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

KARLA MARINA PUENTES

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1912628785
CMS profile
11346229
Location
SAN ANTONIO, TX

General Payments · PY2022–2024

$5,741.76

  • Reported across 217 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,092.85

75 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 $2,092.85 75

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $1,077.32 32
PY2023 $2,571.59 110
PY2024 $2,092.85 75

Payment records · PY2024 (75)

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

Program year 2024 20222023 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. $24.15 01/05/2024 Food and Beverage Undisputed 01/23/2026 1108045102 CMS
ABBVIE INC. $29.85 01/17/2024 Food and Beverage Undisputed 01/23/2026 1108045104 CMS
ABBVIE INC. $13.23 01/31/2024 Food and Beverage Undisputed 01/23/2026 1108045106 CMS
ABBVIE INC. $11.91 02/29/2024 Food and Beverage Undisputed 01/23/2026 1108045108 CMS
ABBVIE INC. $8.58 03/01/2024 Food and Beverage Undisputed 01/23/2026 1108045110 CMS
ABBVIE INC. $15.67 03/05/2024 Food and Beverage Undisputed 01/23/2026 1108045112 CMS
ABBVIE INC. $23.93 04/05/2024 Food and Beverage Undisputed 01/23/2026 1108045114 CMS
ABBVIE INC. $27.26 04/05/2024 Food and Beverage Undisputed 01/23/2026 1108045116 CMS
ABBVIE INC. $31.23 04/11/2024 Food and Beverage Undisputed 01/23/2026 1108045118 CMS
ABBVIE INC. $25.91 05/30/2024 Food and Beverage Undisputed 01/23/2026 1108045120 CMS
ABBVIE INC. $15.64 06/29/2024 Food and Beverage Undisputed 01/23/2026 1108045122 CMS
ABBVIE INC. $11.23 08/09/2024 Food and Beverage Undisputed 01/23/2026 1108045124 CMS
ABBVIE INC. $4.57 10/15/2024 Food and Beverage Undisputed 01/23/2026 1108045126 CMS
ABBVIE INC. $21.43 10/23/2024 Food and Beverage Undisputed 01/23/2026 1108045128 CMS
ABBVIE INC. $16.42 10/30/2024 Food and Beverage Undisputed 01/23/2026 1108045130 CMS
Amgen Inc. $24.73 01/11/2024 Food and Beverage Undisputed 01/23/2026 1117659792 CMS
Amgen Inc. $22.02 03/07/2024 Food and Beverage Undisputed 01/23/2026 1117659794 CMS
Amgen Inc. $118.91 03/28/2024 Food and Beverage Undisputed 01/23/2026 1117659796 CMS
Antares Pharma, Inc. $13.71 08/22/2024 Food and Beverage Undisputed 01/23/2026 1146519721 CMS
AstraZeneca Pharmaceuticals LP $18.64 01/23/2024 Food and Beverage Undisputed 01/23/2026 1104557972 CMS
AstraZeneca Pharmaceuticals LP $125.32 01/23/2024 Food and Beverage Undisputed 01/23/2026 1104609828 CMS
AstraZeneca Pharmaceuticals LP $21.94 02/12/2024 Food and Beverage Undisputed 01/23/2026 1105872975 CMS
AstraZeneca Pharmaceuticals LP $13.21 03/27/2024 Food and Beverage Undisputed 01/23/2026 1104308080 CMS
AstraZeneca Pharmaceuticals LP $15.86 03/27/2024 Food and Beverage Undisputed 01/23/2026 1105890029 CMS
AstraZeneca Pharmaceuticals LP $21.70 04/08/2024 Food and Beverage Undisputed 01/23/2026 1104356487 CMS
AstraZeneca Pharmaceuticals LP $19.92 04/30/2024 Food and Beverage Undisputed 01/23/2026 1105502062 CMS
AstraZeneca Pharmaceuticals LP $114.93 06/05/2024 Food and Beverage Undisputed 01/23/2026 1104722681 CMS
AstraZeneca Pharmaceuticals LP $17.07 07/24/2024 Food and Beverage Undisputed 01/23/2026 1104603492 CMS
AstraZeneca Pharmaceuticals LP $16.89 09/05/2024 Food and Beverage Undisputed 01/23/2026 1105646956 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.18 07/25/2024 Food and Beverage Undisputed 01/23/2026 1086338531 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.97 08/08/2024 Food and Beverage Undisputed 01/23/2026 1086353674 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.71 09/25/2024 Food and Beverage Undisputed 01/23/2026 1086343705 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.95 01/24/2024 Food and Beverage Undisputed 01/23/2026 1118233103 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.86 06/03/2024 Food and Beverage Undisputed 01/23/2026 1118233101 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.37 08/29/2024 Food and Beverage Undisputed 01/23/2026 1118233099 CMS
GlaxoSmithKline, LLC. $15.20 02/07/2024 Food and Beverage Undisputed 01/23/2026 1116501597 CMS
GlaxoSmithKline, LLC. $3.46 05/09/2024 Food and Beverage Undisputed 01/23/2026 1116049774 CMS
GlaxoSmithKline, LLC. $11.60 05/14/2024 Food and Beverage Undisputed 01/23/2026 1116343380 CMS
GlaxoSmithKline, LLC. $15.21 07/16/2024 Food and Beverage Undisputed 01/23/2026 1116276404 CMS
GlaxoSmithKline, LLC. $14.40 08/07/2024 Food and Beverage Undisputed 01/23/2026 1116461054 CMS
GlaxoSmithKline, LLC. $125.00 08/20/2024 Food and Beverage Undisputed 01/23/2026 1116222414 CMS
GlaxoSmithKline, LLC. $11.60 09/18/2024 Food and Beverage Undisputed 01/23/2026 1116661303 CMS
GlaxoSmithKline, LLC. $1.76 10/11/2024 Food and Beverage Undisputed 01/23/2026 1116215355 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $14.93 07/15/2024 Food and Beverage Undisputed 01/23/2026 1143585760 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $14.85 10/08/2024 Food and Beverage Undisputed 01/23/2026 1143585762 CMS
Janssen Pharmaceuticals, Inc $146.14 01/18/2024 Food and Beverage Undisputed 01/23/2026 1078209451 CMS
Lilly USA, LLC $22.57 01/11/2024 Food and Beverage Undisputed 01/23/2026 1135648735 CMS
Lilly USA, LLC $21.34 02/29/2024 Food and Beverage Undisputed 01/23/2026 1135725639 CMS
Lilly USA, LLC $23.06 04/24/2024 Food and Beverage Undisputed 01/23/2026 1135709762 CMS
Lilly USA, LLC $11.26 05/15/2024 Food and Beverage Undisputed 01/23/2026 1135727409 CMS
Lilly USA, LLC $23.77 05/21/2024 Food and Beverage Undisputed 01/23/2026 1135731780 CMS
Lilly USA, LLC $19.68 06/05/2024 Food and Beverage Undisputed 01/23/2026 1135727411 CMS
Lilly USA, LLC $23.32 07/10/2024 Food and Beverage Undisputed 01/23/2026 1135725641 CMS
Lilly USA, LLC $14.17 08/27/2024 Food and Beverage Undisputed 01/23/2026 1135723165 CMS
Lilly USA, LLC $10.33 09/11/2024 Food and Beverage Undisputed 01/23/2026 1135667008 CMS
Lilly USA, LLC $117.43 10/03/2024 Food and Beverage Undisputed 01/23/2026 1135731782 CMS
Lilly USA, LLC $16.71 10/09/2024 Food and Beverage Undisputed 01/23/2026 1135723167 CMS
Novo Nordisk Inc $19.63 01/17/2024 Food and Beverage Undisputed 01/23/2026 1100341818 CMS
Novo Nordisk Inc $20.85 02/20/2024 Food and Beverage Undisputed 01/23/2026 1100296011 CMS
Novo Nordisk Inc $17.04 03/26/2024 Food and Beverage Undisputed 01/23/2026 1100357490 CMS
Novo Nordisk Inc $21.74 05/16/2024 Food and Beverage Undisputed 01/23/2026 1100397624 CMS
Novo Nordisk Inc $18.59 06/13/2024 Food and Beverage Undisputed 01/23/2026 1100455960 CMS
Novo Nordisk Inc $18.74 07/11/2024 Food and Beverage Undisputed 01/23/2026 1100547724 CMS
Novo Nordisk Inc $24.76 08/12/2024 Food and Beverage Undisputed 01/23/2026 1100320444 CMS
Novo Nordisk Inc $26.11 09/26/2024 Food and Beverage Undisputed 01/23/2026 1100593374 CMS
Organon Llc $18.90 10/31/2024 Food and Beverage Undisputed 01/23/2026 1136201039 CMS
Otsuka America Pharmaceutical, Inc. $16.51 02/29/2024 Food and Beverage Undisputed 01/23/2026 1119166492 CMS
PFIZER INC. $16.02 04/18/2024 Food and Beverage Undisputed 01/23/2026 1131456401 CMS
PFIZER INC. $15.24 10/21/2024 Food and Beverage Undisputed 01/23/2026 1131529314 CMS
SHIELD THERAPEUTICS INC $19.21 05/02/2024 Food and Beverage Undisputed 01/23/2026 1150129502 CMS
SI-BONE, INC. $94.13 07/25/2024 Food and Beverage Undisputed 01/23/2026 1120063588 CMS
Teva Pharmaceuticals USA, Inc. $16.47 01/03/2024 Food and Beverage Undisputed 01/23/2026 1151653620 CMS
Teva Pharmaceuticals USA, Inc. $18.03 02/14/2024 Food and Beverage Undisputed 01/23/2026 1151653634 CMS
Teva Pharmaceuticals USA, Inc. $22.50 05/03/2024 Food and Beverage Undisputed 01/23/2026 1151653788 CMS
Teva Pharmaceuticals USA, Inc. $22.69 06/07/2024 Food and Beverage Undisputed 01/23/2026 1151653792 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · 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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