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

GEONA GUAPPONE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1932857075
CMS profile
11360121
Location
ALLIANCE, OH

General Payments · PY2022–2024

$1,419.49

  • Reported across 90 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$653.36

47 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 $653.36 47

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $56.16 3
PY2023 $709.97 40
PY2024 $653.36 47

Payment records · PY2024 (47)

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
AstraZeneca Pharmaceuticals LP $15.54 02/23/2024 Food and Beverage Undisputed 01/23/2026 1104455272 CMS
AstraZeneca Pharmaceuticals LP $19.25 02/29/2024 Food and Beverage Undisputed 01/23/2026 1105300406 CMS
AstraZeneca Pharmaceuticals LP $13.84 03/02/2024 Food and Beverage Undisputed 01/23/2026 1105369478 CMS
AstraZeneca Pharmaceuticals LP $44.48 04/13/2024 Food and Beverage Undisputed 01/23/2026 1104373325 CMS
AstraZeneca Pharmaceuticals LP $21.92 06/04/2024 Food and Beverage Undisputed 01/23/2026 1105322300 CMS
AstraZeneca Pharmaceuticals LP $13.50 06/12/2024 Food and Beverage Undisputed 01/23/2026 1104333878 CMS
AstraZeneca Pharmaceuticals LP $14.10 07/27/2024 Food and Beverage Undisputed 01/23/2026 1105666072 CMS
AstraZeneca Pharmaceuticals LP $19.43 09/17/2024 Food and Beverage Undisputed 01/23/2026 1105841281 CMS
AstraZeneca Pharmaceuticals LP $14.45 11/23/2024 Food and Beverage Undisputed 01/23/2026 1105501076 CMS
AstraZeneca Pharmaceuticals LP $17.53 12/02/2024 Food and Beverage Undisputed 01/23/2026 1104578442 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.35 01/18/2024 Food and Beverage Undisputed 01/23/2026 1118242595 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.59 05/21/2024 Food and Beverage Undisputed 01/23/2026 1118242591 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.81 09/19/2024 Food and Beverage Undisputed 01/23/2026 1118242593 CMS
Exact Sciences Corporation $19.54 08/08/2024 Food and Beverage Undisputed 01/23/2026 1114685130 CMS
Grifols USA, LLC $14.71 08/23/2024 Food and Beverage Undisputed 01/23/2026 1124719438 CMS
Lilly USA, LLC $14.07 02/05/2024 Food and Beverage Undisputed 01/23/2026 1135674246 CMS
Lilly USA, LLC $14.04 03/08/2024 Food and Beverage Undisputed 01/23/2026 1135671842 CMS
Lilly USA, LLC $17.98 04/04/2024 Food and Beverage Undisputed 01/23/2026 1135674248 CMS
Lilly USA, LLC $18.51 04/05/2024 Food and Beverage Undisputed 01/23/2026 1135651165 CMS
Lilly USA, LLC $16.19 11/11/2024 Food and Beverage Undisputed 01/23/2026 1135660615 CMS
Merck Sharp & Dohme LLC $13.63 01/12/2024 Food and Beverage Undisputed 01/23/2026 1141779755 CMS
Merck Sharp & Dohme LLC $17.54 04/19/2024 Food and Beverage Undisputed 01/23/2026 1141962520 CMS
Novo Nordisk Inc $14.68 04/17/2024 Food and Beverage Undisputed 01/23/2026 1100236232 CMS
Novo Nordisk Inc $19.77 08/30/2024 Food and Beverage Undisputed 01/23/2026 1100504383 CMS
Novo Nordisk Inc $15.84 11/13/2024 Food and Beverage Undisputed 01/23/2026 1100376123 CMS
PFIZER INC. $17.45 01/30/2024 Food and Beverage Undisputed 01/23/2026 1130896153 CMS
PFIZER INC. $6.16 01/31/2024 Food and Beverage Undisputed 01/23/2026 1130968601 CMS
PFIZER INC. $9.71 02/16/2024 Food and Beverage Undisputed 01/23/2026 1130968246 CMS
PFIZER INC. $5.42 03/08/2024 Food and Beverage Undisputed 01/23/2026 1130949802 CMS
PFIZER INC. $6.24 03/22/2024 Food and Beverage Undisputed 01/23/2026 1130950790 CMS
PFIZER INC. $17.57 03/28/2024 Food and Beverage Undisputed 01/23/2026 1130909754 CMS
PFIZER INC. $4.00 03/28/2024 Food and Beverage Undisputed 01/23/2026 1130950771 CMS
PFIZER INC. $7.50 03/30/2024 Food and Beverage Undisputed 01/23/2026 1130947254 CMS
PFIZER INC. $1.86 06/07/2024 Food and Beverage Undisputed 01/23/2026 1130960405 CMS
PFIZER INC. $5.40 06/08/2024 Food and Beverage Undisputed 01/23/2026 1130946389 CMS
PFIZER INC. $11.17 06/08/2024 Food and Beverage Undisputed 01/23/2026 1130954450 CMS
PFIZER INC. $2.39 06/17/2024 Food and Beverage Undisputed 01/23/2026 1130958352 CMS
PFIZER INC. $8.03 07/23/2024 Food and Beverage Undisputed 01/23/2026 1130970256 CMS
PFIZER INC. $11.05 08/02/2024 Food and Beverage Undisputed 01/23/2026 1130961899 CMS
PFIZER INC. $19.53 09/10/2024 Food and Beverage Undisputed 01/23/2026 1130962645 CMS
PFIZER INC. $6.69 09/28/2024 Food and Beverage Undisputed 01/23/2026 1130963715 CMS
PFIZER INC. $2.48 10/10/2024 Food and Beverage Undisputed 01/23/2026 1130982632 CMS
PFIZER INC. $7.87 10/10/2024 Food and Beverage Undisputed 01/23/2026 1130987226 CMS
PFIZER INC. $22.16 10/23/2024 Food and Beverage Undisputed 01/23/2026 1130964932 CMS
PFIZER INC. $7.55 11/21/2024 Food and Beverage Undisputed 01/23/2026 1131023982 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.81 01/25/2024 Food and Beverage Undisputed 01/23/2026 1137756874 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.03 09/23/2024 Food and Beverage Undisputed 01/23/2026 1137756876 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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