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

KAREN SUE MITCHELL-HOWARD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1760970776
CMS profile
10423961
Location
KNOXVILLE, TN

General Payments · PY2021–2024

$5,047.93

  • Reported across 271 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$850.66

50 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 $850.66 50

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $302.98 23
PFIZER INC. $172.05 9
Astellas Pharma US Inc $75.34 4
Lilly USA, LLC $55.97 3
INTRA-SANA LABORATORIES $43.27 2
MERZ NORTH AMERICA, INC. $43.03 1
Otsuka America Pharmaceutical, Inc. $41.43 2
Novo Nordisk AS $37.56 2
Vanda Pharmaceuticals Inc. $24.09 1
ITI, Inc. $21.40 1
CeQur Corporation $17.53 1
Acerta Pharma LLC $16.01 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,532.14 75
PY2022 $1,424.23 85
PY2023 $1,240.90 61
PY2024 $850.66 50

Payment records · PY2024 (50)

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. $14.59 02/01/2024 Food and Beverage Undisputed 01/23/2026 1107674823 CMS
ABBVIE INC. $11.74 02/20/2024 Food and Beverage Undisputed 01/23/2026 1107674825 CMS
ABBVIE INC. $5.52 02/28/2024 Food and Beverage Undisputed 01/23/2026 1107674827 CMS
ABBVIE INC. $8.93 02/29/2024 Food and Beverage Undisputed 01/23/2026 1107674829 CMS
ABBVIE INC. $21.21 03/19/2024 Food and Beverage Undisputed 01/23/2026 1107674831 CMS
ABBVIE INC. $4.23 04/02/2024 Food and Beverage Undisputed 01/23/2026 1107674833 CMS
ABBVIE INC. $20.06 04/04/2024 Food and Beverage Undisputed 01/23/2026 1107674835 CMS
ABBVIE INC. $18.30 04/23/2024 Food and Beverage Undisputed 01/23/2026 1107674837 CMS
ABBVIE INC. $25.82 04/30/2024 Food and Beverage Undisputed 01/23/2026 1107674839 CMS
ABBVIE INC. $11.08 05/08/2024 Food and Beverage Undisputed 01/23/2026 1107674841 CMS
ABBVIE INC. $14.62 06/12/2024 Food and Beverage Undisputed 01/23/2026 1107674843 CMS
ABBVIE INC. $19.37 06/12/2024 Food and Beverage Undisputed 01/23/2026 1107674845 CMS
ABBVIE INC. $6.18 07/01/2024 Food and Beverage Undisputed 01/23/2026 1107674847 CMS
ABBVIE INC. $33.88 07/02/2024 Food and Beverage Undisputed 01/23/2026 1107674849 CMS
ABBVIE INC. $4.86 07/10/2024 Food and Beverage Undisputed 01/23/2026 1107674851 CMS
ABBVIE INC. $14.04 07/22/2024 Food and Beverage Undisputed 01/23/2026 1107674853 CMS
ABBVIE INC. $15.62 07/24/2024 Food and Beverage Undisputed 01/23/2026 1107674855 CMS
ABBVIE INC. $6.73 07/25/2024 Food and Beverage Undisputed 01/23/2026 1107674857 CMS
ABBVIE INC. $16.39 08/19/2024 Food and Beverage Undisputed 01/23/2026 1107674859 CMS
ABBVIE INC. $4.84 08/22/2024 Food and Beverage Undisputed 01/23/2026 1107674861 CMS
ABBVIE INC. $4.89 09/11/2024 Food and Beverage Undisputed 01/23/2026 1107674863 CMS
ABBVIE INC. $3.80 09/25/2024 Food and Beverage Undisputed 01/23/2026 1107674865 CMS
ABBVIE INC. $16.28 10/18/2024 Food and Beverage Undisputed 01/23/2026 1107674867 CMS
Astellas Pharma US Inc $23.81 02/20/2024 Food and Beverage Undisputed 01/23/2026 1139485574 CMS
Astellas Pharma US Inc $16.39 04/29/2024 Food and Beverage Undisputed 01/23/2026 1139495744 CMS
Astellas Pharma US Inc $13.96 07/17/2024 Food and Beverage Undisputed 01/23/2026 1139471962 CMS
Astellas Pharma US Inc $21.18 10/10/2024 Food and Beverage Undisputed 01/23/2026 1139543704 CMS
AstraZeneca Pharmaceuticals LP $16.01 12/18/2024 Food and Beverage Undisputed 01/23/2026 1105368312 CMS
CeQur Corporation $17.53 07/22/2024 Food and Beverage Undisputed 01/23/2026 1099650553 CMS
Intra-Sana Laboratories $22.69 11/06/2024 Food and Beverage Undisputed 01/23/2026 1138622002 CMS
Intra-Sana Laboratories $20.58 12/09/2024 Food and Beverage Undisputed 01/23/2026 1138622004 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.40 10/22/2024 Food and Beverage Undisputed 01/23/2026 1143555133 CMS
Lilly USA, LLC $23.51 05/08/2024 Food and Beverage Undisputed 01/23/2026 1135708642 CMS
Lilly USA, LLC $17.05 06/19/2024 Food and Beverage Undisputed 01/23/2026 1135733134 CMS
Lilly USA, LLC $15.41 08/21/2024 Food and Beverage Undisputed 01/23/2026 1135648585 CMS
MERZ NORTH AMERICA, INC. $43.03 04/04/2024 Food and Beverage Undisputed 01/23/2026 1146386139 CMS
Novo Nordisk Inc $22.65 03/12/2024 Food and Beverage Undisputed 01/23/2026 1100469556 CMS
Novo Nordisk Inc $14.91 09/10/2024 Food and Beverage Undisputed 01/23/2026 1100224978 CMS
Otsuka America Pharmaceutical, Inc. $20.00 02/22/2024 Food and Beverage Undisputed 01/23/2026 1119140743 CMS
Otsuka America Pharmaceutical, Inc. $21.43 04/29/2024 Food and Beverage Undisputed 01/23/2026 1119140745 CMS
PFIZER INC. $13.47 01/03/2024 Food and Beverage Undisputed 01/23/2026 1131155161 CMS
PFIZER INC. $17.18 02/19/2024 Food and Beverage Undisputed 01/23/2026 1131155164 CMS
PFIZER INC. $22.80 04/18/2024 Food and Beverage Undisputed 01/23/2026 1131422781 CMS
PFIZER INC. $20.48 07/08/2024 Food and Beverage Undisputed 01/23/2026 1131787885 CMS
PFIZER INC. $20.00 07/10/2024 Food and Beverage Undisputed 01/23/2026 1131771707 CMS
PFIZER INC. $23.89 08/12/2024 Food and Beverage Undisputed 01/23/2026 1131866736 CMS
PFIZER INC. $7.78 08/15/2024 Food and Beverage Undisputed 01/23/2026 1131984969 CMS
PFIZER INC. $24.32 09/16/2024 Food and Beverage Undisputed 01/23/2026 1131926120 CMS
PFIZER INC. $22.13 10/28/2024 Food and Beverage Undisputed 01/23/2026 1131132214 CMS
Vanda Pharmaceuticals Inc. $24.09 02/08/2024 Food and Beverage Undisputed 01/23/2026 1133958939 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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