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

JULIE J FLESCH

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1881955755
CMS profile
10923869
Location
HELENA, MT

General Payments · PY2021–2024

$1,690.58

  • Reported across 94 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$681.58

37 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 $681.58 37

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $91.89 6
PY2022 $313.91 16
PY2023 $603.20 35
PY2024 $681.58 37

Payment records · PY2024 (37)

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. $20.07 08/01/2024 Food and Beverage Undisputed 01/23/2026 1107110983 CMS
ABBVIE INC. $15.77 09/11/2024 Food and Beverage Undisputed 01/23/2026 1107110985 CMS
ABBVIE INC. $20.87 10/15/2024 Food and Beverage Undisputed 01/23/2026 1107110987 CMS
Amgen Inc. $14.29 08/29/2024 Food and Beverage Undisputed 01/23/2026 1117554235 CMS
Amgen Inc. $23.46 10/10/2024 Food and Beverage Undisputed 01/23/2026 1117554237 CMS
Arcutis Biotherapeutics, Inc. $20.10 02/27/2024 Food and Beverage Undisputed 01/23/2026 1121102706 CMS
E.R. Squibb & Sons, L.L.C. $11.45 01/23/2024 Food and Beverage Undisputed 01/23/2026 1101422594 CMS
E.R. Squibb & Sons, L.L.C. $20.96 02/20/2024 Food and Beverage Undisputed 01/23/2026 1101422622 CMS
E.R. Squibb & Sons, L.L.C. $50.02 03/20/2024 Food and Beverage Undisputed 01/23/2026 1101422632 CMS
E.R. Squibb & Sons, L.L.C. $11.23 04/23/2024 Food and Beverage Undisputed 01/23/2026 1101422634 CMS
E.R. Squibb & Sons, L.L.C. $12.87 05/28/2024 Food and Beverage Undisputed 01/23/2026 1101422638 CMS
E.R. Squibb & Sons, L.L.C. $17.57 06/18/2024 Food and Beverage Undisputed 01/23/2026 1101422640 CMS
E.R. Squibb & Sons, L.L.C. $40.83 06/25/2024 Food and Beverage Undisputed 01/23/2026 1101422646 CMS
E.R. Squibb & Sons, L.L.C. $11.03 07/03/2024 Food and Beverage Undisputed 01/23/2026 1101422644 CMS
E.R. Squibb & Sons, L.L.C. $10.60 07/23/2024 Food and Beverage Undisputed 01/23/2026 1101422648 CMS
E.R. Squibb & Sons, L.L.C. $20.56 08/27/2024 Food and Beverage Undisputed 01/23/2026 1101422652 CMS
E.R. Squibb & Sons, L.L.C. $9.26 09/18/2024 Food and Beverage Undisputed 01/23/2026 1101422654 CMS
E.R. Squibb & Sons, L.L.C. $12.26 09/24/2024 Food and Beverage Undisputed 01/23/2026 1101422656 CMS
E.R. Squibb & Sons, L.L.C. $14.60 10/16/2024 Food and Beverage Undisputed 01/23/2026 1101422658 CMS
E.R. Squibb & Sons, L.L.C. $17.11 11/19/2024 Food and Beverage Undisputed 01/23/2026 1101422662 CMS
E.R. Squibb & Sons, L.L.C. $15.44 12/11/2024 Food and Beverage Undisputed 01/23/2026 1101422670 CMS
GENZYME CORPORATION $21.34 02/06/2024 Food and Beverage Undisputed 01/23/2026 1139873923 CMS
GENZYME CORPORATION $27.83 07/24/2024 Food and Beverage Undisputed 01/23/2026 1139873999 CMS
Incyte Corporation $14.60 01/16/2024 Food and Beverage Undisputed 01/23/2026 1141318031 CMS
Incyte Corporation $15.75 07/17/2024 Food and Beverage Undisputed 01/23/2026 1141318131 CMS
Janssen Biotech, Inc. $18.16 02/28/2024 Food and Beverage Undisputed 01/23/2026 1078814827 CMS
Janssen Biotech, Inc. $20.47 03/25/2024 Food and Beverage Undisputed 01/23/2026 1078814830 CMS
Janssen Biotech, Inc. $14.63 09/11/2024 Food and Beverage Undisputed 01/23/2026 1078814860 CMS
Lilly USA, LLC $15.63 05/09/2024 Food and Beverage Undisputed 01/23/2026 1135719818 CMS
Lilly USA, LLC $14.50 06/26/2024 Food and Beverage Undisputed 01/23/2026 1135728847 CMS
Lilly USA, LLC $15.67 07/30/2024 Food and Beverage Undisputed 01/23/2026 1135728849 CMS
Lilly USA, LLC $15.25 10/28/2024 Food and Beverage Undisputed 01/23/2026 1135701820 CMS
Lilly USA, LLC $17.86 11/05/2024 Food and Beverage Undisputed 01/23/2026 1135721027 CMS
Novartis Pharmaceuticals Corporation $19.18 05/21/2024 Food and Beverage Undisputed 01/23/2026 1086918553 CMS
Novartis Pharmaceuticals Corporation $18.82 10/08/2024 Food and Beverage Undisputed 01/23/2026 1086918561 CMS
Regeneron Healthcare Solutions, Inc. $20.16 04/18/2024 Food and Beverage Undisputed 01/23/2026 1114301341 CMS
Regeneron Healthcare Solutions, Inc. $21.38 07/11/2024 Food and Beverage Undisputed 01/23/2026 1114301343 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

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