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

LAWRENCE L CIESEMIER

Allopathic & Osteopathic Physicians Internal Medicine Allergy & Immunology

NPI
1952464190
CMS profile
88926
Location
KIRKSVILLE, MO

General Payments · PY2018–2024

$9,100.94

  • Reported across 519 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,637.42

82 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 $1,542.76 81
Education $94.66 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $789.39 55
PY2019 $802.23 54
PY2020 $1,071.75 58
PY2021 $1,773.41 106
PY2022 $1,420.60 74
PY2023 $1,606.14 90
PY2024 $1,637.42 82

Payment records · PY2024 (82)

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

Program year 2024 201820192020202120222023 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. $16.24 11/25/2024 Food and Beverage Undisputed 01/23/2026 1103474263 CMS
Amgen Inc. $15.80 09/16/2024 Food and Beverage Undisputed 01/23/2026 1111550584 CMS
AstraZeneca Pharmaceuticals LP $21.97 01/08/2024 Food and Beverage Undisputed 01/23/2026 1104494498 CMS
AstraZeneca Pharmaceuticals LP $5.29 01/17/2024 Food and Beverage Undisputed 01/23/2026 1105361272 CMS
AstraZeneca Pharmaceuticals LP $24.66 01/17/2024 Food and Beverage Undisputed 01/23/2026 1105500626 CMS
AstraZeneca Pharmaceuticals LP $22.90 02/19/2024 Food and Beverage Undisputed 01/23/2026 1105212274 CMS
AstraZeneca Pharmaceuticals LP $22.54 03/18/2024 Food and Beverage Undisputed 01/23/2026 1105674265 CMS
AstraZeneca Pharmaceuticals LP $20.88 03/26/2024 Food and Beverage Undisputed 01/23/2026 1104294036 CMS
AstraZeneca Pharmaceuticals LP $22.22 04/15/2024 Food and Beverage Undisputed 01/23/2026 1104407453 CMS
AstraZeneca Pharmaceuticals LP $26.00 04/22/2024 Food and Beverage Undisputed 01/23/2026 1105354127 CMS
AstraZeneca Pharmaceuticals LP $23.87 06/10/2024 Food and Beverage Undisputed 01/23/2026 1105826843 CMS
AstraZeneca Pharmaceuticals LP $26.39 07/08/2024 Food and Beverage Undisputed 01/23/2026 1104690818 CMS
AstraZeneca Pharmaceuticals LP $24.00 07/10/2024 Food and Beverage Undisputed 01/23/2026 1105685059 CMS
AstraZeneca Pharmaceuticals LP $26.46 07/31/2024 Food and Beverage Undisputed 01/23/2026 1104751710 CMS
AstraZeneca Pharmaceuticals LP $21.74 09/09/2024 Food and Beverage Undisputed 01/23/2026 1105643822 CMS
AstraZeneca Pharmaceuticals LP $23.08 09/18/2024 Food and Beverage Undisputed 01/23/2026 1104521246 CMS
AstraZeneca Pharmaceuticals LP $22.02 10/14/2024 Food and Beverage Undisputed 01/23/2026 1104667955 CMS
AstraZeneca Pharmaceuticals LP $23.00 10/22/2024 Food and Beverage Undisputed 01/23/2026 1105745804 CMS
AstraZeneca Pharmaceuticals LP $20.66 11/11/2024 Food and Beverage Undisputed 01/23/2026 1105501296 CMS
AstraZeneca Pharmaceuticals LP $28.49 11/27/2024 Food and Beverage Undisputed 01/23/2026 1104740329 CMS
AstraZeneca Pharmaceuticals LP $21.34 12/02/2024 Food and Beverage Undisputed 01/23/2026 1105813643 CMS
AstraZeneca Pharmaceuticals LP $23.56 12/04/2024 Food and Beverage Undisputed 01/23/2026 1104558870 CMS
Blueprint Medicines Corporation $26.18 04/29/2024 Food and Beverage Undisputed 01/23/2026 1147454421 CMS
CSL Behring $35.20 02/14/2024 Food and Beverage Undisputed 01/23/2026 1134650115 CMS
CSL Behring $28.65 03/12/2024 Food and Beverage Undisputed 01/23/2026 1134650131 CMS
CSL Behring $21.85 05/29/2024 Food and Beverage Undisputed 01/23/2026 1134650153 CMS
CSL Behring $17.54 09/24/2024 Food and Beverage Undisputed 01/23/2026 1134650201 CMS
CSL Behring $32.05 10/01/2024 Food and Beverage Undisputed 01/23/2026 1134650203 CMS
Electromed, Inc. $16.90 04/03/2024 Food and Beverage Undisputed 01/23/2026 1137884247 CMS
Genentech USA, Inc. $24.14 03/05/2024 Food and Beverage Undisputed 01/23/2026 1133052357 CMS
Genentech USA, Inc. $17.55 07/09/2024 Food and Beverage Undisputed 01/23/2026 1133052361 CMS
Genentech USA, Inc. $23.08 10/16/2024 Food and Beverage Undisputed 01/23/2026 1133052365 CMS
GENZYME CORPORATION $20.14 08/05/2024 Food and Beverage Undisputed 01/23/2026 1139674754 CMS
GlaxoSmithKline, LLC. $17.55 02/27/2024 Food and Beverage Undisputed 01/23/2026 1116424343 CMS
GlaxoSmithKline, LLC. $32.33 02/29/2024 Food and Beverage Undisputed 01/23/2026 1115781825 CMS
GlaxoSmithKline, LLC. $23.68 04/19/2024 Food and Beverage Undisputed 01/23/2026 1116219161 CMS
Grifols USA, LLC $19.92 03/11/2024 Food and Beverage Undisputed 01/23/2026 1124724448 CMS
Grifols USA, LLC $23.23 04/30/2024 Food and Beverage Undisputed 01/23/2026 1124736068 CMS
Grifols USA, LLC $21.39 05/22/2024 Food and Beverage Undisputed 01/23/2026 1124724460 CMS
Grifols USA, LLC $24.51 07/29/2024 Food and Beverage Undisputed 01/23/2026 1124724458 CMS
Grifols USA, LLC $21.26 09/04/2024 Food and Beverage Undisputed 01/23/2026 1124724456 CMS
Grifols USA, LLC $8.58 10/02/2024 Food and Beverage Undisputed 01/23/2026 1124724450 CMS
Grifols USA, LLC $12.71 10/02/2024 Food and Beverage Undisputed 01/23/2026 1124724452 CMS
Grifols USA, LLC $2.15 10/02/2024 Food and Beverage Undisputed 01/23/2026 1124724454 CMS
Grifols USA, LLC $3.99 11/13/2024 Food and Beverage Undisputed 01/23/2026 1124736072 CMS
Grifols USA, LLC $21.86 11/13/2024 Food and Beverage Undisputed 01/23/2026 1124736074 CMS
Grifols USA, LLC $21.81 12/16/2024 Food and Beverage Undisputed 01/23/2026 1124736070 CMS
HOSPIRA, INC. $15.43 02/28/2024 Food and Beverage Undisputed 01/23/2026 1131666564 CMS
HOSPIRA, INC. $15.36 07/24/2024 Food and Beverage Undisputed 01/23/2026 1131753294 CMS
Novartis Pharmaceuticals Corporation $20.87 01/04/2024 Food and Beverage Undisputed 01/23/2026 1086703825 CMS
Novartis Pharmaceuticals Corporation $25.00 04/17/2024 Food and Beverage Undisputed 01/23/2026 1086703831 CMS
Novartis Pharmaceuticals Corporation $17.61 04/23/2024 Food and Beverage Undisputed 01/23/2026 1086703833 CMS
Regeneron Healthcare Solutions, Inc. $24.75 01/31/2024 Food and Beverage Undisputed 01/23/2026 1114026248 CMS
Regeneron Healthcare Solutions, Inc. $23.14 03/27/2024 Food and Beverage Undisputed 01/23/2026 1114026250 CMS
Regeneron Healthcare Solutions, Inc. $31.64 05/15/2024 Food and Beverage Undisputed 01/23/2026 1114026252 CMS
Regeneron Healthcare Solutions, Inc. $30.24 07/22/2024 Food and Beverage Undisputed 01/23/2026 1114026254 CMS
Regeneron Healthcare Solutions, Inc. $19.15 08/26/2024 Food and Beverage Undisputed 01/23/2026 1114026256 CMS
Regeneron Healthcare Solutions, Inc. $22.10 09/30/2024 Food and Beverage Undisputed 01/23/2026 1114026258 CMS
Regeneron Healthcare Solutions, Inc. $29.99 11/12/2024 Food and Beverage Undisputed 01/23/2026 1114026260 CMS
Regeneron Healthcare Solutions, Inc. $94.66 11/25/2024 Education Undisputed 01/23/2026 1114026262 CMS
Takeda Pharmaceuticals U.S.A., Inc. $3.27 01/05/2024 Food and Beverage Undisputed 01/23/2026 1137513970 CMS
Takeda Pharmaceuticals U.S.A., Inc. $27.21 01/05/2024 Food and Beverage Undisputed 01/23/2026 1137513974 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.20 01/25/2024 Food and Beverage Undisputed 01/23/2026 1137513978 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.29 01/25/2024 Food and Beverage Undisputed 01/23/2026 1137513982 CMS
Takeda Pharmaceuticals U.S.A., Inc. $4.20 01/31/2024 Food and Beverage Undisputed 01/23/2026 1137513986 CMS
Takeda Pharmaceuticals U.S.A., Inc. $3.77 02/02/2024 Food and Beverage Undisputed 01/23/2026 1137513989 CMS
Takeda Pharmaceuticals U.S.A., Inc. $31.53 02/02/2024 Food and Beverage Undisputed 01/23/2026 1137513993 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.60 03/04/2024 Food and Beverage Undisputed 01/23/2026 1137513997 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.44 03/04/2024 Food and Beverage Undisputed 01/23/2026 1137514000 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.88 03/04/2024 Food and Beverage Undisputed 01/23/2026 1137514004 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.56 03/13/2024 Food and Beverage Undisputed 01/23/2026 1137514008 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.23 05/20/2024 Food and Beverage Undisputed 01/23/2026 1137514012 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.98 05/20/2024 Food and Beverage Undisputed 01/23/2026 1137514016 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.00 05/20/2024 Food and Beverage Undisputed 01/23/2026 1137514019 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.43 05/20/2024 Food and Beverage Undisputed 01/23/2026 1137514023 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.57 09/11/2024 Food and Beverage Undisputed 01/23/2026 1137514027 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.29 10/17/2024 Food and Beverage Undisputed 01/23/2026 1137514031 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.32 11/11/2024 Food and Beverage Undisputed 01/23/2026 1137514035 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.63 11/18/2024 Food and Beverage Undisputed 01/23/2026 1137514039 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.82 11/18/2024 Food and Beverage Undisputed 01/23/2026 1137514043 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.97 11/18/2024 Food and Beverage Undisputed 01/23/2026 1137514046 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.93 12/19/2024 Food and Beverage Undisputed 01/23/2026 1137514050 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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