ESTHER MIRANDA HAMBRICK

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care HUNTSVILLE, AL NPI 1861019697

General Payments — all program years on this page

$4,769.64

Category: General Payments
Program years: PY2021–2024
Record count: 228
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,428.47 across 115 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	$2,428.47	115

By paying entity

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

Paying entity	Amount	Records
GENZYME CORPORATION	$276.63	10
GlaxoSmithKline, LLC.	$259.62	17
Regeneron Healthcare Solutions, Inc.	$224.21	9
Acerta Pharma LLC	$217.76	12
Takeda Pharmaceuticals U.S.A., Inc.	$217.66	10
Grifols USA, LLC	$206.01	9
Mylan Specialty L.P.	$175.62	7
JAZZ PHARMACEUTICALS INC.	$159.14	7
HARMONY BIOSCIENCES LLC	$93.98	4
Insmed, Inc.	$89.48	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$89.12	4
PFIZER INC.	$80.05	5
Avadel CNS Pharmaceuticals, LLC	$77.78	4
Genentech USA, Inc.	$48.98	3
Philips Electronics North America Corporation	$38.47	2
CSL Behring	$34.80	1
Axsome Therapeutics, Inc.	$31.40	2
INOGEN, INC.	$29.53	1
Ethicon Inc.	$24.42	1
BAXTER HEALTHCARE	$20.45	1
Astellas Pharma US Inc	$19.54	1
Merck Sharp & Dohme Corporation	$13.82	1

By program year

Program year	Amount	Records
2021	$203.93	6
2022	$855.30	42
2023	$1,281.94	65
2024	$2,428.47	115

Records — PY2024 (115)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1077581766	Ethicon Inc.	$24.42	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089560446	Insmed, Inc.	$23.29	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089568139	Insmed, Inc.	$16.33	08/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089570908	Insmed, Inc.	$24.37	10/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1089573096	Insmed, Inc.	$25.49	04/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104253737	AstraZeneca Pharmaceuticals LP	$13.11	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104331290	AstraZeneca Pharmaceuticals LP	$19.59	08/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104352164	AstraZeneca Pharmaceuticals LP	$16.21	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104452046	AstraZeneca Pharmaceuticals LP	$13.89	04/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104453916	AstraZeneca Pharmaceuticals LP	$13.16	07/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104666601	AstraZeneca Pharmaceuticals LP	$18.03	06/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1104686544	AstraZeneca Pharmaceuticals LP	$19.22	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105247914	AstraZeneca Pharmaceuticals LP	$38.30	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105397566	AstraZeneca Pharmaceuticals LP	$15.91	01/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105509054	AstraZeneca Pharmaceuticals LP	$18.11	09/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105746425	AstraZeneca Pharmaceuticals LP	$16.70	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1105784870	AstraZeneca Pharmaceuticals LP	$15.53	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311119	Regeneron Healthcare Solutions, Inc.	$17.12	02/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311121	Regeneron Healthcare Solutions, Inc.	$16.99	04/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311123	Regeneron Healthcare Solutions, Inc.	$19.38	07/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311125	Regeneron Healthcare Solutions, Inc.	$34.59	07/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311127	Regeneron Healthcare Solutions, Inc.	$34.02	08/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311129	Regeneron Healthcare Solutions, Inc.	$22.89	09/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311131	Regeneron Healthcare Solutions, Inc.	$28.30	09/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311133	Regeneron Healthcare Solutions, Inc.	$23.57	10/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1114311135	Regeneron Healthcare Solutions, Inc.	$27.35	12/02/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1115786038	GlaxoSmithKline, LLC.	$20.25	03/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1115798282	GlaxoSmithKline, LLC.	$20.28	11/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116000932	GlaxoSmithKline, LLC.	$16.65	06/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116021641	GlaxoSmithKline, LLC.	$11.48	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116132655	GlaxoSmithKline, LLC.	$16.10	10/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116242015	GlaxoSmithKline, LLC.	$15.12	08/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116250362	GlaxoSmithKline, LLC.	$12.73	03/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116252388	GlaxoSmithKline, LLC.	$12.14	03/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116267494	GlaxoSmithKline, LLC.	$8.35	04/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116278266	GlaxoSmithKline, LLC.	$12.30	10/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116315516	GlaxoSmithKline, LLC.	$18.15	07/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116502839	GlaxoSmithKline, LLC.	$18.34	12/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116543154	GlaxoSmithKline, LLC.	$16.32	01/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116546765	GlaxoSmithKline, LLC.	$18.17	11/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116593044	GlaxoSmithKline, LLC.	$17.16	09/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116680689	GlaxoSmithKline, LLC.	$18.11	12/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1116737112	GlaxoSmithKline, LLC.	$7.97	05/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118190331	Boehringer Ingelheim Pharmaceuticals, Inc.	$16.27	05/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118190335	Boehringer Ingelheim Pharmaceuticals, Inc.	$21.94	02/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118190339	Boehringer Ingelheim Pharmaceuticals, Inc.	$22.83	06/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118190342	Boehringer Ingelheim Pharmaceuticals, Inc.	$28.08	01/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1118285251	Baxter Healthcare	$20.45	04/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1123392350	Avadel CNS Pharmaceuticals, LLC	$18.28	02/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1123392352	Avadel CNS Pharmaceuticals, LLC	$17.96	06/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1123392354	Avadel CNS Pharmaceuticals, LLC	$14.53	07/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1123392356	Avadel CNS Pharmaceuticals, LLC	$27.01	12/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716362	Grifols USA, LLC	$20.22	04/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716364	Grifols USA, LLC	$24.16	05/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716366	Grifols USA, LLC	$24.83	02/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716368	Grifols USA, LLC	$21.23	10/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716370	Grifols USA, LLC	$20.58	08/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716372	Grifols USA, LLC	$24.86	07/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716374	Grifols USA, LLC	$22.49	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716376	Grifols USA, LLC	$22.75	12/09/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1124716378	Grifols USA, LLC	$24.89	11/14/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1126054850	HARMONY BIOSCIENCES LLC	$29.36	06/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1126054852	HARMONY BIOSCIENCES LLC	$29.22	04/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1126054854	HARMONY BIOSCIENCES LLC	$26.79	08/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131064850	PFIZER INC.	$15.34	12/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131216518	PFIZER INC.	$15.91	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131711853	PFIZER INC.	$15.60	06/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131743398	PFIZER INC.	$16.68	07/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1131973151	PFIZER INC.	$16.52	09/12/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133158612	Genentech USA, Inc.	$16.81	03/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133158617	Genentech USA, Inc.	$18.75	02/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1133158621	Genentech USA, Inc.	$13.42	10/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1134613235	CSL Behring	$34.80	08/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758484	Takeda Pharmaceuticals U.S.A., Inc.	$27.74	01/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758486	Takeda Pharmaceuticals U.S.A., Inc.	$1.63	03/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758488	Takeda Pharmaceuticals U.S.A., Inc.	$19.21	03/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758490	Takeda Pharmaceuticals U.S.A., Inc.	$20.73	04/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758492	Takeda Pharmaceuticals U.S.A., Inc.	$19.76	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758494	Takeda Pharmaceuticals U.S.A., Inc.	$29.19	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758496	Takeda Pharmaceuticals U.S.A., Inc.	$20.49	07/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758498	Takeda Pharmaceuticals U.S.A., Inc.	$26.04	08/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758500	Takeda Pharmaceuticals U.S.A., Inc.	$24.50	08/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137758502	Takeda Pharmaceuticals U.S.A., Inc.	$28.37	09/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139517941	Astellas Pharma US Inc	$19.54	08/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867700	GENZYME CORPORATION	$22.43	04/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867734	GENZYME CORPORATION	$27.79	06/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867736	GENZYME CORPORATION	$23.54	07/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867746	GENZYME CORPORATION	$28.36	07/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867758	GENZYME CORPORATION	$27.25	09/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867768	GENZYME CORPORATION	$37.61	10/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867774	GENZYME CORPORATION	$27.37	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867776	GENZYME CORPORATION	$21.04	10/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867784	GENZYME CORPORATION	$33.57	11/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1139867788	GENZYME CORPORATION	$27.67	11/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141474362	Harmony Biosciences Llc	$8.61	10/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1141930609	Merck Sharp & Dohme LLC	$13.82	10/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1144990595	INOGEN, INC.	$29.53	09/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146909053	Philips North America LLC	$19.59	07/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146909055	Philips North America LLC	$18.88	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147283704	Mylan Specialty L.P.	$22.73	07/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147283994	Mylan Specialty L.P.	$27.40	08/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147305275	Mylan Specialty L.P.	$33.62	09/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147313049	Mylan Specialty L.P.	$29.16	09/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147313635	Mylan Specialty L.P.	$22.78	10/21/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147313825	Mylan Specialty L.P.	$27.24	11/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1147318993	Mylan Specialty L.P.	$12.69	01/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148359052	Axsome Therapeutics, Inc.	$17.76	01/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148359054	Axsome Therapeutics, Inc.	$13.64	05/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151316647	JAZZ PHARMACEUTICALS INC.	$25.89	07/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151316649	JAZZ PHARMACEUTICALS INC.	$39.80	02/28/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151316651	JAZZ PHARMACEUTICALS INC.	$16.43	10/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151316653	JAZZ PHARMACEUTICALS INC.	$17.92	03/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151316655	JAZZ PHARMACEUTICALS INC.	$17.10	09/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151316657	JAZZ PHARMACEUTICALS INC.	$20.19	12/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1151316659	JAZZ PHARMACEUTICALS INC.	$21.81	06/17/2024	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.