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

KARLY LYN TWINING

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1861270860
CMS profile
11502673
Location
SAGINAW, MI

General Payments · PY2024

$3,870.65

  • Reported across 50 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$3,870.65

50 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
Travel and Lodging $2,364.50 5
Food and Beverage $1,281.15 42
Education $225.00 3

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $3,870.65 50

Payment records · PY2024 (50)

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

Program year 2024
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $26.40 08/22/2024 Food and Beverage Undisputed 01/23/2026 1117403486 CMS
Antares Pharma, Inc. $19.94 10/14/2024 Food and Beverage Undisputed 01/23/2026 1146525998 CMS
Astellas Pharma US Inc $21.70 09/19/2024 Food and Beverage Undisputed 01/23/2026 1139536296 CMS
Astellas Pharma US Inc $28.08 10/31/2024 Food and Beverage Undisputed 01/23/2026 1139545125 CMS
Astellas Pharma US Inc $99.00 10/31/2024 Education Undisputed 01/23/2026 1139555487 CMS
Astellas Pharma US Inc $99.00 10/31/2024 Education Undisputed 01/23/2026 1139555489 CMS
Astellas Pharma US Inc $17.64 11/15/2024 Food and Beverage Undisputed 01/23/2026 1139549185 CMS
AstraZeneca Pharmaceuticals LP $17.69 09/05/2024 Food and Beverage Undisputed 01/23/2026 1104516012 CMS
AstraZeneca Pharmaceuticals LP $14.87 12/10/2024 Food and Beverage Undisputed 01/23/2026 1104753548 CMS
COLOPLAST CORP $16.16 04/23/2024 Food and Beverage Undisputed 01/23/2026 1117443064 CMS
Dendreon Pharmaceuticals LLC $27.11 10/20/2024 Food and Beverage Undisputed 01/23/2026 1149332576 CMS
Endo USA, Inc. $17.57 06/05/2024 Food and Beverage Undisputed 01/23/2026 1138597107 CMS
Janssen Biotech, Inc. $21.20 09/06/2024 Food and Beverage Undisputed 01/23/2026 1078762533 CMS
Janssen Biotech, Inc. $17.48 11/13/2024 Food and Beverage Undisputed 01/23/2026 1078762833 CMS
Janssen Scientific Affairs, LLC $31.27 08/27/2024 Food and Beverage Undisputed 01/23/2026 1078852700 CMS
Medtronic, Inc. $684.99 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1116882110 CMS
Medtronic, Inc. $34.25 10/17/2024 Travel and Lodging Undisputed 01/23/2026 1116882138 CMS
Medtronic, Inc. $14.68 11/06/2024 Food and Beverage Undisputed 01/23/2026 1116882112 CMS
Medtronic, Inc. $57.24 11/14/2024 Food and Beverage Undisputed 01/23/2026 1116882114 CMS
Medtronic, Inc. $27.91 12/05/2024 Food and Beverage Undisputed 01/23/2026 1116882134 CMS
Medtronic, Inc. $137.63 12/06/2024 Food and Beverage Undisputed 01/23/2026 1116882116 CMS
Medtronic, Inc. $17.49 12/06/2024 Food and Beverage Undisputed 01/23/2026 1116882118 CMS
Medtronic, Inc. $358.00 12/06/2024 Travel and Lodging Undisputed 01/23/2026 1116882122 CMS
Medtronic, Inc. $68.02 12/06/2024 Travel and Lodging Undisputed 01/23/2026 1116882124 CMS
Medtronic, Inc. $1.29 12/06/2024 Food and Beverage Undisputed 01/23/2026 1116882132 CMS
Medtronic, Inc. $14.50 12/06/2024 Food and Beverage Undisputed 01/23/2026 1116882140 CMS
Medtronic, Inc. $25.00 12/07/2024 Food and Beverage Undisputed 01/23/2026 1112066982 CMS
Medtronic, Inc. $27.00 12/07/2024 Education Undisputed 01/23/2026 1112067490 CMS
Medtronic, Inc. $4.63 12/07/2024 Food and Beverage Undisputed 01/23/2026 1116882126 CMS
Medtronic, Inc. $7.52 12/07/2024 Food and Beverage Undisputed 01/23/2026 1116882128 CMS
Medtronic, Inc. $35.46 12/07/2024 Food and Beverage Undisputed 01/23/2026 1116882130 CMS
Medtronic, Inc. $3.12 12/07/2024 Food and Beverage Undisputed 01/23/2026 1116882136 CMS
Medtronic, Inc. $24.36 12/08/2024 Food and Beverage Undisputed 01/23/2026 1116882120 CMS
Merck Sharp & Dohme LLC $30.00 12/17/2024 Food and Beverage Undisputed 01/23/2026 1141575130 CMS
Myriad Genetic Laboratories, Inc. $21.06 09/26/2024 Food and Beverage Undisputed 01/23/2026 1152551986 CMS
Olympus America Inc. $17.68 07/02/2024 Food and Beverage Undisputed 01/23/2026 1108482437 CMS
Olympus America Inc. $16.65 08/28/2024 Food and Beverage Undisputed 01/23/2026 1108482440 CMS
Olympus America Inc. $19.35 12/06/2024 Food and Beverage Undisputed 01/23/2026 1108482444 CMS
PFIZER INC. $21.30 08/29/2024 Food and Beverage Undisputed 01/23/2026 1131903985 CMS
PFIZER INC. $21.28 11/08/2024 Food and Beverage Undisputed 01/23/2026 1131200835 CMS
Sumitomo Pharma America, Inc. $23.51 09/10/2024 Food and Beverage Undisputed 01/23/2026 1149000926 CMS
Sumitomo Pharma America, Inc. $17.70 10/22/2024 Food and Beverage Undisputed 01/23/2026 1149000928 CMS
Teleflex LLC $28.11 02/13/2024 Food and Beverage Undisputed 01/23/2026 1142098731 CMS
Teleflex LLC $136.08 05/17/2024 Food and Beverage Undisputed 01/23/2026 1142069041 CMS
Teleflex LLC $1,219.24 05/17/2024 Travel and Lodging Undisputed 01/23/2026 1142090169 CMS
Teleflex LLC $188.62 05/18/2024 Food and Beverage Undisputed 01/23/2026 1142081680 CMS
Teleflex LLC $20.89 07/09/2024 Food and Beverage Undisputed 01/23/2026 1142073316 CMS
Teleflex LLC $41.29 11/18/2024 Food and Beverage Undisputed 01/23/2026 1142085886 CMS
Teleflex LLC $11.58 12/11/2024 Food and Beverage Undisputed 01/23/2026 1142090167 CMS
Tolmar, Inc. $18.11 09/03/2024 Food and Beverage Undisputed 01/23/2026 1138706492 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
2024
Source files
Dataset page · Bulk file · 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.