Covered recipient · General Payments record

SMYRNE BALAN-LOUIS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

NPI: 1841886546
CMS profile: 11225199
Location: WEST PALM BEACH, FL

General Payments · PY2022–2024

$5,381.28

Reported across 216 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,542.20

137 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	$3,168.27	133
Education	$373.93	4

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Janssen Biotech, Inc.	$600.47	17
Astellas Pharma US Inc	$380.46	8
Incyte Corporation	$277.58	4
Celgene Corporation	$240.92	12
ABBVIE INC.	$217.01	10
Merck Sharp & Dohme Corporation	$210.43	11
Takeda Pharmaceuticals U.S.A., Inc.	$167.43	10
Alexion Pharmaceuticals, Inc.	$122.34	6
Acerta Pharma LLC	$105.22	5
TerSera Therapeutics LLC	$94.44	3
Bayer HealthCare Pharmaceuticals Inc.	$93.87	2
GlaxoSmithKline, LLC.	$80.19	4
Daiichi Sankyo Inc.	$79.12	3
Lilly USA, LLC	$78.23	3
NOVARTIS PHARMACEUTICALS CORPORATION	$73.97	5
SOBI, INC	$62.58	2
EISAI INC.	$58.26	3
Ipsen Biopharmaceuticals, Inc	$44.36	2
Pharmacosmos Therapeutics Inc.	$40.01	2
Karyopharm Therapeutics Inc.	$39.87	2
ADC Therapeutics America, Inc.	$39.13	2
Myriad Genetic Laboratories, Inc.	$39.10	2
JAZZ PHARMACEUTICALS INC.	$34.75	2
PFIZER INC.	$32.31	2
Geron Corporation	$31.07	1
Genentech USA, Inc.	$26.26	1
Mirati Therapeutics, Inc.	$24.91	1
Deciphera Pharmaceuticals Inc.	$24.67	1
EMD Serono, Inc.	$24.17	1
Adaptive Biotechnologies Corporation	$23.57	1
GENZYME CORPORATION	$22.39	1
ARRAY BIOPHARMA INC	$21.36	1
BeiGene USA, Inc.	$21.13	1
Cumberland Pharmaceuticals, Inc.	$20.53	1
RECORDATI_RARE_DISEASES_INC.	$19.36	1
Exelixis Inc.	$19.11	1
Regeneron Healthcare Solutions, Inc.	$18.27	1
SHIELD THERAPEUTICS INC	$17.65	1
Agios Pharmaceuticals, Inc.	$15.70	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2022	$74.04	4
PY2023	$1,765.04	75
PY2024	$3,542.20	137

Payment records · PY2024 (137)

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

Program year 2024 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.	$26.13	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1106474851	CMS
ABBVIE INC.	$25.84	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1106474853	CMS
ABBVIE INC.	$18.98	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1106474855	CMS
ABBVIE INC.	$19.81	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1106474857	CMS
ABBVIE INC.	$20.81	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1106474859	CMS
ABBVIE INC.	$26.45	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1106474861	CMS
ABBVIE INC.	$19.69	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1106474863	CMS
ABBVIE INC.	$14.63	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1106474865	CMS
ABBVIE INC.	$26.93	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1106474867	CMS
ABBVIE INC.	$17.74	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1106474869	CMS
Adaptive Biotechnologies Corporation	$23.57	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1150265151	CMS
ADC Therapeutics America, Inc.	$16.89	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1121189418	CMS
ADC Therapeutics America, Inc.	$22.24	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1121189452	CMS
Agios Pharmaceuticals, Inc.	$15.70	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1149641106	CMS
Alexion Pharmaceuticals, Inc.	$20.85	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1093925235	CMS
Alexion Pharmaceuticals, Inc.	$14.77	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1093978557	CMS
Alexion Pharmaceuticals, Inc.	$21.95	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1094021703	CMS
Alexion Pharmaceuticals, Inc.	$26.54	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1093896635	CMS
Alexion Pharmaceuticals, Inc.	$16.85	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1093955959	CMS
Alexion Pharmaceuticals, Inc.	$21.38	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1093965105	CMS
ARRAY BIOPHARMA INC	$21.36	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1130928192	CMS
Astellas Pharma US Inc	$23.03	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1139477080	CMS
Astellas Pharma US Inc	$99.99	02/13/2024	Education	Undisputed	01/23/2026	1139503785	CMS
Astellas Pharma US Inc	$24.28	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1139491960	CMS
Astellas Pharma US Inc	$99.00	04/29/2024	Education	Undisputed	01/23/2026	1139506363	CMS
Astellas Pharma US Inc	$23.49	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1139463024	CMS
Astellas Pharma US Inc	$18.73	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1139540698	CMS
Astellas Pharma US Inc	$16.95	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1139543526	CMS
Astellas Pharma US Inc	$74.99	10/31/2024	Education	Undisputed	01/23/2026	1139546433	CMS
AstraZeneca Pharmaceuticals LP	$14.20	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1104262657	CMS
AstraZeneca Pharmaceuticals LP	$22.66	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1104636955	CMS
AstraZeneca Pharmaceuticals LP	$21.88	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1105776980	CMS
AstraZeneca Pharmaceuticals LP	$22.55	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1104289804	CMS
AstraZeneca Pharmaceuticals LP	$23.93	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1105843331	CMS
Bayer Healthcare Pharmaceuticals Inc.	$22.31	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1086293352	CMS
Bayer Healthcare Pharmaceuticals Inc.	$71.56	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1086359386	CMS
BeiGene USA, Inc.	$21.13	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1120864702	CMS
Celgene Corporation	$1.20	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1101155604	CMS
Celgene Corporation	$25.65	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1101155606	CMS
Celgene Corporation	$22.36	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1101155608	CMS
Celgene Corporation	$27.09	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1101155610	CMS
Celgene Corporation	$22.08	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1101155614	CMS
Celgene Corporation	$26.17	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1101155616	CMS
Celgene Corporation	$24.65	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1101155620	CMS
Celgene Corporation	$19.76	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1101155618	CMS
Celgene Corporation	$27.66	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1101155624	CMS
Celgene Corporation	$0.76	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1101155626	CMS
Celgene Corporation	$21.41	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1101155628	CMS
Celgene Corporation	$22.13	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1101155630	CMS
Cumberland Pharmaceuticals, Inc.	$20.53	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1146404670	CMS
Daiichi Sankyo Inc.	$28.26	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1089396477	CMS
Daiichi Sankyo Inc.	$25.19	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1089396473	CMS
Daiichi Sankyo Inc.	$25.67	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1089396475	CMS
Deciphera Pharmaceuticals Inc.	$24.67	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1145876227	CMS
Eisai Inc.	$13.35	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1110821753	CMS
Eisai Inc.	$21.04	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1110821755	CMS
Eisai Inc.	$23.87	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1110821757	CMS
EMD Serono, Inc.	$24.17	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1120271956	CMS
Exelixis Inc.	$19.11	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1138574503	CMS
Genentech USA, Inc.	$26.26	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1133188567	CMS
GENZYME CORPORATION	$22.39	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1139752571	CMS
Geron Corporation	$31.07	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1126533460	CMS
GlaxoSmithKline, LLC.	$19.47	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1116409767	CMS
GlaxoSmithKline, LLC.	$21.11	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1116261791	CMS
GlaxoSmithKline, LLC.	$24.06	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1115739545	CMS
GlaxoSmithKline, LLC.	$15.55	11/16/2024	Food and Beverage	Undisputed	01/23/2026	1116396006	CMS
Incyte Corporation	$125.62	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1141303677	CMS
Incyte Corporation	$99.95	06/24/2024	Education	Undisputed	01/23/2026	1141303747	CMS
Incyte Corporation	$27.01	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1141231019	CMS
Incyte Corporation	$25.00	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1141307937	CMS
Ipsen Biopharmaceuticals, Inc	$23.33	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1091982204	CMS
Ipsen Biopharmaceuticals, Inc	$21.03	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1091982206	CMS
Janssen Biotech, Inc.	$12.19	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1078501559	CMS
Janssen Biotech, Inc.	$18.19	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1078502154	CMS
Janssen Biotech, Inc.	$30.04	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1078500827	CMS
Janssen Biotech, Inc.	$1.04	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1078502587	CMS
Janssen Biotech, Inc.	$18.26	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1078502659	CMS
Janssen Biotech, Inc.	$138.77	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1078502897	CMS
Janssen Biotech, Inc.	$20.69	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1078500930	CMS
Janssen Biotech, Inc.	$16.95	06/30/2024	Food and Beverage	Undisputed	01/23/2026	1078501830	CMS
Janssen Biotech, Inc.	$5.20	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1078501072	CMS
Janssen Biotech, Inc.	$24.86	09/02/2024	Food and Beverage	Undisputed	01/23/2026	1078501622	CMS
Janssen Biotech, Inc.	$16.15	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1078503049	CMS
Janssen Biotech, Inc.	$18.44	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1078501794	CMS
Janssen Biotech, Inc.	$22.49	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1078501513	CMS
Janssen Biotech, Inc.	$95.77	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1078502650	CMS
Janssen Biotech, Inc.	$124.99	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1078500905	CMS
Janssen Biotech, Inc.	$22.29	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1078501466	CMS
Janssen Biotech, Inc.	$14.15	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1078501601	CMS
JAZZ PHARMACEUTICALS INC.	$15.61	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1151316321	CMS
JAZZ PHARMACEUTICALS INC.	$19.14	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1151316323	CMS
Karyopharm Therapeutics Inc.	$16.32	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1145541630	CMS
Karyopharm Therapeutics Inc.	$23.55	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1145541632	CMS
Lilly USA, LLC	$22.77	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1135955557	CMS
Lilly USA, LLC	$27.82	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1135866365	CMS
Lilly USA, LLC	$27.64	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1135910755	CMS
Merck Sharp & Dohme LLC	$28.55	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1141695860	CMS
Merck Sharp & Dohme LLC	$11.05	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1141868179	CMS
Merck Sharp & Dohme LLC	$18.87	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1141695866	CMS
Merck Sharp & Dohme LLC	$18.26	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1141695858	CMS
Merck Sharp & Dohme LLC	$29.75	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1141697314	CMS
Merck Sharp & Dohme LLC	$19.21	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1141696024	CMS
Merck Sharp & Dohme LLC	$15.26	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1141868981	CMS
Merck Sharp & Dohme LLC	$11.80	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1141697474	CMS
Merck Sharp & Dohme LLC	$13.01	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1141695862	CMS
Merck Sharp & Dohme LLC	$26.30	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1141697472	CMS
Merck Sharp & Dohme LLC	$18.37	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1141695864	CMS
Mirati Therapeutics, Inc.	$24.91	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1117171933	CMS
Myriad Genetic Laboratories, Inc.	$16.83	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1152543721	CMS
Myriad Genetic Laboratories, Inc.	$22.27	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1152543725	CMS
Novartis Pharmaceuticals Corporation	$15.83	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1086660425	CMS
Novartis Pharmaceuticals Corporation	$13.56	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1086660427	CMS
Novartis Pharmaceuticals Corporation	$15.98	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1086660429	CMS
Novartis Pharmaceuticals Corporation	$14.40	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1086660431	CMS
Novartis Pharmaceuticals Corporation	$14.20	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1086660433	CMS
PFIZER INC.	$15.73	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1131302098	CMS
PFIZER INC.	$16.58	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1131367084	CMS
Pharmacosmos Therapeutics Inc.	$23.58	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1154827577	CMS
Pharmacosmos Therapeutics Inc.	$16.43	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1154827579	CMS
RECORDATI_RARE_DISEASES_INC.	$19.36	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1139167785	CMS
Regeneron Healthcare Solutions, Inc.	$18.27	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1114268923	CMS
SHIELD THERAPEUTICS INC	$17.65	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1150140920	CMS
SOBI, INC	$15.86	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1141413190	CMS
SOBI, INC	$46.72	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1141412532	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.66	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1144971653	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.61	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1137709851	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.44	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1144971655	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.70	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1137709853	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.88	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1144971657	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$1.31	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1144971659	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.39	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1144971661	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.49	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1144971663	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$0.77	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1144971665	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.18	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1144971667	CMS
TerSera Therapeutics LLC	$31.31	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1144723859	CMS
TerSera Therapeutics LLC	$29.84	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1144723861	CMS
TerSera Therapeutics LLC	$33.29	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1144723863	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: 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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