Covered recipient · General Payments record

MEGAN T SHIROMA

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1841736386
CMS profile: 10633890
Location: WACO, TX

General Payments · PY2021–2024

$13,730.84

Reported across 609 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,396.89

153 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 payment	Amount	Records
Food and Beverage	$3,297.89	152
Education	$99.00	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Amgen Inc.	$513.98	25
Janssen Biotech, Inc.	$449.36	12
ABBVIE INC.	$381.92	16
Acerta Pharma LLC	$327.96	16
NOVARTIS PHARMACEUTICALS CORPORATION	$192.01	10
ANI Pharmaceuticals, Inc.	$183.15	9
UCB, Inc.	$160.39	8
Lilly USA, LLC	$158.44	7
Mallinckrodt Hospital Products Inc.	$157.78	5
PFIZER INC.	$152.28	10
Boehringer Ingelheim Pharmaceuticals, Inc.	$140.68	7
GlaxoSmithKline, LLC.	$136.66	11
Aurinia Pharma U.S., Inc.	$101.16	2
Octapharma USA, Inc.	$96.03	5
E.R. Squibb & Sons, L.L.C.	$95.00	1
Radius Health, Inc.	$60.18	3
Kiniksa Pharmaceuticals International, plc	$29.50	2
Fresenius Kabi USA, LLC	$19.44	1
Alexion Pharmaceuticals, Inc.	$15.10	1
Genentech USA, Inc.	$14.64	1
Organon LLC	$11.23	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$3,215.96	153
PY2022	$4,368.38	163
PY2023	$2,749.61	140
PY2024	$3,396.89	153

Payment records · PY2024 (153)

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

Program year 2024 2021 2022 2023 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.	$31.39	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1108190902	CMS
ABBVIE INC.	$32.80	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1108190904	CMS
ABBVIE INC.	$19.06	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1108190906	CMS
ABBVIE INC.	$20.76	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1108190908	CMS
ABBVIE INC.	$17.22	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1108190910	CMS
ABBVIE INC.	$103.24	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1108190912	CMS
ABBVIE INC.	$18.43	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1108190914	CMS
ABBVIE INC.	$17.19	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1108190916	CMS
ABBVIE INC.	$13.50	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1108190918	CMS
ABBVIE INC.	$16.30	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1108190920	CMS
ABBVIE INC.	$19.05	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1108190922	CMS
ABBVIE INC.	$20.45	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1108190924	CMS
ABBVIE INC.	$19.90	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1108190926	CMS
ABBVIE INC.	$8.43	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1108190928	CMS
ABBVIE INC.	$18.52	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1108190930	CMS
ABBVIE INC.	$5.68	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1108190932	CMS
Alexion Pharmaceuticals, Inc.	$15.10	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1093937964	CMS
Amgen Inc.	$16.21	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1117381928	CMS
Amgen Inc.	$18.68	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1117381960	CMS
Amgen Inc.	$10.60	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1117381930	CMS
Amgen Inc.	$27.25	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1117381944	CMS
Amgen Inc.	$28.67	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1117381946	CMS
Amgen Inc.	$28.57	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1117381962	CMS
Amgen Inc.	$14.89	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1117381932	CMS
Amgen Inc.	$15.43	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1117683218	CMS
Amgen Inc.	$2.86	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1117381940	CMS
Amgen Inc.	$29.46	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1117381948	CMS
Amgen Inc.	$17.93	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1117381934	CMS
Amgen Inc.	$30.12	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1117381964	CMS
Amgen Inc.	$29.20	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1117381950	CMS
Amgen Inc.	$17.99	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1117683220	CMS
Amgen Inc.	$19.08	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1117381936	CMS
Amgen Inc.	$3.89	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1117381942	CMS
Amgen Inc.	$28.74	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1117381966	CMS
Amgen Inc.	$30.86	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1117381952	CMS
Amgen Inc.	$8.89	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1117683222	CMS
Amgen Inc.	$25.60	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1117381954	CMS
Amgen Inc.	$16.06	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1117683224	CMS
Amgen Inc.	$27.46	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1117381956	CMS
Amgen Inc.	$21.08	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1117381938	CMS
Amgen Inc.	$28.87	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1117381958	CMS
Amgen Inc.	$15.59	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1117683226	CMS
ANI Pharmaceuticals, Inc.	$22.57	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1091160144	CMS
ANI Pharmaceuticals, Inc.	$19.59	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1091132797	CMS
ANI Pharmaceuticals, Inc.	$22.47	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1091139230	CMS
ANI Pharmaceuticals, Inc.	$13.91	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1091149914	CMS
ANI Pharmaceuticals, Inc.	$20.62	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1091160584	CMS
ANI Pharmaceuticals, Inc.	$21.10	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1091139580	CMS
ANI Pharmaceuticals, Inc.	$22.80	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1091159518	CMS
ANI Pharmaceuticals, Inc.	$18.81	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1091171128	CMS
ANI Pharmaceuticals, Inc.	$21.28	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1091146958	CMS
AstraZeneca Pharmaceuticals LP	$26.01	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1105440229	CMS
AstraZeneca Pharmaceuticals LP	$23.78	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1104771950	CMS
AstraZeneca Pharmaceuticals LP	$15.37	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1105421668	CMS
AstraZeneca Pharmaceuticals LP	$25.15	03/02/2024	Food and Beverage	Undisputed	01/23/2026	1104217211	CMS
AstraZeneca Pharmaceuticals LP	$7.82	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1105457234	CMS
AstraZeneca Pharmaceuticals LP	$19.48	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1104462850	CMS
AstraZeneca Pharmaceuticals LP	$19.43	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1104637977	CMS
AstraZeneca Pharmaceuticals LP	$23.29	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1104386909	CMS
AstraZeneca Pharmaceuticals LP	$18.17	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1105842227	CMS
AstraZeneca Pharmaceuticals LP	$18.32	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1104781332	CMS
AstraZeneca Pharmaceuticals LP	$23.78	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1104378409	CMS
AstraZeneca Pharmaceuticals LP	$19.02	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1105294851	CMS
AstraZeneca Pharmaceuticals LP	$28.01	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1104664471	CMS
AstraZeneca Pharmaceuticals LP	$14.38	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1104309028	CMS
AstraZeneca Pharmaceuticals LP	$26.25	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1105441538	CMS
AstraZeneca Pharmaceuticals LP	$19.70	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1104365311	CMS
Aurinia Pharma U.S., Inc.	$78.00	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1150701219	CMS
Aurinia Pharma U.S., Inc.	$23.16	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1150701221	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.13	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1118180879	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.32	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1118180882	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.78	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1118180871	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.96	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1118180875	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.38	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1118180891	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.33	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1118180887	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.78	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1118180867	CMS
E.R. Squibb & Sons, L.L.C.	$95.00	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1101567725	CMS
Fresenius Kabi USA, LLC	$19.44	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1146955084	CMS
Genentech USA, Inc.	$14.64	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1133174898	CMS
GlaxoSmithKline, LLC.	$17.94	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1116501981	CMS
GlaxoSmithKline, LLC.	$11.31	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1116612882	CMS
GlaxoSmithKline, LLC.	$14.48	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1116070023	CMS
GlaxoSmithKline, LLC.	$15.50	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1116564680	CMS
GlaxoSmithKline, LLC.	$3.94	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1116675081	CMS
GlaxoSmithKline, LLC.	$13.22	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1115754928	CMS
GlaxoSmithKline, LLC.	$4.40	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1115818664	CMS
GlaxoSmithKline, LLC.	$15.21	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1116733276	CMS
GlaxoSmithKline, LLC.	$17.63	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1116307343	CMS
GlaxoSmithKline, LLC.	$16.75	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1115969617	CMS
GlaxoSmithKline, LLC.	$6.28	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1116406641	CMS
Janssen Biotech, Inc.	$22.33	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1078775330	CMS
Janssen Biotech, Inc.	$31.56	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1078775280	CMS
Janssen Biotech, Inc.	$99.00	03/26/2024	Education	Undisputed	01/23/2026	1078775076	CMS
Janssen Biotech, Inc.	$20.27	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1078775339	CMS
Janssen Biotech, Inc.	$21.21	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1078775175	CMS
Janssen Biotech, Inc.	$24.90	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1078775168	CMS
Janssen Biotech, Inc.	$24.02	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1078775272	CMS
Janssen Biotech, Inc.	$4.28	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1078775171	CMS
Janssen Biotech, Inc.	$32.49	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1078775256	CMS
Janssen Biotech, Inc.	$18.53	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1078775131	CMS
Janssen Biotech, Inc.	$121.20	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1078775180	CMS
Janssen Biotech, Inc.	$29.57	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1078775056	CMS
Kiniksa Pharmaceuticals International, plc	$14.84	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1154894644	CMS
Kiniksa Pharmaceuticals International, plc	$14.66	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1154894700	CMS
Lilly USA, LLC	$16.12	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1135813239	CMS
Lilly USA, LLC	$25.42	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1135783696	CMS
Lilly USA, LLC	$22.54	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1135842383	CMS
Lilly USA, LLC	$27.12	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1135815110	CMS
Lilly USA, LLC	$19.34	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1135783698	CMS
Lilly USA, LLC	$21.87	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1135744986	CMS
Lilly USA, LLC	$26.03	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1135744988	CMS
Mallinckrodt Hospital Products Inc.	$33.38	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1145186652	CMS
Mallinckrodt Hospital Products Inc.	$27.67	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1145186657	CMS
Mallinckrodt Hospital Products Inc.	$38.14	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1145186661	CMS
Mallinckrodt Hospital Products Inc.	$22.12	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1145186665	CMS
Mallinckrodt Hospital Products Inc.	$36.47	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1145186669	CMS
Novartis Pharmaceuticals Corporation	$21.75	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1087184367	CMS
Novartis Pharmaceuticals Corporation	$21.69	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1087184369	CMS
Novartis Pharmaceuticals Corporation	$17.84	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1087184371	CMS
Novartis Pharmaceuticals Corporation	$20.56	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1087184373	CMS
Novartis Pharmaceuticals Corporation	$20.76	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1087184375	CMS
Novartis Pharmaceuticals Corporation	$16.31	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1087184377	CMS
Novartis Pharmaceuticals Corporation	$16.69	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1087184379	CMS
Novartis Pharmaceuticals Corporation	$15.89	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1087184381	CMS
Novartis Pharmaceuticals Corporation	$23.65	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1087184383	CMS
Novartis Pharmaceuticals Corporation	$16.87	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1087184385	CMS
Octapharma USA, Inc.	$19.80	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1142323584	CMS
Octapharma USA, Inc.	$19.80	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1142323586	CMS
Octapharma USA, Inc.	$13.34	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1142323588	CMS
Octapharma USA, Inc.	$23.85	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1142323590	CMS
Octapharma USA, Inc.	$19.24	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1142323592	CMS
Organon Llc	$11.23	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1136286447	CMS
PFIZER INC.	$15.18	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1130976100	CMS
PFIZER INC.	$15.77	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1131260204	CMS
PFIZER INC.	$20.73	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1131255599	CMS
PFIZER INC.	$15.71	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1131496163	CMS
PFIZER INC.	$12.80	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1130924405	CMS
PFIZER INC.	$15.37	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1131762042	CMS
PFIZER INC.	$11.55	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1130944077	CMS
PFIZER INC.	$11.69	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1130947550	CMS
PFIZER INC.	$15.03	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1131187030	CMS
PFIZER INC.	$18.45	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1131085151	CMS
Radius Health, Inc.	$15.66	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1090033440	CMS
Radius Health, Inc.	$30.11	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1090033443	CMS
Radius Health, Inc.	$14.41	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1090033445	CMS
UCB, Inc.	$20.55	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1143282281	CMS
UCB, Inc.	$20.52	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1143282285	CMS
UCB, Inc.	$19.99	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1143282289	CMS
UCB, Inc.	$17.15	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1143282294	CMS
UCB, Inc.	$19.26	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1143282298	CMS
UCB, Inc.	$27.78	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1143282303	CMS
UCB, Inc.	$17.70	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1143282307	CMS
UCB, Inc.	$17.44	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1143282312	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

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.