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

ORJENA FISHEKU

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1851927461
CMS profile
10806009
Location
NAPLES, FL

General Payments · PY2021–2024

$5,273.40

  • Reported across 130 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,283.25

56 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 $2,283.25 56

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $234.56 4
PY2022 $799.84 20
PY2023 $1,955.75 50
PY2024 $2,283.25 56

Payment records · PY2024 (56)

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. $24.19 05/07/2024 Food and Beverage Undisputed 01/23/2026 1107106531 CMS
ABBVIE INC. $90.30 05/08/2024 Food and Beverage Undisputed 01/23/2026 1107106533 CMS
Actelion Pharmaceuticals US, Inc. $123.71 03/27/2024 Food and Beverage Undisputed 01/23/2026 1078878130 CMS
Amgen Inc. $18.00 03/12/2024 Food and Beverage Undisputed 01/23/2026 1117553823 CMS
Amgen Inc. $124.27 03/26/2024 Food and Beverage Undisputed 01/23/2026 1117553837 CMS
Amgen Inc. $7.94 03/28/2024 Food and Beverage Undisputed 01/23/2026 1117553835 CMS
Amgen Inc. $14.99 04/23/2024 Food and Beverage Undisputed 01/23/2026 1117553825 CMS
Amgen Inc. $94.31 05/16/2024 Food and Beverage Undisputed 01/23/2026 1117251372 CMS
Amgen Inc. $21.62 06/18/2024 Food and Beverage Undisputed 01/23/2026 1117553827 CMS
Amgen Inc. $6.44 08/27/2024 Food and Beverage Undisputed 01/23/2026 1117553829 CMS
Amgen Inc. $3.87 09/10/2024 Food and Beverage Undisputed 01/23/2026 1117553831 CMS
Amgen Inc. $5.06 10/31/2024 Food and Beverage Undisputed 01/23/2026 1117553833 CMS
AstraZeneca Pharmaceuticals LP $16.28 03/06/2024 Food and Beverage Undisputed 01/23/2026 1105886065 CMS
AstraZeneca Pharmaceuticals LP $100.80 03/14/2024 Food and Beverage Undisputed 01/23/2026 1104649463 CMS
AstraZeneca Pharmaceuticals LP $13.16 03/20/2024 Food and Beverage Undisputed 01/23/2026 1104304458 CMS
AstraZeneca Pharmaceuticals LP $13.08 04/04/2024 Food and Beverage Undisputed 01/23/2026 1105645072 CMS
AstraZeneca Pharmaceuticals LP $20.32 04/18/2024 Food and Beverage Undisputed 01/23/2026 1104402223 CMS
AstraZeneca Pharmaceuticals LP $18.68 05/08/2024 Food and Beverage Undisputed 01/23/2026 1105491105 CMS
AstraZeneca Pharmaceuticals LP $4.66 05/08/2024 Food and Beverage Undisputed 01/23/2026 1105829995 CMS
AstraZeneca Pharmaceuticals LP $16.27 05/21/2024 Food and Beverage Undisputed 01/23/2026 1104684019 CMS
AstraZeneca Pharmaceuticals LP $14.79 06/04/2024 Food and Beverage Undisputed 01/23/2026 1104426995 CMS
AstraZeneca Pharmaceuticals LP $18.88 07/15/2024 Food and Beverage Undisputed 01/23/2026 1104594786 CMS
AstraZeneca Pharmaceuticals LP $14.87 11/05/2024 Food and Beverage Undisputed 01/23/2026 1104731965 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.68 01/22/2024 Food and Beverage Undisputed 01/23/2026 1086343327 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.22 05/31/2024 Food and Beverage Undisputed 01/23/2026 1086368665 CMS
Bayer Healthcare Pharmaceuticals Inc. $27.48 06/13/2024 Food and Beverage Undisputed 01/23/2026 1086349647 CMS
Bayer Healthcare Pharmaceuticals Inc. $25.54 08/19/2024 Food and Beverage Undisputed 01/23/2026 1086317958 CMS
Bayer Healthcare Pharmaceuticals Inc. $125.51 08/30/2024 Food and Beverage Undisputed 01/23/2026 1086282532 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.89 09/12/2024 Food and Beverage Undisputed 01/23/2026 1118189816 CMS
Esperion Therapeutics, Inc. $24.20 07/31/2024 Food and Beverage Undisputed 01/23/2026 1129466150 CMS
Exact Sciences Corporation $25.15 09/11/2024 Food and Beverage Undisputed 01/23/2026 1114658002 CMS
Exact Sciences Corporation $24.64 10/28/2024 Food and Beverage Undisputed 01/23/2026 1114658008 CMS
GlaxoSmithKline, LLC. $120.85 02/08/2024 Food and Beverage Undisputed 01/23/2026 1116538826 CMS
Insmed, Inc. $53.42 01/10/2024 Food and Beverage Undisputed 01/23/2026 1089582424 CMS
INTUITIVE SURGICAL, INC. $120.05 11/05/2024 Food and Beverage Undisputed 01/23/2026 1137296569 CMS
INTUITIVE SURGICAL, INC. $121.16 12/10/2024 Food and Beverage Undisputed 01/23/2026 1137256633 CMS
Janssen Pharmaceuticals, Inc $28.52 04/16/2024 Food and Beverage Undisputed 01/23/2026 1077969994 CMS
Janssen Pharmaceuticals, Inc $14.60 06/03/2024 Food and Beverage Undisputed 01/23/2026 1077970552 CMS
Lilly USA, LLC $23.10 04/10/2024 Food and Beverage Undisputed 01/23/2026 1135909377 CMS
Lilly USA, LLC $118.49 04/18/2024 Food and Beverage Undisputed 01/23/2026 1135916531 CMS
Lilly USA, LLC $18.55 05/07/2024 Food and Beverage Undisputed 01/23/2026 1135852840 CMS
Lilly USA, LLC $23.19 06/14/2024 Food and Beverage Undisputed 01/23/2026 1135909379 CMS
Lilly USA, LLC $18.91 07/24/2024 Food and Beverage Undisputed 01/23/2026 1135898084 CMS
Lilly USA, LLC $19.45 09/16/2024 Food and Beverage Undisputed 01/23/2026 1135921996 CMS
Merck Sharp & Dohme LLC $14.32 02/15/2024 Food and Beverage Undisputed 01/23/2026 1141673209 CMS
Merck Sharp & Dohme LLC $13.14 08/22/2024 Food and Beverage Undisputed 01/23/2026 1141673207 CMS
Novartis Pharmaceuticals Corporation $16.22 07/17/2024 Food and Beverage Undisputed 01/23/2026 1086832159 CMS
Novo Nordisk Inc $21.91 05/10/2024 Food and Beverage Undisputed 01/23/2026 1100616297 CMS
Novo Nordisk Inc $24.67 10/15/2024 Food and Beverage Undisputed 01/23/2026 1100259263 CMS
Novo Nordisk Inc $26.18 11/07/2024 Food and Beverage Undisputed 01/23/2026 1100262492 CMS
Novo Nordisk Inc $13.53 11/18/2024 Food and Beverage Undisputed 01/23/2026 1100599759 CMS
Phathom Pharmaceuticals, Inc. $15.90 12/05/2024 Food and Beverage Undisputed 01/23/2026 1151165190 CMS
Pulmonx Corporation $115.60 11/21/2024 Food and Beverage Undisputed 01/23/2026 1087852742 CMS
SANOFI-AVENTIS U.S. LLC $121.41 08/15/2024 Food and Beverage Undisputed 01/23/2026 1139952097 CMS
SHIELD THERAPEUTICS INC $18.78 12/09/2024 Food and Beverage Undisputed 01/23/2026 1150156860 CMS
Silk Road Medical, Inc. $94.50 03/05/2024 Food and Beverage Undisputed 01/23/2026 1082261774 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.