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

LISA D ZYLSTRA

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1821142738
CMS profile
10844744
Location
VANCOUVER, WA

General Payments · PY2021–2024

$3,851.71

  • Reported across 270 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$982.78

60 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 $982.78 60

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,322.59 92
PY2022 $701.72 57
PY2023 $844.62 61
PY2024 $982.78 60

Payment records · PY2024 (60)

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. $3.18 02/27/2024 Food and Beverage Undisputed 01/23/2026 1108465346 CMS
ABBVIE INC. $17.73 03/30/2024 Food and Beverage Undisputed 01/23/2026 1108465348 CMS
ABBVIE INC. $8.83 04/17/2024 Food and Beverage Undisputed 01/23/2026 1108465350 CMS
ABBVIE INC. $17.91 04/27/2024 Food and Beverage Undisputed 01/23/2026 1108465352 CMS
ABBVIE INC. $19.89 05/11/2024 Food and Beverage Undisputed 01/23/2026 1108465354 CMS
ABBVIE INC. $17.76 06/25/2024 Food and Beverage Undisputed 01/23/2026 1108465356 CMS
ABBVIE INC. $18.44 07/03/2024 Food and Beverage Undisputed 01/23/2026 1108465358 CMS
ABBVIE INC. $17.67 07/09/2024 Food and Beverage Undisputed 01/23/2026 1108465360 CMS
ABBVIE INC. $6.73 07/24/2024 Food and Beverage Undisputed 01/23/2026 1108465362 CMS
ABBVIE INC. $19.15 09/17/2024 Food and Beverage Undisputed 01/23/2026 1108465364 CMS
ABBVIE INC. $20.06 09/25/2024 Food and Beverage Undisputed 01/23/2026 1108465366 CMS
ABBVIE INC. $21.17 10/23/2024 Food and Beverage Undisputed 01/23/2026 1108465368 CMS
ABBVIE INC. $3.57 11/19/2024 Food and Beverage Undisputed 01/23/2026 1108465370 CMS
Amgen Inc. $26.34 04/12/2024 Food and Beverage Undisputed 01/23/2026 1117726755 CMS
Amgen Inc. $19.59 07/24/2024 Food and Beverage Undisputed 01/23/2026 1117726757 CMS
AstraZeneca Pharmaceuticals LP $15.89 01/25/2024 Food and Beverage Undisputed 01/23/2026 1105796896 CMS
AstraZeneca Pharmaceuticals LP $20.79 01/30/2024 Food and Beverage Undisputed 01/23/2026 1105781356 CMS
AstraZeneca Pharmaceuticals LP $16.02 03/16/2024 Food and Beverage Undisputed 01/23/2026 1104647849 CMS
AstraZeneca Pharmaceuticals LP $19.63 04/06/2024 Food and Beverage Undisputed 01/23/2026 1104560482 CMS
AstraZeneca Pharmaceuticals LP $19.27 04/30/2024 Food and Beverage Undisputed 01/23/2026 1104430433 CMS
AstraZeneca Pharmaceuticals LP $13.51 05/28/2024 Food and Beverage Undisputed 01/23/2026 1105394897 CMS
AstraZeneca Pharmaceuticals LP $13.58 06/28/2024 Food and Beverage Undisputed 01/23/2026 1104612800 CMS
AstraZeneca Pharmaceuticals LP $19.18 07/12/2024 Food and Beverage Undisputed 01/23/2026 1105734055 CMS
AstraZeneca Pharmaceuticals LP $16.05 08/24/2024 Food and Beverage Undisputed 01/23/2026 1104659645 CMS
AstraZeneca Pharmaceuticals LP $15.32 09/14/2024 Food and Beverage Undisputed 01/23/2026 1104519232 CMS
AstraZeneca Pharmaceuticals LP $20.46 11/01/2024 Food and Beverage Undisputed 01/23/2026 1104688546 CMS
Azurity Pharmaceuticals, Inc. $13.26 01/26/2024 Food and Beverage Undisputed 01/23/2026 1134022709 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.27 01/05/2024 Food and Beverage Undisputed 01/23/2026 1086370861 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.51 05/03/2024 Food and Beverage Undisputed 01/23/2026 1086303336 CMS
IDORSIA PHARMACEUTICALS US INC $16.69 08/31/2024 Food and Beverage Undisputed 01/23/2026 1146789977 CMS
Lilly USA, LLC $15.00 01/09/2024 Food and Beverage Undisputed 01/23/2026 1135767177 CMS
Lilly USA, LLC $13.94 02/09/2024 Food and Beverage Undisputed 01/23/2026 1135753271 CMS
Lilly USA, LLC $15.92 03/15/2024 Food and Beverage Undisputed 01/23/2026 1135741232 CMS
Lilly USA, LLC $11.49 04/18/2024 Food and Beverage Undisputed 01/23/2026 1135795468 CMS
Lilly USA, LLC $14.06 04/29/2024 Food and Beverage Undisputed 01/23/2026 1135767179 CMS
Lilly USA, LLC $9.27 05/21/2024 Food and Beverage Undisputed 01/23/2026 1135802144 CMS
Lilly USA, LLC $19.13 06/03/2024 Food and Beverage Undisputed 01/23/2026 1135801326 CMS
Lilly USA, LLC $21.53 07/24/2024 Food and Beverage Undisputed 01/23/2026 1135794518 CMS
Lilly USA, LLC $18.09 08/06/2024 Food and Beverage Undisputed 01/23/2026 1135794516 CMS
Lilly USA, LLC $15.11 08/20/2024 Food and Beverage Undisputed 01/23/2026 1135741234 CMS
Lilly USA, LLC $14.01 09/10/2024 Food and Beverage Undisputed 01/23/2026 1135767181 CMS
Lilly USA, LLC $17.69 10/08/2024 Food and Beverage Undisputed 01/23/2026 1135802146 CMS
Madrigal Pharmaceuticals $23.35 09/25/2024 Food and Beverage Undisputed 01/23/2026 1144201255 CMS
Novartis Pharmaceuticals Corporation $16.66 09/03/2024 Food and Beverage Undisputed 01/23/2026 1087438340 CMS
Novartis Pharmaceuticals Corporation $18.44 10/01/2024 Food and Beverage Undisputed 01/23/2026 1087438342 CMS
Novartis Pharmaceuticals Corporation $18.49 10/14/2024 Food and Beverage Undisputed 01/23/2026 1087438344 CMS
Novartis Pharmaceuticals Corporation $16.50 10/29/2024 Food and Beverage Undisputed 01/23/2026 1087438346 CMS
Novartis Pharmaceuticals Corporation $15.20 12/10/2024 Food and Beverage Undisputed 01/23/2026 1087438348 CMS
Novo Nordisk Inc $17.91 01/24/2024 Food and Beverage Undisputed 01/23/2026 1100438109 CMS
Novo Nordisk Inc $18.46 02/03/2024 Food and Beverage Undisputed 01/23/2026 1100500777 CMS
Novo Nordisk Inc $16.71 03/27/2024 Food and Beverage Undisputed 01/23/2026 1100611690 CMS
Novo Nordisk Inc $13.12 09/06/2024 Food and Beverage Undisputed 01/23/2026 1100366491 CMS
Novo Nordisk Inc $14.77 09/27/2024 Food and Beverage Undisputed 01/23/2026 1100646357 CMS
PFIZER INC. $15.06 03/23/2024 Food and Beverage Undisputed 01/23/2026 1131264083 CMS
PFIZER INC. $18.08 04/27/2024 Food and Beverage Undisputed 01/23/2026 1131383230 CMS
PFIZER INC. $17.17 05/28/2024 Food and Beverage Undisputed 01/23/2026 1131502388 CMS
PFIZER INC. $14.38 10/31/2024 Food and Beverage Undisputed 01/23/2026 1132070337 CMS
Phathom Pharmaceuticals, Inc. $16.30 08/23/2024 Food and Beverage Undisputed 01/23/2026 1151218303 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.96 08/14/2024 Food and Beverage Undisputed 01/23/2026 1153430843 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.53 10/10/2024 Food and Beverage Undisputed 01/23/2026 1153554289 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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