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

JOSEPH ALBERTO FRANCISCO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1891296976
CMS profile
10726489
Location
SHAFTER, CA

General Payments · PY2021–2024

$1,431.40

  • Reported across 55 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$508.85

24 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 $508.85 24

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $80.12 4
PY2022 $132.66 8
PY2023 $709.77 19
PY2024 $508.85 24

Payment records · PY2024 (24)

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
Bayer Healthcare Pharmaceuticals Inc. $6.08 01/25/2024 Food and Beverage Undisputed 01/23/2026 1086104660 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.66 02/06/2024 Food and Beverage Undisputed 01/23/2026 1086334521 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.55 03/07/2024 Food and Beverage Undisputed 01/23/2026 1086295500 CMS
Bayer Healthcare Pharmaceuticals Inc. $9.99 03/26/2024 Food and Beverage Undisputed 01/23/2026 1086105422 CMS
Bayer Healthcare Pharmaceuticals Inc. $95.33 04/19/2024 Food and Beverage Undisputed 01/23/2026 1086367519 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.12 05/20/2024 Food and Beverage Undisputed 01/23/2026 1086289926 CMS
Bayer Healthcare Pharmaceuticals Inc. $10.58 06/26/2024 Food and Beverage Undisputed 01/23/2026 1086106340 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.13 07/16/2024 Food and Beverage Undisputed 01/23/2026 1086360838 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.89 08/20/2024 Food and Beverage Undisputed 01/23/2026 1086296352 CMS
Bayer Healthcare Pharmaceuticals Inc. $25.69 08/28/2024 Food and Beverage Undisputed 01/23/2026 1086333435 CMS
Bayer Healthcare Pharmaceuticals Inc. $8.95 09/18/2024 Food and Beverage Undisputed 01/23/2026 1086098773 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.24 10/30/2024 Food and Beverage Undisputed 01/23/2026 1086345193 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.08 11/27/2024 Food and Beverage Undisputed 01/23/2026 1086317243 CMS
Bayer Healthcare Pharmaceuticals Inc. $2.23 11/29/2024 Food and Beverage Undisputed 01/23/2026 1086100489 CMS
Exact Sciences Corporation $13.08 04/04/2024 Food and Beverage Undisputed 01/23/2026 1114420915 CMS
Exact Sciences Corporation $20.33 08/14/2024 Food and Beverage Undisputed 01/23/2026 1114420919 CMS
Exact Sciences Corporation $16.10 11/13/2024 Food and Beverage Undisputed 01/23/2026 1114420924 CMS
Hologic Sales and Service, LLC $24.70 11/14/2024 Food and Beverage Undisputed 01/23/2026 1084919968 CMS
Lilly USA, LLC $23.65 01/24/2024 Food and Beverage Undisputed 01/23/2026 1135660301 CMS
Lilly USA, LLC $19.47 06/05/2024 Food and Beverage Undisputed 01/23/2026 1135716042 CMS
Lilly USA, LLC $18.78 10/10/2024 Food and Beverage Undisputed 01/23/2026 1135716044 CMS
Merck Sharp & Dohme LLC $24.84 04/17/2024 Food and Beverage Undisputed 01/23/2026 1141779513 CMS
Novo Nordisk Inc $14.54 07/23/2024 Food and Beverage Undisputed 01/23/2026 1100512999 CMS
SANOFI PASTEUR INC. $16.84 03/14/2024 Food and Beverage Undisputed 01/23/2026 1128751687 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.