Covered recipient · General Payments record

MONICA M JOOSTEN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1750916094
CMS profile: 10462640
Location: VISALIA, CA

General Payments · PY2021–2024

$4,539.60

Reported across 205 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,699.20

71 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	$1,699.20	71

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Otsuka America Pharmaceutical, Inc.	$314.70	7
Novo Nordisk AS	$185.84	14
Boehringer Ingelheim Pharmaceuticals, Inc.	$166.28	9
Phathom Pharmaceuticals, Inc.	$163.37	3
ABBVIE INC.	$162.03	7
ORGANOGENESIS INC.	$113.54	1
Acerta Pharma LLC	$93.06	5
Mylan Specialty L.P.	$65.99	3
Axsome Therapeutics, Inc.	$60.83	2
Dynavax Technologies Corporation	$51.34	2
Lilly USA, LLC	$46.49	3
Astellas Pharma US Inc	$44.78	2
PFIZER INC.	$39.11	2
Amgen Inc.	$34.42	2
Verity Pharmaceuticals Inc.	$31.00	2
Merck Sharp & Dohme Corporation	$26.19	1
VERTEX PHARMACEUTICALS INCORPORATED	$20.42	1
Daiichi Sankyo Inc.	$18.09	1
AIMMUNE THERAPEUTICS, INC.	$17.45	1
IDORSIA PHARMACEUTICALS US INC	$15.01	1
Seqirus USA Inc	$14.69	1
Antares Pharma, Inc.	$14.57	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$684.10	34
PY2022	$757.87	38
PY2023	$1,398.43	62
PY2024	$1,699.20	71

Payment records · PY2024 (71)

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.	$9.66	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1107424556	CMS
ABBVIE INC.	$33.20	01/13/2024	Food and Beverage	Undisputed	01/23/2026	1107424558	CMS
ABBVIE INC.	$33.89	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1107424560	CMS
ABBVIE INC.	$21.61	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1107424562	CMS
ABBVIE INC.	$29.12	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1107424564	CMS
ABBVIE INC.	$6.87	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1107424566	CMS
ABBVIE INC.	$27.68	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1107424568	CMS
AIMMUNE THERAPEUTICS, INC.	$17.45	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1147023062	CMS
Amgen Inc.	$17.04	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1117591675	CMS
Amgen Inc.	$17.38	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1117591677	CMS
Antares Pharma, Inc.	$14.57	11/17/2024	Food and Beverage	Undisputed	01/23/2026	1146510230	CMS
Astellas Pharma US Inc	$22.41	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1139519885	CMS
Astellas Pharma US Inc	$22.37	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1139559629	CMS
AstraZeneca Pharmaceuticals LP	$21.18	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1104325608	CMS
AstraZeneca Pharmaceuticals LP	$16.80	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1105453431	CMS
AstraZeneca Pharmaceuticals LP	$23.34	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1105462652	CMS
AstraZeneca Pharmaceuticals LP	$15.87	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1104370399	CMS
AstraZeneca Pharmaceuticals LP	$15.87	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1105242642	CMS
Axsome Therapeutics, Inc.	$29.42	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1148395801	CMS
Axsome Therapeutics, Inc.	$31.41	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1148395803	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.26	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1118141300	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.37	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1118141302	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.70	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1118141304	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.56	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1118141314	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.12	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1118141306	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.27	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1118141316	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.09	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1118141310	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.97	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1118141308	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.94	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1118141312	CMS
Daiichi Sankyo Inc.	$18.09	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1089439279	CMS
Dynavax Technologies Corporation	$25.67	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1082143615	CMS
Dynavax Technologies Corporation	$25.67	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1082145415	CMS
IDORSIA PHARMACEUTICALS US INC	$15.01	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1146754271	CMS
Lilly USA, LLC	$13.76	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1135872542	CMS
Lilly USA, LLC	$13.53	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1135903300	CMS
Lilly USA, LLC	$19.20	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1135903298	CMS
Merck Sharp & Dohme LLC	$26.19	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1141967271	CMS
Mylan Specialty L.P.	$17.05	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1147311449	CMS
Mylan Specialty L.P.	$23.24	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1147351563	CMS
Mylan Specialty L.P.	$25.70	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1147360836	CMS
Novo Nordisk Inc	$22.09	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1100232628	CMS
Novo Nordisk Inc	$12.32	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1100290018	CMS
Novo Nordisk Inc	$17.99	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1100481693	CMS
Novo Nordisk Inc	$23.36	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1100241746	CMS
Novo Nordisk Inc	$3.34	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1100475167	CMS
Novo Nordisk Inc	$17.18	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1100438067	CMS
Novo Nordisk Inc	$6.69	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1100267138	CMS
Novo Nordisk Inc	$15.99	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1100423880	CMS
Novo Nordisk Inc	$6.57	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1100302857	CMS
Novo Nordisk Inc	$8.08	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1100252756	CMS
Novo Nordisk Inc	$24.64	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1100605162	CMS
Novo Nordisk Inc	$2.24	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1100252642	CMS
Novo Nordisk Inc	$16.28	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1100400882	CMS
Novo Nordisk Inc	$9.07	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1100578040	CMS
Organogenesis Inc.	$113.54	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1145459293	CMS
Otsuka America Pharmaceutical, Inc.	$25.99	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1119107180	CMS
Otsuka America Pharmaceutical, Inc.	$20.61	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1119107182	CMS
Otsuka America Pharmaceutical, Inc.	$119.10	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1119107184	CMS
Otsuka America Pharmaceutical, Inc.	$130.84	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1119107186	CMS
Otsuka America Pharmaceutical, Inc.	$15.56	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1119107188	CMS
Otsuka America Pharmaceutical, Inc.	$0.78	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1119107190	CMS
Otsuka America Pharmaceutical, Inc.	$1.82	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1119107192	CMS
PFIZER INC.	$18.11	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1131605384	CMS
PFIZER INC.	$21.00	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1131274559	CMS
Phathom Pharmaceuticals, Inc.	$18.93	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1151178424	CMS
Phathom Pharmaceuticals, Inc.	$125.64	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1151178426	CMS
Phathom Pharmaceuticals, Inc.	$18.80	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1151178428	CMS
Seqirus USA Inc	$14.69	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1125631212	CMS
Verity Pharmaceuticals Inc.	$16.60	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1080615428	CMS
Verity Pharmaceuticals Inc.	$14.40	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1080615433	CMS
VERTEX PHARMACEUTICALS INCORPORATED	$20.42	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1105913262	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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