Covered recipient · General Payments record

MELISSA N AUSTREIM-KRELL

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1942562129
CMS profile: 504140
Location: SOUTH SIOUX CITY, NE

General Payments · PY2018–2024

$7,453.32

Reported across 590 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,392.06

85 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	$1,368.94	84
Education	$23.12	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$326.98	14
PFIZER INC.	$229.85	15
ABBVIE INC.	$202.81	16
Novo Nordisk AS	$147.63	10
Merck Sharp & Dohme Corporation	$90.62	5
Astellas Pharma US Inc	$58.19	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$46.88	3
NOVARTIS PHARMACEUTICALS CORPORATION	$40.15	3
Bayer HealthCare Pharmaceuticals Inc.	$38.47	2
E.R. Squibb & Sons, L.L.C.	$32.02	2
Daiichi Sankyo Inc.	$29.99	1
Radius Health, Inc.	$28.06	2
Otsuka America Pharmaceutical, Inc.	$17.44	1
Lilly USA, LLC	$16.33	1
Mylan Specialty L.P.	$15.64	1
Corcept Therapeutics	$15.18	1
Phathom Pharmaceuticals, Inc.	$14.28	1
Takeda Pharmaceuticals U.S.A., Inc.	$14.07	1
Exact Sciences Corporation	$14.05	1
Amgen Inc.	$13.42	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$972.88	86
PY2019	$736.06	75
PY2020	$723.93	56
PY2021	$1,314.97	115
PY2022	$1,112.60	85
PY2023	$1,200.82	88
PY2024	$1,392.06	85

Payment records · PY2024 (85)

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

Program year 2024 2018 2019 2020 2021 2022 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
ABBVIE INC.	$7.45	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1103252789	CMS
ABBVIE INC.	$17.10	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1103252791	CMS
ABBVIE INC.	$17.17	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1103252793	CMS
ABBVIE INC.	$12.23	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1103252795	CMS
ABBVIE INC.	$8.29	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1103252797	CMS
ABBVIE INC.	$12.66	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1103252799	CMS
ABBVIE INC.	$13.73	04/13/2024	Food and Beverage	Undisputed	01/23/2026	1103252801	CMS
ABBVIE INC.	$13.73	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1103252803	CMS
ABBVIE INC.	$15.63	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1103252805	CMS
ABBVIE INC.	$13.82	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1103252807	CMS
ABBVIE INC.	$13.14	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1103252809	CMS
ABBVIE INC.	$13.35	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1103252811	CMS
ABBVIE INC.	$7.50	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1103252813	CMS
ABBVIE INC.	$13.58	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1103252815	CMS
ABBVIE INC.	$10.48	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1103252817	CMS
ABBVIE INC.	$12.95	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1103252819	CMS
Amgen Inc.	$13.42	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1117193980	CMS
Astellas Pharma US Inc	$14.86	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1139339476	CMS
Astellas Pharma US Inc	$14.90	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1139361351	CMS
Astellas Pharma US Inc	$13.98	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1139372145	CMS
Astellas Pharma US Inc	$14.45	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1139442152	CMS
AstraZeneca Pharmaceuticals LP	$14.59	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1105722384	CMS
AstraZeneca Pharmaceuticals LP	$105.89	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1105569267	CMS
AstraZeneca Pharmaceuticals LP	$13.49	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1104437601	CMS
AstraZeneca Pharmaceuticals LP	$16.37	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1104279259	CMS
AstraZeneca Pharmaceuticals LP	$23.92	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1104257753	CMS
AstraZeneca Pharmaceuticals LP	$15.55	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1104546878	CMS
AstraZeneca Pharmaceuticals LP	$18.54	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1105400817	CMS
AstraZeneca Pharmaceuticals LP	$15.45	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1105646226	CMS
AstraZeneca Pharmaceuticals LP	$16.24	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1104734295	CMS
AstraZeneca Pharmaceuticals LP	$14.45	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1104737391	CMS
AstraZeneca Pharmaceuticals LP	$14.93	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1105396222	CMS
AstraZeneca Pharmaceuticals LP	$18.17	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1105866532	CMS
AstraZeneca Pharmaceuticals LP	$23.12	11/20/2024	Education	Undisputed	01/23/2026	1105400799	CMS
AstraZeneca Pharmaceuticals LP	$16.27	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1105426492	CMS
Bayer Healthcare Pharmaceuticals Inc.	$20.32	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1086233622	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.15	10/26/2024	Food and Beverage	Undisputed	01/23/2026	1086114556	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.83	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1118245133	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.71	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1118245135	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.34	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1118245137	CMS
Corcept Therapeutics	$15.18	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1117738116	CMS
Daiichi Sankyo Inc.	$29.99	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1089395356	CMS
E.R. Squibb & Sons, L.L.C.	$15.95	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1101287438	CMS
E.R. Squibb & Sons, L.L.C.	$16.07	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1101287452	CMS
Exact Sciences Corporation	$14.05	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1114581264	CMS
Lilly USA, LLC	$16.33	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1135199723	CMS
Merck Sharp & Dohme LLC	$13.46	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1141600627	CMS
Merck Sharp & Dohme LLC	$20.13	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1141954480	CMS
Merck Sharp & Dohme LLC	$19.77	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1141915813	CMS
Merck Sharp & Dohme LLC	$16.18	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1141977504	CMS
Merck Sharp & Dohme LLC	$21.08	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1141915697	CMS
Mylan Specialty L.P.	$15.64	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1147319540	CMS
Novartis Pharmaceuticals Corporation	$13.29	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1086634549	CMS
Novartis Pharmaceuticals Corporation	$13.69	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1086634559	CMS
Novartis Pharmaceuticals Corporation	$13.17	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1086634571	CMS
Novo Nordisk Inc	$13.54	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1096921273	CMS
Novo Nordisk Inc	$17.55	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1097038772	CMS
Novo Nordisk Inc	$13.27	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1096662513	CMS
Novo Nordisk Inc	$9.28	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1097246013	CMS
Novo Nordisk Inc	$21.86	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1096656572	CMS
Novo Nordisk Inc	$15.21	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1096984827	CMS
Novo Nordisk Inc	$13.63	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1097041864	CMS
Novo Nordisk Inc	$15.04	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1097708118	CMS
Novo Nordisk Inc	$15.09	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1096646115	CMS
Novo Nordisk Inc	$13.16	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1096911798	CMS
Otsuka America Pharmaceutical, Inc.	$17.44	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1118856347	CMS
PFIZER INC.	$14.70	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1130971236	CMS
PFIZER INC.	$13.82	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1131030911	CMS
PFIZER INC.	$10.19	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1131705485	CMS
PFIZER INC.	$20.43	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1131223801	CMS
PFIZER INC.	$15.52	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1131288680	CMS
PFIZER INC.	$13.36	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1131396807	CMS
PFIZER INC.	$15.17	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1131409690	CMS
PFIZER INC.	$12.10	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1131597455	CMS
PFIZER INC.	$15.19	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1131441297	CMS
PFIZER INC.	$17.71	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1131685777	CMS
PFIZER INC.	$18.61	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1131977519	CMS
PFIZER INC.	$14.45	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1131935178	CMS
PFIZER INC.	$15.65	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1132075033	CMS
PFIZER INC.	$14.45	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1132077617	CMS
PFIZER INC.	$18.50	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1131086995	CMS
Phathom Pharmaceuticals, Inc.	$14.28	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1151036835	CMS
Radius Health, Inc.	$14.66	04/21/2024	Food and Beverage	Undisputed	01/23/2026	1089975374	CMS
Radius Health, Inc.	$13.40	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1089975378	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$14.07	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1137476204	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , 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.