IndustryPayments
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

ARACELI SIERRA

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1861483000
CMS profile
311589
Location
SAN ANTONIO, TX

General Payments · PY2021–2024

$4,448.92

  • Reported across 263 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,270.40

70 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.

Related groups: Physician Assistant TX All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,261.58 69
Education $8.82 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $346.89 18
Novo Nordisk AS $230.06 13
Lilly USA, LLC $176.70 14
Almatica Pharma Inc. $171.44 7
PFIZER INC. $70.28 4
Abbott Laboratories $46.02 2
ABBVIE INC. $43.30 2
Acella Pharmaceuticals, LLC $36.47 2
Axsome Therapeutics, Inc. $29.00 1
Otsuka America Pharmaceutical, Inc. $28.77 2
DEXCOM, INC. $23.28 1
Antares Pharma, Inc. $19.98 1
Bayer HealthCare Pharmaceuticals Inc. $17.37 1
SI-BONE, INC. $15.85 1
GlaxoSmithKline, LLC. $14.99 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,093.36 71
PY2022 $1,032.65 63
PY2023 $1,052.51 59
PY2024 $1,270.40 70

Payment records · PY2024 (70)

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
Abbott Laboratories $23.83 05/29/2024 Food and Beverage Undisputed 01/23/2026 1125308331 CMS
Abbott Laboratories $22.19 10/03/2024 Food and Beverage Undisputed 01/23/2026 1125308333 CMS
ABBVIE INC. $21.65 04/09/2024 Food and Beverage Undisputed 01/23/2026 1108197070 CMS
ABBVIE INC. $21.65 05/21/2024 Food and Beverage Undisputed 01/23/2026 1108197072 CMS
Acella Pharmaceuticals, LLC $15.84 06/19/2024 Food and Beverage Undisputed 01/23/2026 1126637180 CMS
Acella Pharmaceuticals, LLC $20.63 10/03/2024 Food and Beverage Undisputed 01/23/2026 1126637182 CMS
Almatica Pharma LLC $26.34 02/07/2024 Food and Beverage Undisputed 01/23/2026 1137616930 CMS
Almatica Pharma LLC $28.99 03/26/2024 Food and Beverage Undisputed 01/23/2026 1137616934 CMS
Almatica Pharma LLC $16.11 06/27/2024 Food and Beverage Undisputed 01/23/2026 1137616939 CMS
Almatica Pharma LLC $27.69 07/23/2024 Food and Beverage Undisputed 01/23/2026 1137616943 CMS
Almatica Pharma LLC $18.59 09/10/2024 Food and Beverage Undisputed 01/23/2026 1137616947 CMS
Almatica Pharma LLC $26.10 11/12/2024 Food and Beverage Undisputed 01/23/2026 1137616952 CMS
Almatica Pharma LLC $27.62 12/10/2024 Food and Beverage Undisputed 01/23/2026 1137616956 CMS
Antares Pharma, Inc. $19.98 07/02/2024 Food and Beverage Undisputed 01/23/2026 1146522934 CMS
AstraZeneca Pharmaceuticals LP $20.39 01/11/2024 Food and Beverage Undisputed 01/23/2026 1105684091 CMS
AstraZeneca Pharmaceuticals LP $13.70 01/30/2024 Food and Beverage Undisputed 01/23/2026 1104748455 CMS
AstraZeneca Pharmaceuticals LP $25.81 02/20/2024 Food and Beverage Undisputed 01/23/2026 1105798918 CMS
AstraZeneca Pharmaceuticals LP $26.65 03/06/2024 Food and Beverage Undisputed 01/23/2026 1105671775 CMS
AstraZeneca Pharmaceuticals LP $19.16 03/13/2024 Food and Beverage Undisputed 01/23/2026 1105570151 CMS
AstraZeneca Pharmaceuticals LP $20.57 04/03/2024 Food and Beverage Undisputed 01/23/2026 1105623471 CMS
AstraZeneca Pharmaceuticals LP $17.43 05/13/2024 Food and Beverage Undisputed 01/23/2026 1104252863 CMS
AstraZeneca Pharmaceuticals LP $15.93 05/15/2024 Food and Beverage Undisputed 01/23/2026 1104550648 CMS
AstraZeneca Pharmaceuticals LP $22.66 05/30/2024 Food and Beverage Undisputed 01/23/2026 1105527259 CMS
AstraZeneca Pharmaceuticals LP $15.37 06/04/2024 Food and Beverage Undisputed 01/23/2026 1105857174 CMS
AstraZeneca Pharmaceuticals LP $17.85 06/20/2024 Food and Beverage Undisputed 01/23/2026 1104367407 CMS
AstraZeneca Pharmaceuticals LP $24.16 07/18/2024 Food and Beverage Undisputed 01/23/2026 1105597601 CMS
AstraZeneca Pharmaceuticals LP $19.68 08/13/2024 Food and Beverage Undisputed 01/23/2026 1105802157 CMS
AstraZeneca Pharmaceuticals LP $16.91 08/22/2024 Food and Beverage Undisputed 01/23/2026 1105857148 CMS
AstraZeneca Pharmaceuticals LP $20.79 10/15/2024 Food and Beverage Undisputed 01/23/2026 1105625777 CMS
AstraZeneca Pharmaceuticals LP $17.11 10/28/2024 Food and Beverage Undisputed 01/23/2026 1104299058 CMS
AstraZeneca Pharmaceuticals LP $16.91 11/05/2024 Food and Beverage Undisputed 01/23/2026 1104256667 CMS
AstraZeneca Pharmaceuticals LP $15.81 12/05/2024 Food and Beverage Undisputed 01/23/2026 1105797842 CMS
Axsome Therapeutics, Inc. $29.00 10/03/2024 Food and Beverage Undisputed 01/23/2026 1148338059 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.37 11/26/2024 Food and Beverage Undisputed 01/23/2026 1086325886 CMS
Dexcom, Inc. $23.28 10/17/2024 Food and Beverage Undisputed 01/23/2026 1153349906 CMS
GlaxoSmithKline, LLC. $14.99 03/02/2024 Food and Beverage Undisputed 01/23/2026 1116395440 CMS
Lilly USA, LLC $20.38 01/23/2024 Food and Beverage Undisputed 01/23/2026 1135538011 CMS
Lilly USA, LLC $9.68 02/12/2024 Food and Beverage Undisputed 01/23/2026 1135567478 CMS
Lilly USA, LLC $3.87 02/14/2024 Food and Beverage Undisputed 01/23/2026 1135536312 CMS
Lilly USA, LLC $20.28 03/20/2024 Food and Beverage Undisputed 01/23/2026 1135536316 CMS
Lilly USA, LLC $17.49 04/23/2024 Food and Beverage Undisputed 01/23/2026 1135558602 CMS
Lilly USA, LLC $2.16 04/23/2024 Food and Beverage Undisputed 01/23/2026 1135558604 CMS
Lilly USA, LLC $3.11 05/08/2024 Food and Beverage Undisputed 01/23/2026 1135558606 CMS
Lilly USA, LLC $16.55 05/08/2024 Food and Beverage Undisputed 01/23/2026 1135576620 CMS
Lilly USA, LLC $14.80 05/29/2024 Food and Beverage Undisputed 01/23/2026 1135538016 CMS
Lilly USA, LLC $18.07 07/17/2024 Food and Beverage Undisputed 01/23/2026 1135551153 CMS
Lilly USA, LLC $1.73 08/15/2024 Food and Beverage Undisputed 01/23/2026 1135538019 CMS
Lilly USA, LLC $18.17 08/15/2024 Food and Beverage Undisputed 01/23/2026 1135567480 CMS
Lilly USA, LLC $18.80 09/04/2024 Food and Beverage Undisputed 01/23/2026 1135538023 CMS
Lilly USA, LLC $11.61 10/04/2024 Food and Beverage Undisputed 01/23/2026 1135567482 CMS
Novo Nordisk Inc $17.89 01/11/2024 Food and Beverage Undisputed 01/23/2026 1100321702 CMS
Novo Nordisk Inc $18.72 02/09/2024 Food and Beverage Undisputed 01/23/2026 1100555227 CMS
Novo Nordisk Inc $8.82 03/20/2024 Education Undisputed 01/23/2026 1100276054 CMS
Novo Nordisk Inc $20.25 03/21/2024 Food and Beverage Undisputed 01/23/2026 1100263894 CMS
Novo Nordisk Inc $17.79 04/18/2024 Food and Beverage Undisputed 01/23/2026 1100580560 CMS
Novo Nordisk Inc $18.43 05/30/2024 Food and Beverage Undisputed 01/23/2026 1100331222 CMS
Novo Nordisk Inc $21.31 08/06/2024 Food and Beverage Undisputed 01/23/2026 1100621032 CMS
Novo Nordisk Inc $13.25 08/30/2024 Food and Beverage Undisputed 01/23/2026 1100613671 CMS
Novo Nordisk Inc $12.72 09/18/2024 Food and Beverage Undisputed 01/23/2026 1100495814 CMS
Novo Nordisk Inc $21.40 10/10/2024 Food and Beverage Undisputed 01/23/2026 1100258666 CMS
Novo Nordisk Inc $19.01 10/10/2024 Food and Beverage Undisputed 01/23/2026 1100635105 CMS
Novo Nordisk Inc $20.23 11/14/2024 Food and Beverage Undisputed 01/23/2026 1100482467 CMS
Novo Nordisk Inc $20.24 12/11/2024 Food and Beverage Undisputed 01/23/2026 1100337933 CMS
Otsuka America Pharmaceutical, Inc. $14.02 01/03/2024 Food and Beverage Undisputed 01/23/2026 1119185660 CMS
Otsuka America Pharmaceutical, Inc. $14.75 02/15/2024 Food and Beverage Undisputed 01/23/2026 1119185662 CMS
PFIZER INC. $13.18 04/10/2024 Food and Beverage Undisputed 01/23/2026 1132021215 CMS
PFIZER INC. $14.21 05/01/2024 Food and Beverage Undisputed 01/23/2026 1131356064 CMS
PFIZER INC. $19.32 09/17/2024 Food and Beverage Undisputed 01/23/2026 1131947712 CMS
PFIZER INC. $23.57 11/21/2024 Food and Beverage Undisputed 01/23/2026 1131258480 CMS
SI-BONE, INC. $15.85 10/31/2024 Food and Beverage Undisputed 01/23/2026 1120075330 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.

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