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

PREM LAL SHRESTHA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1780202077
CMS profile
10580866
Location
AUSTIN, TX

General Payments · PY2022–2024

$3,135.31

  • Reported across 162 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,144.75

116 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 $2,118.17 114
Education $26.58 2

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $87.24 5
PY2023 $903.32 41
PY2024 $2,144.75 116

Payment records · PY2024 (116)

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

Program year 2024 20222023 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. $20.42 01/02/2024 Food and Beverage Undisputed 01/23/2026 1108193188 CMS
ABBVIE INC. $7.02 01/31/2024 Food and Beverage Undisputed 01/23/2026 1108193190 CMS
ABBVIE INC. $26.43 02/16/2024 Food and Beverage Undisputed 01/23/2026 1108193192 CMS
ABBVIE INC. $13.86 02/23/2024 Food and Beverage Undisputed 01/23/2026 1108193194 CMS
ABBVIE INC. $21.55 03/14/2024 Food and Beverage Undisputed 01/23/2026 1108193196 CMS
ABBVIE INC. $29.40 03/16/2024 Food and Beverage Undisputed 01/23/2026 1108193198 CMS
ABBVIE INC. $14.34 04/03/2024 Food and Beverage Undisputed 01/23/2026 1108193200 CMS
ABBVIE INC. $26.43 04/06/2024 Food and Beverage Undisputed 01/23/2026 1108193202 CMS
ABBVIE INC. $26.00 04/26/2024 Food and Beverage Undisputed 01/23/2026 1108193204 CMS
ABBVIE INC. $33.99 06/21/2024 Food and Beverage Undisputed 01/23/2026 1108193206 CMS
ABBVIE INC. $27.52 06/25/2024 Food and Beverage Undisputed 01/23/2026 1108193208 CMS
ABBVIE INC. $15.29 07/18/2024 Food and Beverage Undisputed 01/23/2026 1108193210 CMS
ABBVIE INC. $34.75 07/19/2024 Food and Beverage Undisputed 01/23/2026 1108193212 CMS
ABBVIE INC. $32.32 07/26/2024 Food and Beverage Undisputed 01/23/2026 1108193214 CMS
ABBVIE INC. $33.54 08/26/2024 Food and Beverage Undisputed 01/23/2026 1108193216 CMS
ABBVIE INC. $23.38 09/03/2024 Food and Beverage Undisputed 01/23/2026 1108193218 CMS
ABBVIE INC. $26.33 09/16/2024 Food and Beverage Undisputed 01/23/2026 1108193220 CMS
ABBVIE INC. $29.18 09/20/2024 Food and Beverage Undisputed 01/23/2026 1108193222 CMS
ABBVIE INC. $34.75 10/09/2024 Food and Beverage Undisputed 01/23/2026 1108193224 CMS
ABBVIE INC. $24.76 10/16/2024 Food and Beverage Undisputed 01/23/2026 1108193226 CMS
ABBVIE INC. $27.70 10/28/2024 Food and Beverage Undisputed 01/23/2026 1108193228 CMS
Ardelyx, Inc. $19.90 12/23/2024 Food and Beverage Undisputed 01/23/2026 1146745583 CMS
Celgene Corporation $3.45 01/03/2024 Food and Beverage Undisputed 01/23/2026 1101099452 CMS
Celgene Corporation $28.80 04/16/2024 Food and Beverage Undisputed 01/23/2026 1101099456 CMS
Celgene Corporation $23.11 05/08/2024 Food and Beverage Undisputed 01/23/2026 1101099460 CMS
Celgene Corporation $12.62 05/22/2024 Food and Beverage Undisputed 01/23/2026 1101099462 CMS
Celgene Corporation $23.80 06/17/2024 Food and Beverage Undisputed 01/23/2026 1101099468 CMS
Celgene Corporation $19.95 06/18/2024 Food and Beverage Undisputed 01/23/2026 1101099466 CMS
Celgene Corporation $27.29 07/11/2024 Food and Beverage Undisputed 01/23/2026 1101099470 CMS
Celgene Corporation $12.39 08/28/2024 Food and Beverage Undisputed 01/23/2026 1101099472 CMS
Celltrion USA Inc. $13.19 01/08/2024 Education Undisputed 01/23/2026 1075866787 CMS
Celltrion USA Inc. $13.39 05/19/2024 Education Undisputed 01/23/2026 1075866789 CMS
Celltrion USA Inc. $13.32 08/14/2024 Food and Beverage Undisputed 01/23/2026 1075866791 CMS
Celltrion USA Inc. $13.31 08/29/2024 Food and Beverage Undisputed 01/23/2026 1075866793 CMS
Fresenius Kabi USA, LLC $26.33 01/12/2024 Food and Beverage Undisputed 01/23/2026 1146957601 CMS
Fresenius Kabi USA, LLC $20.74 01/17/2024 Food and Beverage Undisputed 01/23/2026 1146957597 CMS
Fresenius Kabi USA, LLC $21.79 08/21/2024 Food and Beverage Undisputed 01/23/2026 1146957599 CMS
GENZYME CORPORATION $35.84 04/24/2024 Food and Beverage Undisputed 01/23/2026 1139797906 CMS
GENZYME CORPORATION $24.11 07/08/2024 Food and Beverage Undisputed 01/23/2026 1139797924 CMS
IRONWOOD PHARMACEUTICALS, INC $22.94 03/22/2024 Food and Beverage Undisputed 01/23/2026 1153765939 CMS
IRONWOOD PHARMACEUTICALS, INC $26.75 05/03/2024 Food and Beverage Undisputed 01/23/2026 1153770680 CMS
Janssen Biotech, Inc. $32.60 01/22/2024 Food and Beverage Undisputed 01/23/2026 1078689573 CMS
Janssen Biotech, Inc. $32.53 02/21/2024 Food and Beverage Undisputed 01/23/2026 1078690923 CMS
Janssen Biotech, Inc. $20.13 02/22/2024 Food and Beverage Undisputed 01/23/2026 1078689620 CMS
Janssen Biotech, Inc. $21.92 02/24/2024 Food and Beverage Undisputed 01/23/2026 1078685822 CMS
Janssen Biotech, Inc. $2.40 03/27/2024 Food and Beverage Undisputed 01/23/2026 1078686115 CMS
Janssen Biotech, Inc. $11.03 03/27/2024 Food and Beverage Undisputed 01/23/2026 1078691034 CMS
Janssen Biotech, Inc. $21.90 04/14/2024 Food and Beverage Undisputed 01/23/2026 1078684367 CMS
Janssen Biotech, Inc. $0.30 04/16/2024 Food and Beverage Undisputed 01/23/2026 1078689918 CMS
Janssen Biotech, Inc. $13.43 04/17/2024 Food and Beverage Undisputed 01/23/2026 1078689003 CMS
Janssen Biotech, Inc. $23.93 05/13/2024 Food and Beverage Undisputed 01/23/2026 1078691864 CMS
Janssen Biotech, Inc. $15.11 05/16/2024 Food and Beverage Undisputed 01/23/2026 1078690689 CMS
Janssen Biotech, Inc. $20.75 05/29/2024 Food and Beverage Undisputed 01/23/2026 1078688808 CMS
Janssen Biotech, Inc. $6.88 06/06/2024 Food and Beverage Undisputed 01/23/2026 1078685438 CMS
Janssen Biotech, Inc. $6.32 06/12/2024 Food and Beverage Undisputed 01/23/2026 1078683576 CMS
Janssen Biotech, Inc. $8.03 06/12/2024 Food and Beverage Undisputed 01/23/2026 1078687208 CMS
Janssen Biotech, Inc. $2.94 07/02/2024 Food and Beverage Undisputed 01/23/2026 1078684886 CMS
Janssen Biotech, Inc. $15.12 07/02/2024 Food and Beverage Undisputed 01/23/2026 1078691979 CMS
Janssen Biotech, Inc. $10.58 07/10/2024 Food and Beverage Undisputed 01/23/2026 1078686513 CMS
Janssen Biotech, Inc. $23.54 07/31/2024 Food and Beverage Undisputed 01/23/2026 1078685045 CMS
Janssen Biotech, Inc. $0.89 08/07/2024 Food and Beverage Undisputed 01/23/2026 1078684624 CMS
Janssen Biotech, Inc. $0.32 08/07/2024 Food and Beverage Undisputed 01/23/2026 1078684899 CMS
Janssen Biotech, Inc. $7.59 08/27/2024 Food and Beverage Undisputed 01/23/2026 1078686716 CMS
Janssen Biotech, Inc. $1.71 10/15/2024 Food and Beverage Undisputed 01/23/2026 1078689475 CMS
Janssen Biotech, Inc. $5.36 10/15/2024 Food and Beverage Undisputed 01/23/2026 1078691023 CMS
Janssen Biotech, Inc. $16.69 11/12/2024 Food and Beverage Undisputed 01/23/2026 1078689134 CMS
Janssen Biotech, Inc. $6.97 11/12/2024 Food and Beverage Undisputed 01/23/2026 1078691286 CMS
Janssen Biotech, Inc. $0.30 11/13/2024 Food and Beverage Undisputed 01/23/2026 1078684028 CMS
Janssen Biotech, Inc. $0.56 11/13/2024 Food and Beverage Undisputed 01/23/2026 1078688197 CMS
Janssen Biotech, Inc. $4.19 12/10/2024 Food and Beverage Undisputed 01/23/2026 1078688645 CMS
Lilly USA, LLC $22.96 02/06/2024 Food and Beverage Undisputed 01/23/2026 1135854883 CMS
Lilly USA, LLC $32.17 04/09/2024 Food and Beverage Undisputed 01/23/2026 1135913889 CMS
Lilly USA, LLC $25.17 04/20/2024 Food and Beverage Undisputed 01/23/2026 1135878528 CMS
Lilly USA, LLC $20.08 05/15/2024 Food and Beverage Undisputed 01/23/2026 1135921742 CMS
Lilly USA, LLC $21.11 06/11/2024 Food and Beverage Undisputed 01/23/2026 1135944158 CMS
Lilly USA, LLC $26.21 10/25/2024 Food and Beverage Undisputed 01/23/2026 1135899144 CMS
Madrigal Pharmaceuticals $21.11 10/14/2024 Food and Beverage Undisputed 01/23/2026 1144198805 CMS
Madrigal Pharmaceuticals $20.70 10/30/2024 Food and Beverage Undisputed 01/23/2026 1144198807 CMS
Madrigal Pharmaceuticals $18.87 11/15/2024 Food and Beverage Undisputed 01/23/2026 1144198809 CMS
Madrigal Pharmaceuticals $21.93 12/04/2024 Food and Beverage Undisputed 01/23/2026 1144198811 CMS
Medtronic, Inc. $30.57 05/31/2024 Food and Beverage Undisputed 01/23/2026 1116991370 CMS
Organon Llc $22.34 01/12/2024 Food and Beverage Undisputed 01/23/2026 1136197678 CMS
Organon Llc $18.74 05/06/2024 Food and Beverage Undisputed 01/23/2026 1136197680 CMS
Organon Llc $18.87 07/03/2024 Food and Beverage Undisputed 01/23/2026 1136197676 CMS
PFIZER INC. $12.43 01/26/2024 Food and Beverage Undisputed 01/23/2026 1131267786 CMS
PFIZER INC. $16.70 02/13/2024 Food and Beverage Undisputed 01/23/2026 1132040751 CMS
PFIZER INC. $12.97 03/13/2024 Food and Beverage Undisputed 01/23/2026 1130900055 CMS
PFIZER INC. $9.27 03/29/2024 Food and Beverage Undisputed 01/23/2026 1130904179 CMS
PFIZER INC. $9.49 05/01/2024 Food and Beverage Undisputed 01/23/2026 1130919770 CMS
PFIZER INC. $11.68 05/10/2024 Food and Beverage Undisputed 01/23/2026 1130917415 CMS
PFIZER INC. $14.96 06/04/2024 Food and Beverage Undisputed 01/23/2026 1132046146 CMS
PFIZER INC. $7.33 06/05/2024 Food and Beverage Undisputed 01/23/2026 1130923372 CMS
PFIZER INC. $12.38 07/10/2024 Food and Beverage Undisputed 01/23/2026 1130929180 CMS
PFIZER INC. $18.04 10/08/2024 Food and Beverage Undisputed 01/23/2026 1132093636 CMS
PFIZER INC. $4.16 10/22/2024 Food and Beverage Undisputed 01/23/2026 1130970162 CMS
PFIZER INC. $12.97 12/10/2024 Food and Beverage Undisputed 01/23/2026 1131182648 CMS
PFIZER INC. $5.32 12/17/2024 Food and Beverage Undisputed 01/23/2026 1131000389 CMS
QOL Medical, LLC $27.20 05/15/2024 Food and Beverage Undisputed 01/23/2026 1147745044 CMS
Regeneron Healthcare Solutions, Inc. $39.45 01/09/2024 Food and Beverage Undisputed 01/23/2026 1114371982 CMS
Regeneron Healthcare Solutions, Inc. $38.74 03/27/2024 Food and Beverage Undisputed 01/23/2026 1114371984 CMS
Regeneron Healthcare Solutions, Inc. $33.98 04/18/2024 Food and Beverage Undisputed 01/23/2026 1114371986 CMS
Regeneron Healthcare Solutions, Inc. $39.33 10/02/2024 Food and Beverage Undisputed 01/23/2026 1114371988 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.62 04/10/2024 Food and Beverage Undisputed 01/23/2026 1153547409 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $5.80 06/06/2024 Food and Beverage Undisputed 01/23/2026 1153737784 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.96 06/24/2024 Food and Beverage Undisputed 01/23/2026 1153503586 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.41 07/17/2024 Food and Beverage Undisputed 01/23/2026 1153434921 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.87 08/07/2024 Food and Beverage Undisputed 01/23/2026 1153448731 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.95 08/21/2024 Food and Beverage Undisputed 01/23/2026 1153457219 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.64 09/11/2024 Food and Beverage Undisputed 01/23/2026 1153485465 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.57 09/25/2024 Food and Beverage Undisputed 01/23/2026 1153536820 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $10.36 10/16/2024 Food and Beverage Undisputed 01/23/2026 1153587146 CMS
Sandoz Inc. $13.63 07/24/2024 Food and Beverage Undisputed 01/23/2026 1089372961 CMS
Takeda Pharmaceuticals U.S.A., Inc. $21.86 03/20/2024 Food and Beverage Undisputed 01/23/2026 1137823688 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.09 05/22/2024 Food and Beverage Undisputed 01/23/2026 1137823690 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.43 10/03/2024 Food and Beverage Undisputed 01/23/2026 1137823692 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.33 10/23/2024 Food and Beverage Undisputed 01/23/2026 1137823694 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.