Covered recipient · General Payments record

ISABEL MARIA GUTIERREZ

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1922716778
CMS profile: 11418207
Location: NOKOMIS, FL

General Payments · PY2023–2024

$3,962.71

Reported across 197 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,812.30

132 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 payment	Amount	Records
Food and Beverage	$2,812.30	132

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Lilly USA, LLC	$687.62	25
ABBVIE INC.	$433.43	28
PFIZER INC.	$389.94	18
Amgen Inc.	$210.57	12
Acerta Pharma LLC	$206.28	8
Exact Sciences Corporation	$170.81	6
GlaxoSmithKline, LLC.	$146.98	11
Astellas Pharma US Inc	$140.86	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$119.55	7
Bayer HealthCare Pharmaceuticals Inc.	$65.25	3
Novo Nordisk AS	$42.29	2
Abbott Laboratories	$41.47	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.23	1
IDORSIA PHARMACEUTICALS US INC	$21.61	1
Otsuka America Pharmaceutical, Inc.	$21.00	1
Phathom Pharmaceuticals, Inc.	$20.09	1
Mylan Specialty L.P.	$18.72	1
Smith & Nephew, Inc.	$17.89	1
Merck Sharp & Dohme Corporation	$17.63	1
Takeda Pharmaceuticals U.S.A., Inc.	$17.08	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2023	$1,150.41	65
PY2024	$2,812.30	132

Payment records · PY2024 (132)

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

Program year 2024 2023 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
Abbott Laboratories	$18.45	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1125341795	CMS
Abbott Laboratories	$23.02	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1125341797	CMS
ABBVIE INC.	$21.59	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1107267415	CMS
ABBVIE INC.	$2.50	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1107267417	CMS
ABBVIE INC.	$16.55	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1107267419	CMS
ABBVIE INC.	$15.17	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1107267421	CMS
ABBVIE INC.	$21.48	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1107267423	CMS
ABBVIE INC.	$27.62	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1107267425	CMS
ABBVIE INC.	$8.61	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1107267427	CMS
ABBVIE INC.	$15.71	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1107267429	CMS
ABBVIE INC.	$8.53	05/04/2024	Food and Beverage	Undisputed	01/23/2026	1107267431	CMS
ABBVIE INC.	$6.87	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1107267433	CMS
ABBVIE INC.	$7.71	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1107267435	CMS
ABBVIE INC.	$21.33	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1107267437	CMS
ABBVIE INC.	$32.36	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1107267439	CMS
ABBVIE INC.	$8.29	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1107267441	CMS
ABBVIE INC.	$11.46	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1107267443	CMS
ABBVIE INC.	$27.13	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1107267445	CMS
ABBVIE INC.	$11.66	07/21/2024	Food and Beverage	Undisputed	01/23/2026	1107267447	CMS
ABBVIE INC.	$2.32	07/21/2024	Food and Beverage	Undisputed	01/23/2026	1107267449	CMS
ABBVIE INC.	$7.93	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1107267451	CMS
ABBVIE INC.	$20.83	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1107267453	CMS
ABBVIE INC.	$5.44	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1107267455	CMS
ABBVIE INC.	$30.41	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1107267457	CMS
ABBVIE INC.	$32.07	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1107267459	CMS
ABBVIE INC.	$9.17	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1107267461	CMS
ABBVIE INC.	$20.90	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1107267463	CMS
ABBVIE INC.	$4.89	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1107267465	CMS
ABBVIE INC.	$18.19	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1107267467	CMS
ABBVIE INC.	$16.71	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1107267469	CMS
Amgen Inc.	$18.48	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1117569991	CMS
Amgen Inc.	$14.48	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1117569993	CMS
Amgen Inc.	$20.44	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1117569995	CMS
Amgen Inc.	$18.56	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1117569997	CMS
Amgen Inc.	$14.98	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1117569999	CMS
Amgen Inc.	$19.07	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1117570001	CMS
Amgen Inc.	$20.22	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1115689577	CMS
Amgen Inc.	$17.39	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1117570003	CMS
Amgen Inc.	$14.78	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1117570005	CMS
Amgen Inc.	$13.20	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1117570007	CMS
Amgen Inc.	$20.16	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1115689587	CMS
Amgen Inc.	$18.81	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1115689569	CMS
Astellas Pharma US Inc	$125.00	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1139525264	CMS
Astellas Pharma US Inc	$15.86	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1139528100	CMS
AstraZeneca Pharmaceuticals LP	$79.54	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1104388039	CMS
AstraZeneca Pharmaceuticals LP	$16.02	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105548563	CMS
AstraZeneca Pharmaceuticals LP	$13.37	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1104724091	CMS
AstraZeneca Pharmaceuticals LP	$14.21	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1105295407	CMS
AstraZeneca Pharmaceuticals LP	$21.52	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1104281643	CMS
AstraZeneca Pharmaceuticals LP	$20.76	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1105668195	CMS
AstraZeneca Pharmaceuticals LP	$20.26	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1105397220	CMS
AstraZeneca Pharmaceuticals LP	$20.60	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1104218803	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.93	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1086284492	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.45	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1086318004	CMS
Bayer Healthcare Pharmaceuticals Inc.	$25.87	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1086337669	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.23	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1118238230	CMS
Exact Sciences Corporation	$25.75	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1114526471	CMS
Exact Sciences Corporation	$28.39	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1114526475	CMS
Exact Sciences Corporation	$29.58	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1114526479	CMS
Exact Sciences Corporation	$29.21	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1114526482	CMS
Exact Sciences Corporation	$26.76	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1114526487	CMS
Exact Sciences Corporation	$31.12	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1114526490	CMS
GlaxoSmithKline, LLC.	$13.84	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1116307055	CMS
GlaxoSmithKline, LLC.	$22.17	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1116225595	CMS
GlaxoSmithKline, LLC.	$18.24	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1116011716	CMS
GlaxoSmithKline, LLC.	$18.95	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1116121419	CMS
GlaxoSmithKline, LLC.	$12.79	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1116349020	CMS
GlaxoSmithKline, LLC.	$9.96	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1116047997	CMS
GlaxoSmithKline, LLC.	$8.51	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1116436169	CMS
GlaxoSmithKline, LLC.	$9.18	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1116534550	CMS
GlaxoSmithKline, LLC.	$15.75	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1115928276	CMS
GlaxoSmithKline, LLC.	$4.32	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1116279839	CMS
GlaxoSmithKline, LLC.	$13.27	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1116353604	CMS
IDORSIA PHARMACEUTICALS US INC	$21.61	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1146772854	CMS
Lilly USA, LLC	$19.51	01/06/2024	Food and Beverage	Undisputed	01/23/2026	1135641598	CMS
Lilly USA, LLC	$16.07	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1135684335	CMS
Lilly USA, LLC	$23.96	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1135669184	CMS
Lilly USA, LLC	$17.42	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1135653531	CMS
Lilly USA, LLC	$19.32	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1135641600	CMS
Lilly USA, LLC	$20.63	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1135702561	CMS
Lilly USA, LLC	$121.84	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1135686418	CMS
Lilly USA, LLC	$25.57	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1135682671	CMS
Lilly USA, LLC	$23.92	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1135695538	CMS
Lilly USA, LLC	$16.49	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1135653529	CMS
Lilly USA, LLC	$14.67	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1135669180	CMS
Lilly USA, LLC	$19.02	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1135702557	CMS
Lilly USA, LLC	$125.00	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1135653533	CMS
Lilly USA, LLC	$16.86	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1135682669	CMS
Lilly USA, LLC	$20.22	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1135641602	CMS
Lilly USA, LLC	$22.02	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1135641596	CMS
Lilly USA, LLC	$10.58	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1135702559	CMS
Lilly USA, LLC	$25.09	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1135702563	CMS
Lilly USA, LLC	$29.87	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1135669186	CMS
Lilly USA, LLC	$19.85	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1135686416	CMS
Lilly USA, LLC	$20.32	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1135684333	CMS
Lilly USA, LLC	$21.25	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1135669188	CMS
Lilly USA, LLC	$12.83	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1135669182	CMS
Lilly USA, LLC	$6.25	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1135695536	CMS
Lilly USA, LLC	$19.06	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1135702555	CMS
Merck Sharp & Dohme LLC	$17.63	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1141921634	CMS
Mylan Specialty L.P.	$18.72	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1147349553	CMS
Novo Nordisk Inc	$19.90	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1100591656	CMS
Novo Nordisk Inc	$22.39	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1100394732	CMS
Otsuka America Pharmaceutical, Inc.	$21.00	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1119086224	CMS
PFIZER INC.	$25.51	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1131155678	CMS
PFIZER INC.	$23.01	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1131065409	CMS
PFIZER INC.	$24.72	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1131155682	CMS
PFIZER INC.	$17.27	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1131023173	CMS
PFIZER INC.	$18.92	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1131243783	CMS
PFIZER INC.	$25.87	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1131203100	CMS
PFIZER INC.	$17.07	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1131707745	CMS
PFIZER INC.	$22.05	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1131273616	CMS
PFIZER INC.	$25.31	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1131339684	CMS
PFIZER INC.	$25.95	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1131688432	CMS
PFIZER INC.	$11.99	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1131786094	CMS
PFIZER INC.	$19.09	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1131683884	CMS
PFIZER INC.	$26.00	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1131890885	CMS
PFIZER INC.	$19.52	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1131858147	CMS
PFIZER INC.	$27.70	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1131971427	CMS
PFIZER INC.	$21.10	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1132095747	CMS
PFIZER INC.	$12.70	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1131090390	CMS
PFIZER INC.	$26.16	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1132089665	CMS
Phathom Pharmaceuticals, Inc.	$20.09	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1151170684	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.50	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1153737508	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.22	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1153421090	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.34	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1153596819	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.32	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1153454645	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.65	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1153532994	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.97	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1153487783	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.55	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1153519462	CMS
Smith+Nephew, Inc.	$17.89	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1149610335	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.08	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1137757370	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: 2023, 2024
Source files: Dataset page · Bulk file · PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.