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

ANDREA MARIE VACHA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1922507086
CMS profile
10464742
Location
FREMONT, NE

General Payments · PY2021–2024

$2,148.39

  • Reported across 134 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$526.38

31 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 $526.38 31

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $437.12 29
PY2022 $527.90 35
PY2023 $656.99 39
PY2024 $526.38 31

Payment records · PY2024 (31)

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. $20.53 01/05/2024 Food and Beverage Undisputed 01/23/2026 1108343393 CMS
ABBVIE INC. $18.03 01/30/2024 Food and Beverage Undisputed 01/23/2026 1108343395 CMS
ABBVIE INC. $16.90 02/04/2024 Food and Beverage Undisputed 01/23/2026 1108343397 CMS
ABBVIE INC. $18.65 02/29/2024 Food and Beverage Undisputed 01/23/2026 1108343399 CMS
ABBVIE INC. $13.94 03/14/2024 Food and Beverage Undisputed 01/23/2026 1108343401 CMS
ABBVIE INC. $14.20 04/23/2024 Food and Beverage Undisputed 01/23/2026 1108343403 CMS
ABBVIE INC. $14.43 05/17/2024 Food and Beverage Undisputed 01/23/2026 1108343405 CMS
ABBVIE INC. $18.16 06/15/2024 Food and Beverage Undisputed 01/23/2026 1108343407 CMS
ABBVIE INC. $32.33 06/22/2024 Food and Beverage Undisputed 01/23/2026 1108343409 CMS
ABBVIE INC. $12.93 07/16/2024 Food and Beverage Undisputed 01/23/2026 1108343411 CMS
ABBVIE INC. $16.30 08/16/2024 Food and Beverage Undisputed 01/23/2026 1108343413 CMS
ABBVIE INC. $29.19 12/06/2024 Food and Beverage Undisputed 01/23/2026 1108343415 CMS
Amgen Inc. $15.02 08/15/2024 Food and Beverage Undisputed 01/23/2026 1116189445 CMS
Amgen Inc. $15.22 10/22/2024 Food and Beverage Undisputed 01/23/2026 1116189449 CMS
Amgen Inc. $15.22 12/06/2024 Food and Beverage Undisputed 01/23/2026 1116189453 CMS
AstraZeneca Pharmaceuticals LP $13.93 05/16/2024 Food and Beverage Undisputed 01/23/2026 1105466401 CMS
AstraZeneca Pharmaceuticals LP $14.60 08/30/2024 Food and Beverage Undisputed 01/23/2026 1105573993 CMS
AstraZeneca Pharmaceuticals LP $13.79 09/19/2024 Food and Beverage Undisputed 01/23/2026 1105642596 CMS
AstraZeneca Pharmaceuticals LP $17.60 10/07/2024 Food and Beverage Undisputed 01/23/2026 1104506306 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.09 08/26/2024 Food and Beverage Undisputed 01/23/2026 1118237550 CMS
Lilly USA, LLC $14.04 02/06/2024 Food and Beverage Undisputed 01/23/2026 1135499202 CMS
Lilly USA, LLC $16.80 11/11/2024 Food and Beverage Undisputed 01/23/2026 1135523789 CMS
Novo Nordisk Inc $13.57 09/09/2024 Food and Beverage Undisputed 01/23/2026 1100561099 CMS
Novo Nordisk Inc $13.35 10/14/2024 Food and Beverage Undisputed 01/23/2026 1100223456 CMS
Optinose US, Inc. $22.09 08/27/2024 Food and Beverage Undisputed 01/23/2026 1142182964 CMS
Otsuka America Pharmaceutical, Inc. $13.76 02/20/2024 Food and Beverage Undisputed 01/23/2026 1119205353 CMS
Otsuka America Pharmaceutical, Inc. $13.33 06/04/2024 Food and Beverage Undisputed 01/23/2026 1119205355 CMS
PFIZER INC. $14.19 04/04/2024 Food and Beverage Undisputed 01/23/2026 1132006224 CMS
PFIZER INC. $14.78 10/17/2024 Food and Beverage Undisputed 01/23/2026 1132124771 CMS
Vanda Pharmaceuticals Inc. $24.26 09/30/2024 Food and Beverage Undisputed 01/23/2026 1133974462 CMS
VERTEX PHARMACEUTICALS INCORPORATED $20.15 11/21/2024 Food and Beverage Undisputed 01/23/2026 1105911986 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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