janssen Biotech, Inc.	$17.67	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1078606922	CMS
Janssen Biotech, Inc.	$31.69	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1078606752	CMS
Janssen Biotech, Inc.	$3.36	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1078606778	CMS
Janssen Biotech, Inc.	$28.09	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1078606971	CMS
Janssen Biotech, Inc.	$37.26	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1078606755	CMS
Janssen Biotech, Inc.	$30.59	07/04/2024	Food and Beverage	Undisputed	01/23/2026	1078607088	CMS
Janssen Biotech, Inc.	$24.19	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1078607075	CMS
Janssen Biotech, Inc.	$24.00	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1078606714	CMS
Janssen Biotech, Inc.	$4.80	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1078606942	CMS
Janssen Biotech, Inc.	$24.55	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1078606838	CMS
Janssen Biotech, Inc.	$9.08	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1078606939	CMS
Janssen Biotech, Inc.	$0.29	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1078606730	CMS
Janssen Biotech, Inc.	$2.62	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1078606914	CMS
Janssen Biotech, Inc.	$2.50	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1078606742	CMS
Janssen Biotech, Inc.	$17.68	09/28/2024	Food and Beverage	Undisputed	01/23/2026	1078606846	CMS
Janssen Biotech, Inc.	$22.82	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1078606890	CMS
Janssen Biotech, Inc.	$20.02	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1078606882	CMS
Janssen Biotech, Inc.	$2.62	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1078606718	CMS
Janssen Biotech, Inc.	$9.70	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1078606726	CMS
Janssen Biotech, Inc.	$11.76	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1078607084	CMS
Madrigal Pharmaceuticals	$19.06	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1144190646	CMS
Madrigal Pharmaceuticals	$19.41	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1144190648	CMS
Madrigal Pharmaceuticals	$18.47	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1144190650	CMS
Merck Sharp & Dohme LLC	$15.72	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1141580287	CMS
Merck Sharp & Dohme LLC	$17.94	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1141580257	CMS
Merck Sharp & Dohme LLC	$18.34	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1141830596	CMS
Merck Sharp & Dohme LLC	$21.34	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1141580255	CMS
Merck Sharp & Dohme LLC	$18.56	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1141580285	CMS
Merck Sharp & Dohme LLC	$15.75	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1141580253	CMS
Phathom Pharmaceuticals, Inc.	$27.72	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1151165172	CMS
Phathom Pharmaceuticals, Inc.	$29.43	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1151165174	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.95	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1153462044	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$7.31	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1153628507	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$0.92	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1153536992	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$6.47	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1153607480	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$6.35	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1153579087	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.28	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1153729737	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.18	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1153539546	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.68	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1153470691	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.67	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1153574936	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.51	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1153667514	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.23	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1153717767	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.42	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1153465865	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.88	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1153672733	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.07	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1137743164	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$33.34	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1137743168	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$27.86	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1137743172	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$7.56	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1137743175	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$27.65	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1137743179	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$7.42	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1137743183	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$29.43	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1137743186	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$28.25	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1137743190	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$9.28	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1137743194	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$11.78	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1137743198	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

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