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

ANGELA NAOMI LYBBERT

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1801907621
CMS profile
10502588
Location
LAS VEGAS, NV

General Payments · PY2021–2024

$3,702.90

  • Reported across 131 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,465.51

66 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 $1,465.51 66

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $969.06 6
PY2022 $312.26 14
PY2023 $956.07 45
PY2024 $1,465.51 66

Payment records · PY2024 (66)

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. $21.55 01/25/2024 Food and Beverage Undisputed 01/23/2026 1107568318 CMS
ABBVIE INC. $25.68 03/27/2024 Food and Beverage Undisputed 01/23/2026 1107568320 CMS
ABBVIE INC. $17.41 04/24/2024 Food and Beverage Undisputed 01/23/2026 1107568322 CMS
ABBVIE INC. $17.99 05/15/2024 Food and Beverage Undisputed 01/23/2026 1107568324 CMS
ABBVIE INC. $23.28 06/07/2024 Food and Beverage Undisputed 01/23/2026 1107568326 CMS
Amgen Inc. $23.63 01/11/2024 Food and Beverage Undisputed 01/23/2026 1117615840 CMS
Amgen Inc. $21.84 03/05/2024 Food and Beverage Undisputed 01/23/2026 1117615842 CMS
Amgen Inc. $26.92 07/17/2024 Food and Beverage Undisputed 01/23/2026 1115887410 CMS
Astellas Pharma US Inc $23.86 02/13/2024 Food and Beverage Undisputed 01/23/2026 1139491566 CMS
Astellas Pharma US Inc $16.25 05/28/2024 Food and Beverage Undisputed 01/23/2026 1139516787 CMS
AstraZeneca Pharmaceuticals LP $21.03 01/24/2024 Food and Beverage Undisputed 01/23/2026 1105632431 CMS
AstraZeneca Pharmaceuticals LP $49.30 02/20/2024 Food and Beverage Undisputed 01/23/2026 1105622607 CMS
AstraZeneca Pharmaceuticals LP $20.04 03/11/2024 Food and Beverage Undisputed 01/23/2026 1105615207 CMS
AstraZeneca Pharmaceuticals LP $17.35 04/09/2024 Food and Beverage Undisputed 01/23/2026 1105885217 CMS
AstraZeneca Pharmaceuticals LP $14.11 04/30/2024 Food and Beverage Undisputed 01/23/2026 1105549579 CMS
AstraZeneca Pharmaceuticals LP $14.63 05/09/2024 Food and Beverage Undisputed 01/23/2026 1105784894 CMS
AstraZeneca Pharmaceuticals LP $24.36 06/04/2024 Food and Beverage Undisputed 01/23/2026 1104773336 CMS
AstraZeneca Pharmaceuticals LP $16.10 06/20/2024 Food and Beverage Undisputed 01/23/2026 1105815343 CMS
AstraZeneca Pharmaceuticals LP $19.59 07/03/2024 Food and Beverage Undisputed 01/23/2026 1105268438 CMS
AstraZeneca Pharmaceuticals LP $17.67 08/01/2024 Food and Beverage Undisputed 01/23/2026 1104236475 CMS
AstraZeneca Pharmaceuticals LP $128.09 08/20/2024 Food and Beverage Undisputed 01/23/2026 1104649057 CMS
AstraZeneca Pharmaceuticals LP $22.90 10/31/2024 Food and Beverage Undisputed 01/23/2026 1105633644 CMS
AstraZeneca Pharmaceuticals LP $19.47 12/05/2024 Food and Beverage Undisputed 01/23/2026 1104250007 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.45 08/28/2024 Food and Beverage Undisputed 01/23/2026 1086302138 CMS
Bayer Healthcare Pharmaceuticals Inc. $10.54 09/25/2024 Food and Beverage Undisputed 01/23/2026 1086103133 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.40 10/23/2024 Food and Beverage Undisputed 01/23/2026 1086370593 CMS
Bayer Healthcare Pharmaceuticals Inc. $10.21 11/13/2024 Food and Beverage Undisputed 01/23/2026 1086099385 CMS
Bayer Healthcare Pharmaceuticals Inc. $1.61 11/13/2024 Food and Beverage Undisputed 01/23/2026 1086103035 CMS
Bayer Healthcare Pharmaceuticals Inc. $121.83 11/21/2024 Food and Beverage Undisputed 01/23/2026 1086310699 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.14 12/13/2024 Food and Beverage Undisputed 01/23/2026 1086285364 CMS
Daiichi Sankyo Inc. $24.58 08/20/2024 Food and Beverage Undisputed 01/23/2026 1089450444 CMS
Eisai Inc. $19.09 03/06/2024 Food and Beverage Undisputed 01/23/2026 1110793323 CMS
Exact Sciences Corporation $19.25 03/07/2024 Food and Beverage Undisputed 01/23/2026 1114537000 CMS
Exact Sciences Corporation $19.59 06/13/2024 Food and Beverage Undisputed 01/23/2026 1114537005 CMS
Kowa Pharmaceuticals America, Inc. $14.22 12/11/2024 Food and Beverage Undisputed 01/23/2026 1113473745 CMS
Lilly USA, LLC $18.60 02/08/2024 Food and Beverage Undisputed 01/23/2026 1135502572 CMS
Lilly USA, LLC $10.61 02/28/2024 Food and Beverage Undisputed 01/23/2026 1135448005 CMS
Lilly USA, LLC $16.21 03/13/2024 Food and Beverage Undisputed 01/23/2026 1135534120 CMS
Lilly USA, LLC $10.80 04/11/2024 Food and Beverage Undisputed 01/23/2026 1135472877 CMS
Lilly USA, LLC $11.31 05/02/2024 Food and Beverage Undisputed 01/23/2026 1135448007 CMS
Lilly USA, LLC $23.64 06/18/2024 Food and Beverage Undisputed 01/23/2026 1135534116 CMS
Lilly USA, LLC $13.65 07/19/2024 Food and Beverage Undisputed 01/23/2026 1135528799 CMS
Lilly USA, LLC $20.00 11/11/2024 Food and Beverage Undisputed 01/23/2026 1135525485 CMS
Lilly USA, LLC $13.72 11/21/2024 Food and Beverage Undisputed 01/23/2026 1135448009 CMS
LivaNova USA, Inc. $67.36 02/22/2024 Food and Beverage Undisputed 01/23/2026 1152798797 CMS
Novo Nordisk Inc $14.93 02/09/2024 Food and Beverage Undisputed 01/23/2026 1100554835 CMS
Novo Nordisk Inc $18.63 02/15/2024 Food and Beverage Undisputed 01/23/2026 1100243202 CMS
Novo Nordisk Inc $17.29 03/27/2024 Food and Beverage Undisputed 01/23/2026 1100493361 CMS
Novo Nordisk Inc $16.17 04/02/2024 Food and Beverage Undisputed 01/23/2026 1100245507 CMS
Novo Nordisk Inc $21.43 05/15/2024 Food and Beverage Undisputed 01/23/2026 1100375331 CMS
Novo Nordisk Inc $23.74 05/23/2024 Food and Beverage Undisputed 01/23/2026 1100239176 CMS
Novo Nordisk Inc $19.35 07/24/2024 Food and Beverage Undisputed 01/23/2026 1100412034 CMS
Novo Nordisk Inc $19.85 10/01/2024 Food and Beverage Undisputed 01/23/2026 1100607586 CMS
Novo Nordisk Inc $23.50 10/16/2024 Food and Beverage Undisputed 01/23/2026 1100574910 CMS
Novo Nordisk Inc $24.17 12/13/2024 Food and Beverage Undisputed 01/23/2026 1100655093 CMS
PFIZER INC. $21.90 01/10/2024 Food and Beverage Undisputed 01/23/2026 1130894978 CMS
PFIZER INC. $12.07 03/05/2024 Food and Beverage Undisputed 01/23/2026 1130975908 CMS
PFIZER INC. $6.14 03/14/2024 Food and Beverage Undisputed 01/23/2026 1130975876 CMS
PFIZER INC. $19.21 05/22/2024 Food and Beverage Undisputed 01/23/2026 1130968264 CMS
PFIZER INC. $14.75 06/27/2024 Food and Beverage Undisputed 01/23/2026 1130924521 CMS
PFIZER INC. $12.19 08/08/2024 Food and Beverage Undisputed 01/23/2026 1130993942 CMS
PFIZER INC. $5.94 08/16/2024 Food and Beverage Undisputed 01/23/2026 1130996200 CMS
PFIZER INC. $27.70 09/17/2024 Food and Beverage Undisputed 01/23/2026 1130967045 CMS
PFIZER INC. $8.61 10/03/2024 Food and Beverage Undisputed 01/23/2026 1130993761 CMS
PFIZER INC. $8.24 10/15/2024 Food and Beverage Undisputed 01/23/2026 1130993423 CMS
SANOFI-AVENTIS U.S. LLC $23.84 10/31/2024 Food and Beverage Undisputed 01/23/2026 1139916199 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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