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

CHRISTOPHER D MILSTEAD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1932216090
CMS profile
10858732
Location
FORT SMITH, AR

General Payments · PY2021–2024

$4,520.38

  • Reported across 227 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,875.17

87 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 $1,847.90 86
Education $27.27 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $70.46 5
PY2022 $881.95 45
PY2023 $1,692.80 90
PY2024 $1,875.17 87

Payment records · PY2024 (87)

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. $7.17 01/03/2024 Food and Beverage Undisputed 01/23/2026 1107670289 CMS
ABBVIE INC. $10.10 02/21/2024 Food and Beverage Undisputed 01/23/2026 1107670291 CMS
ABBVIE INC. $24.43 03/13/2024 Food and Beverage Undisputed 01/23/2026 1107670293 CMS
ABBVIE INC. $72.02 03/27/2024 Food and Beverage Undisputed 01/23/2026 1107670295 CMS
ABBVIE INC. $16.35 05/21/2024 Food and Beverage Undisputed 01/23/2026 1107670297 CMS
ABBVIE INC. $21.00 06/26/2024 Food and Beverage Undisputed 01/23/2026 1107670299 CMS
ABBVIE INC. $26.75 08/14/2024 Food and Beverage Undisputed 01/23/2026 1107670301 CMS
ABBVIE INC. $17.03 09/24/2024 Food and Beverage Undisputed 01/23/2026 1107670303 CMS
ABBVIE INC. $5.76 10/29/2024 Food and Beverage Undisputed 01/23/2026 1107670305 CMS
Alkermes, Inc. $14.59 12/18/2024 Food and Beverage Undisputed 01/23/2026 1120555771 CMS
Almatica Pharma LLC $23.92 02/21/2024 Food and Beverage Undisputed 01/23/2026 1137608421 CMS
Almatica Pharma LLC $18.00 03/18/2024 Food and Beverage Undisputed 01/23/2026 1137608425 CMS
Almatica Pharma LLC $26.66 05/08/2024 Food and Beverage Undisputed 01/23/2026 1137608429 CMS
Almatica Pharma LLC $26.88 06/25/2024 Food and Beverage Undisputed 01/23/2026 1137608434 CMS
Almatica Pharma LLC $30.36 07/30/2024 Food and Beverage Undisputed 01/23/2026 1137608438 CMS
Almatica Pharma LLC $22.42 10/02/2024 Food and Beverage Undisputed 01/23/2026 1137608442 CMS
Almatica Pharma LLC $29.43 10/21/2024 Food and Beverage Undisputed 01/23/2026 1137608446 CMS
Almatica Pharma LLC $6.49 10/30/2024 Food and Beverage Undisputed 01/23/2026 1137608451 CMS
Axsome Therapeutics, Inc. $18.78 01/17/2024 Food and Beverage Undisputed 01/23/2026 1148348451 CMS
Axsome Therapeutics, Inc. $30.81 01/26/2024 Food and Beverage Undisputed 01/23/2026 1148348449 CMS
Axsome Therapeutics, Inc. $32.01 06/10/2024 Food and Beverage Undisputed 01/23/2026 1148348453 CMS
Axsome Therapeutics, Inc. $17.36 12/03/2024 Food and Beverage Undisputed 01/23/2026 1148348455 CMS
E.R. Squibb & Sons, L.L.C. $27.27 12/12/2024 Education Undisputed 01/23/2026 1101314409 CMS
IDORSIA PHARMACEUTICALS US INC $19.23 02/22/2024 Food and Beverage Undisputed 01/23/2026 1146766372 CMS
IDORSIA PHARMACEUTICALS US INC $13.69 09/23/2024 Food and Beverage Undisputed 01/23/2026 1146781436 CMS
IRONSHORE PHARMACEUTICALS INC. $23.87 08/12/2024 Food and Beverage Undisputed 01/23/2026 1146297766 CMS
IRONSHORE PHARMACEUTICALS INC. $18.56 09/10/2024 Food and Beverage Undisputed 01/23/2026 1146294064 CMS
IRONSHORE PHARMACEUTICALS INC. $18.56 10/22/2024 Food and Beverage Undisputed 01/23/2026 1146328231 CMS
IRONSHORE PHARMACEUTICALS INC. $18.15 12/16/2024 Food and Beverage Undisputed 01/23/2026 1146305353 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $12.79 01/09/2024 Food and Beverage Undisputed 01/23/2026 1143553560 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.28 01/12/2024 Food and Beverage Undisputed 01/23/2026 1143553563 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $24.92 02/14/2024 Food and Beverage Undisputed 01/23/2026 1143553566 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $13.46 03/07/2024 Food and Beverage Undisputed 01/23/2026 1143553569 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $24.14 04/11/2024 Food and Beverage Undisputed 01/23/2026 1143553573 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $26.59 04/24/2024 Food and Beverage Undisputed 01/23/2026 1143553577 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $25.80 05/15/2024 Food and Beverage Undisputed 01/23/2026 1143553582 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $24.59 06/04/2024 Food and Beverage Undisputed 01/23/2026 1143553586 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $4.20 06/05/2024 Food and Beverage Undisputed 01/23/2026 1143553590 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $7.32 08/07/2024 Food and Beverage Undisputed 01/23/2026 1143553593 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.16 08/21/2024 Food and Beverage Undisputed 01/23/2026 1143553598 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.56 09/11/2024 Food and Beverage Undisputed 01/23/2026 1143553602 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $25.91 11/13/2024 Food and Beverage Undisputed 01/23/2026 1143553606 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.02 12/03/2024 Food and Beverage Undisputed 01/23/2026 1143553610 CMS
Janssen Pharmaceuticals, Inc $19.11 02/07/2024 Food and Beverage Undisputed 01/23/2026 1077909707 CMS
Janssen Pharmaceuticals, Inc $22.20 03/07/2024 Food and Beverage Undisputed 01/23/2026 1077910021 CMS
Janssen Pharmaceuticals, Inc $43.16 04/02/2024 Food and Beverage Undisputed 01/23/2026 1077910017 CMS
Janssen Pharmaceuticals, Inc $22.82 04/09/2024 Food and Beverage Undisputed 01/23/2026 1077909935 CMS
Janssen Pharmaceuticals, Inc $30.88 05/07/2024 Food and Beverage Undisputed 01/23/2026 1077909833 CMS
Janssen Pharmaceuticals, Inc $8.05 06/01/2024 Food and Beverage Undisputed 01/23/2026 1077909991 CMS
Janssen Pharmaceuticals, Inc $11.38 10/15/2024 Food and Beverage Undisputed 01/23/2026 1077909709 CMS
Janssen Pharmaceuticals, Inc $15.84 10/29/2024 Food and Beverage Undisputed 01/23/2026 1077909735 CMS
Janssen Pharmaceuticals, Inc $2.51 10/29/2024 Food and Beverage Undisputed 01/23/2026 1077909839 CMS
Lundbeck LLC $14.99 03/05/2024 Food and Beverage Undisputed 01/23/2026 1146062247 CMS
Lundbeck LLC $20.87 05/01/2024 Food and Beverage Undisputed 01/23/2026 1146062249 CMS
Lundbeck LLC $19.59 08/26/2024 Food and Beverage Undisputed 01/23/2026 1146062251 CMS
Lundbeck LLC $15.71 10/08/2024 Food and Beverage Undisputed 01/23/2026 1146062253 CMS
Lundbeck LLC $19.30 12/17/2024 Food and Beverage Undisputed 01/23/2026 1146062255 CMS
Neurocrine Biosciences, Inc. $25.83 07/09/2024 Food and Beverage Undisputed 01/23/2026 1150952152 CMS
Neurocrine Biosciences, Inc. $18.01 08/19/2024 Food and Beverage Undisputed 01/23/2026 1150990002 CMS
Neurocrine Biosciences, Inc. $17.21 09/17/2024 Food and Beverage Undisputed 01/23/2026 1150993814 CMS
Noven Therapeutics, LLC $16.96 08/29/2024 Food and Beverage Undisputed 01/23/2026 1084829514 CMS
Otsuka America Pharmaceutical, Inc. $29.49 04/04/2024 Food and Beverage Undisputed 01/23/2026 1119140031 CMS
Otsuka America Pharmaceutical, Inc. $27.04 07/23/2024 Food and Beverage Undisputed 01/23/2026 1119140033 CMS
Otsuka America Pharmaceutical, Inc. $24.76 11/12/2024 Food and Beverage Undisputed 01/23/2026 1119140035 CMS
Otsuka America Pharmaceutical, Inc. $21.38 11/18/2024 Food and Beverage Undisputed 01/23/2026 1119140037 CMS
Supernus Pharmaceuticals, Inc. $88.30 09/19/2024 Food and Beverage Undisputed 01/23/2026 1147883886 CMS
Supernus Pharmaceuticals, Inc. $29.76 10/07/2024 Food and Beverage Undisputed 01/23/2026 1147883884 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.99 06/11/2024 Food and Beverage Undisputed 01/23/2026 1137793907 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.46 09/04/2024 Food and Beverage Undisputed 01/23/2026 1137793909 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.24 10/07/2024 Food and Beverage Undisputed 01/23/2026 1137793911 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.13 11/04/2024 Food and Beverage Undisputed 01/23/2026 1137793913 CMS
Takeda Pharmaceuticals U.S.A., Inc. $20.14 12/09/2024 Food and Beverage Undisputed 01/23/2026 1137793915 CMS
Teva Pharmaceuticals USA, Inc. $16.41 04/22/2024 Food and Beverage Undisputed 01/23/2026 1151719468 CMS
Teva Pharmaceuticals USA, Inc. $29.43 11/19/2024 Food and Beverage Undisputed 01/23/2026 1151719574 CMS
Tris Pharma Inc $23.60 06/19/2024 Food and Beverage Undisputed 01/23/2026 1147200257 CMS
Tris Pharma Inc $22.74 07/17/2024 Food and Beverage Undisputed 01/23/2026 1147200255 CMS
Vanda Pharmaceuticals Inc. $12.09 06/20/2024 Food and Beverage Undisputed 01/23/2026 1133958704 CMS
Vanda Pharmaceuticals Inc. $4.02 06/20/2024 Food and Beverage Undisputed 01/23/2026 1133958706 CMS
Vanda Pharmaceuticals Inc. $3.44 06/20/2024 Food and Beverage Undisputed 01/23/2026 1133958708 CMS
Vanda Pharmaceuticals Inc. $16.58 10/01/2024 Food and Beverage Undisputed 01/23/2026 1133958710 CMS
Vanda Pharmaceuticals Inc. $12.44 10/15/2024 Food and Beverage Undisputed 01/23/2026 1133958712 CMS
Vanda Pharmaceuticals Inc. $16.03 10/30/2024 Food and Beverage Undisputed 01/23/2026 1133958714 CMS
Vanda Pharmaceuticals Inc. $1.95 11/25/2024 Food and Beverage Undisputed 01/23/2026 1133958716 CMS
Vanda Pharmaceuticals Inc. $5.31 12/05/2024 Food and Beverage Undisputed 01/23/2026 1133958718 CMS
Vanda Pharmaceuticals Inc. $123.82 12/05/2024 Food and Beverage Undisputed 01/23/2026 1133958720 CMS
Vanda Pharmaceuticals Inc. $3.79 12/12/2024 Food and Beverage Undisputed 01/23/2026 1133958722 CMS
Vanda Pharmaceuticals Inc. $16.02 12/18/2024 Food and Beverage Undisputed 01/23/2026 1133958724 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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