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

CYNTHIA L ALMARODE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1902806334
CMS profile
11213375
Location
MIDDLEBROOK, VA

General Payments · PY2021–2024

$3,813.94

  • Reported across 265 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,117.86

71 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 $1,117.86 71

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $593.28 47
PY2022 $1,086.41 81
PY2023 $1,016.39 66
PY2024 $1,117.86 71

Payment records · PY2024 (71)

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. $20.63 01/29/2024 Food and Beverage Undisputed 01/23/2026 1106430638 CMS
ABBVIE INC. $18.72 02/26/2024 Food and Beverage Undisputed 01/23/2026 1106430640 CMS
ABBVIE INC. $9.32 03/11/2024 Food and Beverage Undisputed 01/23/2026 1106430642 CMS
ABBVIE INC. $22.11 03/25/2024 Food and Beverage Undisputed 01/23/2026 1106430644 CMS
ABBVIE INC. $14.23 04/18/2024 Food and Beverage Undisputed 01/23/2026 1106430646 CMS
ABBVIE INC. $1.29 04/19/2024 Food and Beverage Undisputed 01/23/2026 1106430648 CMS
ABBVIE INC. $9.25 04/25/2024 Food and Beverage Undisputed 01/23/2026 1106430650 CMS
ABBVIE INC. $7.41 05/10/2024 Food and Beverage Undisputed 01/23/2026 1106430652 CMS
ABBVIE INC. $9.11 05/13/2024 Food and Beverage Undisputed 01/23/2026 1106430654 CMS
ABBVIE INC. $19.83 05/15/2024 Food and Beverage Undisputed 01/23/2026 1106430656 CMS
ABBVIE INC. $23.81 08/06/2024 Food and Beverage Undisputed 01/23/2026 1106430658 CMS
ABBVIE INC. $14.22 09/05/2024 Food and Beverage Undisputed 01/23/2026 1106430660 CMS
ABBVIE INC. $0.89 09/12/2024 Food and Beverage Undisputed 01/23/2026 1106430662 CMS
Amgen Inc. $16.32 03/12/2024 Food and Beverage Undisputed 01/23/2026 1117493098 CMS
Amgen Inc. $16.23 05/07/2024 Food and Beverage Undisputed 01/23/2026 1117493100 CMS
Amgen Inc. $15.37 06/04/2024 Food and Beverage Undisputed 01/23/2026 1117493102 CMS
Amgen Inc. $18.02 09/30/2024 Food and Beverage Undisputed 01/23/2026 1117493104 CMS
Astellas Pharma US Inc $18.22 02/11/2024 Food and Beverage Undisputed 01/23/2026 1139465634 CMS
Astellas Pharma US Inc $22.40 03/21/2024 Food and Beverage Undisputed 01/23/2026 1139483730 CMS
Astellas Pharma US Inc $20.03 07/14/2024 Food and Beverage Undisputed 01/23/2026 1139532704 CMS
AstraZeneca Pharmaceuticals LP $18.53 03/05/2024 Food and Beverage Undisputed 01/23/2026 1105373581 CMS
AstraZeneca Pharmaceuticals LP $13.22 07/02/2024 Food and Beverage Undisputed 01/23/2026 1104720781 CMS
Axsome Therapeutics, Inc. $17.10 02/13/2024 Food and Beverage Undisputed 01/23/2026 1148351021 CMS
Axsome Therapeutics, Inc. $17.22 03/18/2024 Food and Beverage Undisputed 01/23/2026 1148351023 CMS
Axsome Therapeutics, Inc. $18.47 05/14/2024 Food and Beverage Undisputed 01/23/2026 1148351025 CMS
Axsome Therapeutics, Inc. $22.95 10/25/2024 Food and Beverage Undisputed 01/23/2026 1148351027 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.66 03/19/2024 Food and Beverage Undisputed 01/23/2026 1118228611 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.85 05/16/2024 Food and Beverage Undisputed 01/23/2026 1118228609 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.71 09/24/2024 Food and Beverage Undisputed 01/23/2026 1118228607 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.66 11/14/2024 Food and Beverage Undisputed 01/23/2026 1118228605 CMS
Exact Sciences Corporation $20.47 04/30/2024 Food and Beverage Undisputed 01/23/2026 1114489115 CMS
GlaxoSmithKline, LLC. $15.02 05/01/2024 Food and Beverage Undisputed 01/23/2026 1116545880 CMS
GlaxoSmithKline, LLC. $17.73 09/23/2024 Food and Beverage Undisputed 01/23/2026 1116333841 CMS
Lilly USA, LLC $17.67 01/06/2024 Food and Beverage Undisputed 01/23/2026 1135621523 CMS
Lilly USA, LLC $12.12 01/19/2024 Food and Beverage Undisputed 01/23/2026 1135597439 CMS
Lilly USA, LLC $11.88 02/15/2024 Food and Beverage Undisputed 01/23/2026 1135596631 CMS
Lilly USA, LLC $20.43 03/07/2024 Food and Beverage Undisputed 01/23/2026 1135630984 CMS
Lilly USA, LLC $15.25 03/26/2024 Food and Beverage Undisputed 01/23/2026 1135604889 CMS
Lilly USA, LLC $16.04 04/01/2024 Food and Beverage Undisputed 01/23/2026 1135561182 CMS
Lilly USA, LLC $12.10 04/06/2024 Food and Beverage Undisputed 01/23/2026 1135630986 CMS
Lilly USA, LLC $14.73 04/26/2024 Food and Beverage Undisputed 01/23/2026 1135621525 CMS
Lilly USA, LLC $12.97 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135630988 CMS
Lilly USA, LLC $2.19 05/17/2024 Food and Beverage Undisputed 01/23/2026 1135596633 CMS
Lilly USA, LLC $21.63 05/28/2024 Food and Beverage Undisputed 01/23/2026 1135630990 CMS
Lilly USA, LLC $14.66 06/14/2024 Food and Beverage Undisputed 01/23/2026 1135630992 CMS
Lilly USA, LLC $14.91 07/19/2024 Food and Beverage Undisputed 01/23/2026 1135597441 CMS
Lilly USA, LLC $11.89 09/06/2024 Food and Beverage Undisputed 01/23/2026 1135621527 CMS
Lilly USA, LLC $15.20 09/10/2024 Food and Beverage Undisputed 01/23/2026 1135604891 CMS
Lilly USA, LLC $14.06 10/11/2024 Food and Beverage Undisputed 01/23/2026 1135547131 CMS
Novartis Pharmaceuticals Corporation $16.68 07/18/2024 Food and Beverage Undisputed 01/23/2026 1086675087 CMS
Novo Nordisk Inc $14.82 02/06/2024 Food and Beverage Undisputed 01/23/2026 1100225386 CMS
Novo Nordisk Inc $19.36 08/19/2024 Food and Beverage Undisputed 01/23/2026 1100286782 CMS
Novo Nordisk Inc $20.50 08/26/2024 Food and Beverage Undisputed 01/23/2026 1100345950 CMS
Novo Nordisk Inc $18.25 11/18/2024 Food and Beverage Undisputed 01/23/2026 1100265046 CMS
PFIZER INC. $23.35 01/11/2024 Food and Beverage Undisputed 01/23/2026 1131911643 CMS
PFIZER INC. $7.09 01/26/2024 Food and Beverage Undisputed 01/23/2026 1131261243 CMS
PFIZER INC. $20.15 02/22/2024 Food and Beverage Undisputed 01/23/2026 1131909008 CMS
PFIZER INC. $12.51 04/09/2024 Food and Beverage Undisputed 01/23/2026 1131923533 CMS
PFIZER INC. $19.65 04/11/2024 Food and Beverage Undisputed 01/23/2026 1131922289 CMS
PFIZER INC. $5.97 05/02/2024 Food and Beverage Undisputed 01/23/2026 1131261247 CMS
PFIZER INC. $21.18 05/02/2024 Food and Beverage Undisputed 01/23/2026 1131917999 CMS
PFIZER INC. $14.09 05/06/2024 Food and Beverage Undisputed 01/23/2026 1131920881 CMS
PFIZER INC. $7.85 06/07/2024 Food and Beverage Undisputed 01/23/2026 1131946050 CMS
PFIZER INC. $21.26 06/12/2024 Food and Beverage Undisputed 01/23/2026 1131948894 CMS
PFIZER INC. $15.38 07/01/2024 Food and Beverage Undisputed 01/23/2026 1131937663 CMS
PFIZER INC. $15.77 09/12/2024 Food and Beverage Undisputed 01/23/2026 1131926316 CMS
PFIZER INC. $17.64 10/24/2024 Food and Beverage Undisputed 01/23/2026 1132070461 CMS
PFIZER INC. $11.51 11/04/2024 Food and Beverage Undisputed 01/23/2026 1131183225 CMS
PFIZER INC. $19.99 11/07/2024 Food and Beverage Undisputed 01/23/2026 1130877464 CMS
PFIZER INC. $7.65 11/14/2024 Food and Beverage Undisputed 01/23/2026 1131261251 CMS
PFIZER INC. $18.48 12/05/2024 Food and Beverage Undisputed 01/23/2026 1131115570 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.