Covered recipient · General Payments record
SIRVARD SILVIA AYRAPETYAN
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant
General Payments · PY2021–2024
$3,349.52
- Reported across 146 records
- CMS publication 2026-01-23
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 | $1,290.00 | 58 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Amgen Inc. | $179.00 | 16 |
| Novo Nordisk AS | $159.15 | 3 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $128.53 | 4 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $128.46 | 5 |
| Lilly USA, LLC | $93.97 | 4 |
| GlaxoSmithKline, LLC. | $91.08 | 4 |
| Otsuka America Pharmaceutical, Inc. | $83.42 | 4 |
| EISAI INC. | $68.80 | 3 |
| PFIZER INC. | $65.84 | 3 |
| Merck Sharp & Dohme Corporation | $61.85 | 2 |
| Bayer HealthCare Pharmaceuticals Inc. | $49.50 | 2 |
| Actelion Pharmaceuticals US, Inc. | $35.91 | 1 |
| DEXCOM, INC. | $30.97 | 1 |
| Ardelyx, Inc. | $23.30 | 1 |
| Xeris Pharmaceuticals, Inc. | $22.08 | 1 |
| ITI, Inc. | $20.06 | 1 |
| ABBVIE INC. | $19.76 | 1 |
| Exact Sciences Corporation | $15.04 | 1 |
| Currax Pharmaceuticals LLC | $13.28 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (58)
Sorted by paying entity, then date · as published by 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
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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