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

TRACY MARIE WIRTH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1760795983
CMS profile
10803895
Location
GRAND LEDGE, MI

General Payments · PY2021–2024

$5,780.48

  • Reported across 385 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,647.91

100 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 $1,647.91 100

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $803.25 56
PY2022 $1,649.38 109
PY2023 $1,679.94 120
PY2024 $1,647.91 100

Payment records · PY2024 (100)

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

Program year 2024 202120222023 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. $19.45 01/08/2024 Food and Beverage Undisputed 01/23/2026 1108428934 CMS
ABBVIE INC. $26.90 03/01/2024 Food and Beverage Undisputed 01/23/2026 1108428936 CMS
ABBVIE INC. $19.10 03/28/2024 Food and Beverage Undisputed 01/23/2026 1108428938 CMS
ABBVIE INC. $19.20 04/24/2024 Food and Beverage Undisputed 01/23/2026 1108428940 CMS
ABBVIE INC. $20.25 05/17/2024 Food and Beverage Undisputed 01/23/2026 1108428942 CMS
ABBVIE INC. $16.55 06/20/2024 Food and Beverage Undisputed 01/23/2026 1108428944 CMS
ABBVIE INC. $22.85 06/28/2024 Food and Beverage Undisputed 01/23/2026 1108428946 CMS
ABBVIE INC. $17.48 09/10/2024 Food and Beverage Undisputed 01/23/2026 1108428948 CMS
ABBVIE INC. $16.80 10/23/2024 Food and Beverage Undisputed 01/23/2026 1108428950 CMS
Amgen Inc. $11.02 01/24/2024 Food and Beverage Undisputed 01/23/2026 1117720330 CMS
Amgen Inc. $17.66 02/23/2024 Food and Beverage Undisputed 01/23/2026 1117417508 CMS
Amgen Inc. $16.07 03/25/2024 Food and Beverage Undisputed 01/23/2026 1117720332 CMS
Amgen Inc. $16.94 04/04/2024 Food and Beverage Undisputed 01/23/2026 1117720334 CMS
Amgen Inc. $4.63 04/12/2024 Food and Beverage Undisputed 01/23/2026 1117720336 CMS
Amgen Inc. $23.14 04/19/2024 Food and Beverage Undisputed 01/23/2026 1117417510 CMS
Amgen Inc. $16.88 05/10/2024 Food and Beverage Undisputed 01/23/2026 1117720338 CMS
Amgen Inc. $13.50 05/31/2024 Food and Beverage Undisputed 01/23/2026 1117720340 CMS
Amgen Inc. $14.34 06/14/2024 Food and Beverage Undisputed 01/23/2026 1117417512 CMS
Amgen Inc. $15.61 08/01/2024 Food and Beverage Undisputed 01/23/2026 1117720342 CMS
Amgen Inc. $4.10 08/08/2024 Food and Beverage Undisputed 01/23/2026 1117720344 CMS
Amgen Inc. $16.02 10/10/2024 Food and Beverage Undisputed 01/23/2026 1117720346 CMS
Amgen Inc. $10.48 10/18/2024 Food and Beverage Undisputed 01/23/2026 1117720348 CMS
Amgen Inc. $9.68 11/22/2024 Food and Beverage Undisputed 01/23/2026 1117720350 CMS
Amgen Inc. $16.36 12/20/2024 Food and Beverage Undisputed 01/23/2026 1117720352 CMS
Antares Pharma, Inc. $17.63 03/26/2024 Food and Beverage Undisputed 01/23/2026 1146528172 CMS
Astellas Pharma US Inc $16.40 09/14/2024 Food and Beverage Undisputed 01/23/2026 1139537952 CMS
Astellas Pharma US Inc $21.20 12/16/2024 Food and Beverage Undisputed 01/23/2026 1139559729 CMS
AstraZeneca Pharmaceuticals LP $10.10 01/27/2024 Food and Beverage Undisputed 01/23/2026 1104407449 CMS
AstraZeneca Pharmaceuticals LP $103.04 02/21/2024 Food and Beverage Undisputed 01/23/2026 1104606470 CMS
AstraZeneca Pharmaceuticals LP $14.65 03/30/2024 Food and Beverage Undisputed 01/23/2026 1104200173 CMS
AstraZeneca Pharmaceuticals LP $13.92 09/18/2024 Food and Beverage Undisputed 01/23/2026 1104449974 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.13 02/02/2024 Food and Beverage Undisputed 01/23/2026 1086311703 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.60 03/16/2024 Food and Beverage Undisputed 01/23/2026 1086352268 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.03 06/04/2024 Food and Beverage Undisputed 01/23/2026 1086322266 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.56 06/27/2024 Food and Beverage Undisputed 01/23/2026 1086285404 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.56 09/12/2024 Food and Beverage Undisputed 01/23/2026 1086295056 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.27 10/25/2024 Food and Beverage Undisputed 01/23/2026 1086328697 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.68 03/14/2024 Food and Beverage Undisputed 01/23/2026 1118144800 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $28.32 08/16/2024 Food and Beverage Undisputed 01/23/2026 1118144806 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.14 09/30/2024 Food and Beverage Undisputed 01/23/2026 1118144804 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.54 11/08/2024 Food and Beverage Undisputed 01/23/2026 1118144802 CMS
E.R. Squibb & Sons, L.L.C. $18.02 10/01/2024 Food and Beverage Undisputed 01/23/2026 1101297543 CMS
GlaxoSmithKline, LLC. $13.66 01/22/2024 Food and Beverage Undisputed 01/23/2026 1115858904 CMS
GlaxoSmithKline, LLC. $13.60 04/25/2024 Food and Beverage Undisputed 01/23/2026 1116592384 CMS
GlaxoSmithKline, LLC. $14.35 10/14/2024 Food and Beverage Undisputed 01/23/2026 1116293541 CMS
GlaxoSmithKline, LLC. $14.51 12/02/2024 Food and Beverage Undisputed 01/23/2026 1116317436 CMS
Grifols USA, LLC $24.89 08/20/2024 Food and Beverage Undisputed 01/23/2026 1124754418 CMS
Grifols USA, LLC $18.51 09/27/2024 Food and Beverage Undisputed 01/23/2026 1124754420 CMS
Grifols USA, LLC $21.17 11/05/2024 Food and Beverage Undisputed 01/23/2026 1124754422 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $15.35 10/28/2024 Food and Beverage Undisputed 01/23/2026 1143629980 CMS
Lilly USA, LLC $16.24 01/05/2024 Food and Beverage Undisputed 01/23/2026 1135970234 CMS
Lilly USA, LLC $17.46 01/26/2024 Food and Beverage Undisputed 01/23/2026 1135981687 CMS
Lilly USA, LLC $11.84 02/19/2024 Food and Beverage Undisputed 01/23/2026 1135984634 CMS
Lilly USA, LLC $1.47 02/19/2024 Food and Beverage Undisputed 01/23/2026 1135984636 CMS
Lilly USA, LLC $12.62 02/19/2024 Food and Beverage Undisputed 01/23/2026 1135992094 CMS
Lilly USA, LLC $18.89 03/23/2024 Food and Beverage Undisputed 01/23/2026 1135984630 CMS
Lilly USA, LLC $17.88 05/02/2024 Food and Beverage Undisputed 01/23/2026 1135981689 CMS
Lilly USA, LLC $3.16 05/10/2024 Food and Beverage Undisputed 01/23/2026 1135973120 CMS
Lilly USA, LLC $3.47 05/10/2024 Food and Beverage Undisputed 01/23/2026 1135981553 CMS
Lilly USA, LLC $4.32 05/10/2024 Food and Beverage Undisputed 01/23/2026 1135986220 CMS
Lilly USA, LLC $12.62 05/29/2024 Food and Beverage Undisputed 01/23/2026 1135992096 CMS
Lilly USA, LLC $2.41 06/21/2024 Food and Beverage Undisputed 01/23/2026 1135973122 CMS
Lilly USA, LLC $10.20 06/22/2024 Food and Beverage Undisputed 01/23/2026 1135986222 CMS
Lilly USA, LLC $2.40 08/02/2024 Food and Beverage Undisputed 01/23/2026 1135992098 CMS
Lilly USA, LLC $17.03 08/03/2024 Food and Beverage Undisputed 01/23/2026 1135984638 CMS
Lilly USA, LLC $12.72 08/26/2024 Food and Beverage Undisputed 01/23/2026 1135981555 CMS
Lilly USA, LLC $1.41 08/26/2024 Food and Beverage Undisputed 01/23/2026 1135986224 CMS
Lilly USA, LLC $1.22 10/17/2024 Food and Beverage Undisputed 01/23/2026 1135976238 CMS
Lilly USA, LLC $13.11 10/17/2024 Food and Beverage Undisputed 01/23/2026 1135981557 CMS
Lilly USA, LLC $14.94 11/15/2024 Food and Beverage Undisputed 01/23/2026 1135973124 CMS
Lilly USA, LLC $12.00 12/05/2024 Food and Beverage Undisputed 01/23/2026 1135976236 CMS
Lilly USA, LLC $3.46 12/05/2024 Food and Beverage Undisputed 01/23/2026 1135984632 CMS
Lundbeck LLC $19.73 09/20/2024 Food and Beverage Undisputed 01/23/2026 1146108392 CMS
Merck Sharp & Dohme LLC $26.60 01/10/2024 Food and Beverage Undisputed 01/23/2026 1141947323 CMS
Merck Sharp & Dohme LLC $21.44 07/19/2024 Food and Beverage Undisputed 01/23/2026 1141964863 CMS
Merck Sharp & Dohme LLC $19.26 09/09/2024 Food and Beverage Undisputed 01/23/2026 1141967613 CMS
Merck Sharp & Dohme LLC $19.95 11/11/2024 Food and Beverage Undisputed 01/23/2026 1141814052 CMS
Novo Nordisk Inc $13.42 04/12/2024 Food and Beverage Undisputed 01/23/2026 1100592840 CMS
Novo Nordisk Inc $15.85 06/22/2024 Food and Beverage Undisputed 01/23/2026 1100239260 CMS
Novo Nordisk Inc $17.59 08/08/2024 Food and Beverage Undisputed 01/23/2026 1100314371 CMS
Novo Nordisk Inc $13.96 10/10/2024 Food and Beverage Undisputed 01/23/2026 1100625498 CMS
Otsuka America Pharmaceutical, Inc. $19.69 01/22/2024 Food and Beverage Undisputed 01/23/2026 1119216045 CMS
Otsuka America Pharmaceutical, Inc. $20.33 05/29/2024 Food and Beverage Undisputed 01/23/2026 1119216047 CMS
Otsuka America Pharmaceutical, Inc. $24.83 08/09/2024 Food and Beverage Undisputed 01/23/2026 1119216049 CMS
PFIZER INC. $16.09 02/02/2024 Food and Beverage Undisputed 01/23/2026 1131134114 CMS
PFIZER INC. $16.34 03/07/2024 Food and Beverage Undisputed 01/23/2026 1131234251 CMS
PFIZER INC. $17.20 03/18/2024 Food and Beverage Undisputed 01/23/2026 1131132770 CMS
PFIZER INC. $18.66 04/25/2024 Food and Beverage Undisputed 01/23/2026 1131330929 CMS
PFIZER INC. $20.23 08/05/2024 Food and Beverage Undisputed 01/23/2026 1131784182 CMS
PFIZER INC. $20.33 08/07/2024 Food and Beverage Undisputed 01/23/2026 1131837752 CMS
PFIZER INC. $11.58 08/23/2024 Food and Beverage Undisputed 01/23/2026 1131939279 CMS
PFIZER INC. $17.29 09/06/2024 Food and Beverage Undisputed 01/23/2026 1131990863 CMS
PFIZER INC. $19.70 10/16/2024 Food and Beverage Undisputed 01/23/2026 1132117262 CMS
PFIZER INC. $16.27 10/23/2024 Food and Beverage Undisputed 01/23/2026 1131972849 CMS
PFIZER INC. $14.69 11/13/2024 Food and Beverage Undisputed 01/23/2026 1131213274 CMS
PFIZER INC. $19.81 12/30/2024 Food and Beverage Undisputed 01/23/2026 1131486292 CMS
Radius Health, Inc. $14.58 04/11/2024 Food and Beverage Undisputed 01/23/2026 1090044182 CMS
SANOFI PASTEUR INC. $25.14 08/27/2024 Food and Beverage Undisputed 01/23/2026 1128745709 CMS
SANOFI PASTEUR INC. $13.58 09/13/2024 Food and Beverage Undisputed 01/23/2026 1128745711 CMS
Tolmar, Inc. $14.06 02/26/2024 Food and Beverage Undisputed 01/23/2026 1138721210 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.

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