Covered recipient · General Payments record

AMY GUAN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

NPI: 1801398813
CMS profile: 10515721
Location: SAINT LOUIS, MO

General Payments · PY2023–2024

$2,746.09

Reported across 143 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,271.42

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 payment	Amount	Records
Food and Beverage	$2,271.42	116

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$469.89	21
Lilly USA, LLC	$390.07	20
Novo Nordisk AS	$237.45	13
Amgen Inc.	$183.69	11
Otsuka America Pharmaceutical, Inc.	$143.93	7
Xeris Pharmaceuticals, Inc.	$98.68	5
Bayer HealthCare Pharmaceuticals Inc.	$82.39	4
ABBVIE INC.	$66.33	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$60.13	4
Valinor Pharma, LLC	$53.84	3
PFIZER INC.	$53.11	3
NOVARTIS PHARMACEUTICALS CORPORATION	$50.52	2
Axsome Therapeutics, Inc.	$49.63	2
GlaxoSmithKline, LLC.	$49.11	3
E.R. Squibb & Sons, L.L.C.	$48.11	3
Phathom Pharmaceuticals, Inc.	$47.72	3
Sumitomo Pharma America, Inc.	$45.88	2
Lundbeck LLC	$37.76	2
MannKind Corporation	$35.42	2
ITI, Inc.	$18.25	1
Tris Pharma Inc	$17.62	1
EISAI INC.	$16.65	1
Takeda Pharmaceuticals U.S.A., Inc.	$15.24	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$474.67	27
PY2024	$2,271.42	116

Payment records · PY2024 (116)

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

Program year 2024 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.	$33.34	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1107260473	CMS
ABBVIE INC.	$32.99	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1107260475	CMS
Amgen Inc.	$15.34	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1117568610	CMS
Amgen Inc.	$13.09	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1117568612	CMS
Amgen Inc.	$10.39	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1115683361	CMS
Amgen Inc.	$21.61	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1117568614	CMS
Amgen Inc.	$11.27	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1117568616	CMS
Amgen Inc.	$20.33	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1115683369	CMS
Amgen Inc.	$15.87	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1117568618	CMS
Amgen Inc.	$22.09	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1115683377	CMS
Amgen Inc.	$17.78	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1117568620	CMS
Amgen Inc.	$24.42	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1115683386	CMS
Amgen Inc.	$11.50	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1117568622	CMS
AstraZeneca Pharmaceuticals LP	$75.93	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1104588260	CMS
AstraZeneca Pharmaceuticals LP	$18.31	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1105398318	CMS
AstraZeneca Pharmaceuticals LP	$20.25	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1105202305	CMS
AstraZeneca Pharmaceuticals LP	$20.33	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1105297914	CMS
AstraZeneca Pharmaceuticals LP	$18.90	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1105583682	CMS
AstraZeneca Pharmaceuticals LP	$22.52	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1104689218	CMS
AstraZeneca Pharmaceuticals LP	$23.28	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1104546630	CMS
AstraZeneca Pharmaceuticals LP	$23.90	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1105503492	CMS
AstraZeneca Pharmaceuticals LP	$21.71	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1105470991	CMS
AstraZeneca Pharmaceuticals LP	$18.46	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1104324186	CMS
AstraZeneca Pharmaceuticals LP	$17.71	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1104646485	CMS
AstraZeneca Pharmaceuticals LP	$20.71	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1104658711	CMS
AstraZeneca Pharmaceuticals LP	$18.65	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1105670225	CMS
AstraZeneca Pharmaceuticals LP	$17.78	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1104547620	CMS
AstraZeneca Pharmaceuticals LP	$18.40	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1105833109	CMS
AstraZeneca Pharmaceuticals LP	$15.92	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1105665478	CMS
AstraZeneca Pharmaceuticals LP	$16.24	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1104311120	CMS
AstraZeneca Pharmaceuticals LP	$17.44	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1105570953	CMS
AstraZeneca Pharmaceuticals LP	$26.86	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1105736241	CMS
AstraZeneca Pharmaceuticals LP	$20.41	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1104401113	CMS
AstraZeneca Pharmaceuticals LP	$16.18	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1104423635	CMS
Axsome Therapeutics, Inc.	$23.56	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1148334299	CMS
Axsome Therapeutics, Inc.	$26.07	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1148334301	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.67	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1086358946	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.38	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1086363235	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.21	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1086308983	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.13	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1086312683	CMS
E.R. Squibb & Sons, L.L.C.	$18.39	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1101290450	CMS
E.R. Squibb & Sons, L.L.C.	$14.49	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1101290462	CMS
E.R. Squibb & Sons, L.L.C.	$15.23	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1101290490	CMS
Eisai Inc.	$16.65	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1110792525	CMS
GlaxoSmithKline, LLC.	$15.01	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1116433273	CMS
GlaxoSmithKline, LLC.	$20.51	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1116599301	CMS
GlaxoSmithKline, LLC.	$13.59	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1116582321	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.25	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1143471739	CMS
Lilly USA, LLC	$13.73	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1135521087	CMS
Lilly USA, LLC	$12.31	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1135467064	CMS
Lilly USA, LLC	$6.89	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1135524893	CMS
Lilly USA, LLC	$25.23	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1135467066	CMS
Lilly USA, LLC	$19.38	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1135508780	CMS
Lilly USA, LLC	$7.52	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1135494630	CMS
Lilly USA, LLC	$23.60	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1135508778	CMS
Lilly USA, LLC	$21.57	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1135446601	CMS
Lilly USA, LLC	$30.98	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1135508776	CMS
Lilly USA, LLC	$19.64	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1135446603	CMS
Lilly USA, LLC	$20.06	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1135521089	CMS
Lilly USA, LLC	$17.22	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1135446605	CMS
Lilly USA, LLC	$6.66	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1135530281	CMS
Lilly USA, LLC	$30.00	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1135524895	CMS
Lilly USA, LLC	$15.01	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1135494628	CMS
Lilly USA, LLC	$17.49	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1135467068	CMS
Lilly USA, LLC	$22.88	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1135530290	CMS
Lilly USA, LLC	$32.54	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1135446607	CMS
Lilly USA, LLC	$18.93	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1135524897	CMS
Lilly USA, LLC	$28.43	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1135530285	CMS
Lundbeck LLC	$19.90	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1146029548	CMS
Lundbeck LLC	$17.86	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1146029550	CMS
Mannkind Corporation	$14.99	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1145855319	CMS
Mannkind Corporation	$20.43	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1145855323	CMS
Novartis Pharmaceuticals Corporation	$22.00	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1086939665	CMS
Novartis Pharmaceuticals Corporation	$28.52	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1086939683	CMS
Novo Nordisk Inc	$18.82	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1100640880	CMS
Novo Nordisk Inc	$18.62	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1100322160	CMS
Novo Nordisk Inc	$18.25	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1100289534	CMS
Novo Nordisk Inc	$11.80	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1100559515	CMS
Novo Nordisk Inc	$14.51	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1100500645	CMS
Novo Nordisk Inc	$20.27	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1100334476	CMS
Novo Nordisk Inc	$13.82	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1100489249	CMS
Novo Nordisk Inc	$20.54	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1100387029	CMS
Novo Nordisk Inc	$17.59	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1100435293	CMS
Novo Nordisk Inc	$21.96	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1100386885	CMS
Novo Nordisk Inc	$20.00	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1100618780	CMS
Novo Nordisk Inc	$20.61	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1100366819	CMS
Novo Nordisk Inc	$20.66	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1100577938	CMS
Otsuka America Pharmaceutical, Inc.	$20.40	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1119085214	CMS
Otsuka America Pharmaceutical, Inc.	$17.56	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1119085216	CMS
Otsuka America Pharmaceutical, Inc.	$21.95	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1119085218	CMS
Otsuka America Pharmaceutical, Inc.	$19.77	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1119085220	CMS
Otsuka America Pharmaceutical, Inc.	$21.75	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1119085222	CMS
Otsuka America Pharmaceutical, Inc.	$20.04	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1119085224	CMS
Otsuka America Pharmaceutical, Inc.	$22.46	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1119085226	CMS
PFIZER INC.	$14.87	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1131895800	CMS
PFIZER INC.	$16.04	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1131998855	CMS
PFIZER INC.	$22.20	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1132033439	CMS
Phathom Pharmaceuticals, Inc.	$17.40	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1151170426	CMS
Phathom Pharmaceuticals, Inc.	$14.89	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1151170428	CMS
Phathom Pharmaceuticals, Inc.	$15.43	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1151170430	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.58	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1153517688	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.96	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1153647886	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.20	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1153462590	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.39	12/31/2024	Food and Beverage	Undisputed	01/23/2026	1153609076	CMS
Sumitomo Pharma America, Inc.	$25.07	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1148964264	CMS
Sumitomo Pharma America, Inc.	$20.81	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1148964266	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.24	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1137756872	CMS
Tris Pharma Inc	$17.62	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1147209139	CMS
Valinor Pharma, LLC	$16.41	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1130831103	CMS
Valinor Pharma, LLC	$20.08	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1130831105	CMS
Valinor Pharma, LLC	$17.35	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1130831107	CMS
Xeris Pharmaceuticals, Inc.	$20.05	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1144619693	CMS
Xeris Pharmaceuticals, Inc.	$21.50	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1144619695	CMS
Xeris Pharmaceuticals, Inc.	$17.59	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1144619697	CMS
Xeris Pharmaceuticals, Inc.	$20.07	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1144619699	CMS
Xeris Pharmaceuticals, Inc.	$19.47	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1144619701	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: 2023, 2024
Source files: Dataset page · Bulk file · PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.