RAPHAELE ESPINA ALAURA

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner LAS VEGAS, NV NPI 1821693037

General Payments — all program years on this page

$4,798.43

Category: General Payments
Program years: PY2022–2024
Record count: 163
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,326.36 across 90 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$1,448.81	81
Long term medical supply or device loan	$797.60	8
Education	$79.95	1

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
NOVARTIS PHARMACEUTICALS CORPORATION	$1,245.17	28
Daiichi Sankyo Inc.	$283.23	27
AVEO Pharmaceuticals, Inc.	$79.95	1
Astellas Pharma US Inc	$71.31	4
ABBVIE INC.	$67.92	3
Celgene Corporation	$56.59	3
Alexion Pharmaceuticals, Inc.	$55.41	2
PFIZER INC.	$50.27	3
Sumitomo Pharma America, Inc.	$50.14	2
Takeda Pharmaceuticals U.S.A., Inc.	$44.23	2
ARRAY BIOPHARMA INC	$40.67	2
SOBI, INC	$40.33	2
GlaxoSmithKline, LLC.	$35.15	2
Ipsen Biopharmaceuticals, Inc	$34.70	1
Karyopharm Therapeutics Inc.	$32.50	1
Merck Sharp & Dohme Corporation	$27.54	1
Stemline Therapeutics Inc.	$20.45	1
EISAI INC.	$20.01	1
Genentech USA, Inc.	$19.86	1
EMD Serono, Inc.	$18.45	1
Dendreon Pharmaceuticals LLC	$17.39	1
ACCORD HEALTHCARE, INC.	$15.09	1

By program year

Program year	Amount	Records
2022	$1,075.28	11
2023	$1,396.79	62
2024	$2,326.36	90

Records — PY2024 (90)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1086662793	Novartis Pharmaceuticals Corporation	$28.50	01/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662795	Novartis Pharmaceuticals Corporation	$23.89	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662799	Novartis Pharmaceuticals Corporation	$26.46	02/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662801	Novartis Pharmaceuticals Corporation	$18.05	03/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662803	Novartis Pharmaceuticals Corporation	$27.51	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662805	Novartis Pharmaceuticals Corporation	$9.37	02/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662809	Novartis Pharmaceuticals Corporation	$28.23	04/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662811	Novartis Pharmaceuticals Corporation	$7.93	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662813	Novartis Pharmaceuticals Corporation	$29.12	01/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662815	Novartis Pharmaceuticals Corporation	$24.55	03/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662819	Novartis Pharmaceuticals Corporation	$26.30	02/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662823	Novartis Pharmaceuticals Corporation	$20.47	05/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662825	Novartis Pharmaceuticals Corporation	$27.51	04/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662827	Novartis Pharmaceuticals Corporation	$12.70	05/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662831	Novartis Pharmaceuticals Corporation	$25.34	05/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662833	Novartis Pharmaceuticals Corporation	$23.42	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662841	Novartis Pharmaceuticals Corporation	$29.19	07/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662845	Novartis Pharmaceuticals Corporation	$25.21	08/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662847	Novartis Pharmaceuticals Corporation	$99.70	08/23/2024	Long term medical supply or device loan	Undisputed	01/23/2026	View at CMS
1086662849	Novartis Pharmaceuticals Corporation	$99.70	09/27/2024	Long term medical supply or device loan	Undisputed	01/23/2026	View at CMS
1086662851	Novartis Pharmaceuticals Corporation	$99.70	05/16/2024	Long term medical supply or device loan	Undisputed	01/23/2026	View at CMS
1086662853	Novartis Pharmaceuticals Corporation	$99.70	06/13/2024	Long term medical supply or device loan	Undisputed	01/23/2026	View at CMS
1086662855	Novartis Pharmaceuticals Corporation	$99.70	07/15/2024	Long term medical supply or device loan	Undisputed	01/23/2026	View at CMS
1086662859	Novartis Pharmaceuticals Corporation	$99.70	11/14/2024	Long term medical supply or device loan	Undisputed	01/23/2026	View at CMS
1086662861	Novartis Pharmaceuticals Corporation	$99.70	10/17/2024	Long term medical supply or device loan	Undisputed	01/23/2026	View at CMS
1086662865	Novartis Pharmaceuticals Corporation	$4.26	10/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662867	Novartis Pharmaceuticals Corporation	$29.56	11/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1086662869	Novartis Pharmaceuticals Corporation	$99.70	12/10/2024	Long term medical supply or device loan	Undisputed	01/23/2026	View at CMS
1089392042	Daiichi Sankyo Inc.	$10.67	03/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392044	Daiichi Sankyo Inc.	$10.96	03/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392046	Daiichi Sankyo Inc.	$10.97	03/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392048	Daiichi Sankyo Inc.	$10.66	03/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392050	Daiichi Sankyo Inc.	$7.09	03/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392052	Daiichi Sankyo Inc.	$12.20	04/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392054	Daiichi Sankyo Inc.	$11.84	04/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392056	Daiichi Sankyo Inc.	$9.90	01/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392058	Daiichi Sankyo Inc.	$8.76	01/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392060	Daiichi Sankyo Inc.	$9.92	01/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392062	Daiichi Sankyo Inc.	$12.25	01/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392064	Daiichi Sankyo Inc.	$10.14	04/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392066	Daiichi Sankyo Inc.	$11.42	04/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392068	Daiichi Sankyo Inc.	$12.10	02/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392070	Daiichi Sankyo Inc.	$10.01	02/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392072	Daiichi Sankyo Inc.	$8.71	02/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392074	Daiichi Sankyo Inc.	$5.54	05/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392076	Daiichi Sankyo Inc.	$23.17	05/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392078	Daiichi Sankyo Inc.	$7.66	05/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392080	Daiichi Sankyo Inc.	$10.35	05/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392082	Daiichi Sankyo Inc.	$7.73	05/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392084	Daiichi Sankyo Inc.	$8.63	06/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392086	Daiichi Sankyo Inc.	$6.89	06/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392088	Daiichi Sankyo Inc.	$10.95	06/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392090	Daiichi Sankyo Inc.	$10.81	07/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392092	Daiichi Sankyo Inc.	$13.37	07/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089392094	Daiichi Sankyo Inc.	$10.53	07/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1091967891	Ipsen Biopharmaceuticals, Inc	$34.70	04/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1093991470	Alexion Pharmaceuticals, Inc.	$27.92	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1094005864	Alexion Pharmaceuticals, Inc.	$27.49	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101190049	Celgene Corporation	$22.71	04/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101190055	Celgene Corporation	$15.36	08/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1101190061	Celgene Corporation	$18.52	10/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1106421646	ABBVIE INC.	$21.54	01/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1106421648	ABBVIE INC.	$15.35	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1106421650	ABBVIE INC.	$31.03	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1110818820	Eisai Inc.	$20.01	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116522652	GlaxoSmithKline, LLC.	$15.19	12/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116732916	GlaxoSmithKline, LLC.	$19.96	02/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120076510	ACCORD HEALTHCARE, INC.	$15.09	01/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1120226980	EMD Serono, Inc.	$18.45	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131275771	PFIZER INC.	$15.16	02/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131327834	PFIZER INC.	$21.53	05/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131804681	PFIZER INC.	$13.58	03/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131809019	ARRAY BIOPHARMA INC	$18.83	02/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131821054	ARRAY BIOPHARMA INC	$21.84	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133182445	Genentech USA, Inc.	$19.86	03/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139467100	Astellas Pharma US Inc	$19.73	01/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139488112	Astellas Pharma US Inc	$18.08	02/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139488116	Astellas Pharma US Inc	$16.49	02/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139501216	Astellas Pharma US Inc	$17.01	04/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141413588	SOBI, INC	$26.52	01/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141417210	SOBI, INC	$13.81	05/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141784659	Merck Sharp & Dohme LLC	$27.54	01/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1142970081	Stemline Therapeutics Inc.	$20.45	05/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143498185	Aveo Pharmaceuticals, Inc.	$79.95	05/01/2024	Education	Undisputed	01/23/2026	View at CMS
1144971207	Takeda Pharmaceuticals U.S.A., Inc.	$27.00	03/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144971209	Takeda Pharmaceuticals U.S.A., Inc.	$17.23	05/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1145541330	Karyopharm Therapeutics Inc.	$32.50	04/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148940697	Sumitomo Pharma America, Inc.	$27.11	04/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148940699	Sumitomo Pharma America, Inc.	$23.03	05/30/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1149326354	Dendreon Pharmaceuticals LLC	$17.39	01/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
Generated from: OP_DTL_GNRL_PGYR2024_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.

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.