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

KATHRYN MARIE CUSTER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1821228370
CMS profile
11093722
Location
VICTORIA, TX

General Payments · PY2021–2023

$861.23

  • Reported across 40 records
  • CMS publication 2026-01-23

Latest program year · PY2023

$281.54

11 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

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $181.55 10
Education $99.99 1

By paying entity

PY2023 · sorted by reported total

Paying entityAmountRecords
Astellas Pharma US Inc $99.99 1
Novo Nordisk AS $56.94 3
Amgen Inc. $32.38 2
Lilly USA, LLC $32.12 2
GlaxoSmithKline, LLC. $22.01 1
SANOFI-AVENTIS U.S. LLC $19.49 1
IDORSIA PHARMACEUTICALS US INC $18.61 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $262.13 13
PY2022 $317.56 16
PY2023 $281.54 11

Payment records · PY2023 (11)

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

Program year 2023 20212022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $14.70 02/23/2023 Food and Beverage Undisputed 01/23/2026 1020760779 CMS
Amgen Inc. $17.68 04/19/2023 Food and Beverage Undisputed 01/23/2026 1020760781 CMS
Astellas Pharma US Inc $99.99 03/06/2023 Education Undisputed 01/23/2026 1033944419 CMS
GlaxoSmithKline, LLC. $22.01 04/27/2023 Food and Beverage Undisputed 01/23/2026 1003975211 CMS
IDORSIA PHARMACEUTICALS US INC $18.61 03/03/2023 Food and Beverage Undisputed 01/23/2026 1034558395 CMS
Lilly USA, LLC $16.40 02/09/2023 Food and Beverage Undisputed 01/23/2026 1033153759 CMS
Lilly USA, LLC $15.72 04/18/2023 Food and Beverage Undisputed 01/23/2026 1033056451 CMS
Novo Nordisk Inc $20.94 02/02/2023 Food and Beverage Undisputed 01/23/2026 1001420797 CMS
Novo Nordisk Inc $23.21 03/09/2023 Food and Beverage Undisputed 01/23/2026 1001420815 CMS
Novo Nordisk Inc $12.79 06/01/2023 Food and Beverage Undisputed 01/23/2026 1001420785 CMS
SANOFI-AVENTIS U.S. LLC $19.49 02/16/2023 Food and Beverage Undisputed 01/23/2026 1050160745 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
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_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.

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