Covered recipient · General Payments record

ANA LAURA SIERRA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

NPI: 1992295976
CMS profile: 10518339
Location: PLANT CITY, FL

General Payments · PY2021–2024

$10,016.50

Reported across 454 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,283.62

145 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	$3,129.56	143
Education	$154.06	2

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$319.84	14
PFIZER INC.	$307.49	13
NOVARTIS PHARMACEUTICALS CORPORATION	$274.48	18
Lilly USA, LLC	$238.69	7
EISAI INC.	$200.91	8
Janssen Biotech, Inc.	$199.35	13
Gilead Sciences, Inc.	$196.61	7
PharmaEssentia USA Corporation	$143.41	6
Daiichi Sankyo Inc.	$138.42	5
GlaxoSmithKline, LLC.	$115.02	5
Celgene Corporation	$111.96	4
ARRAY BIOPHARMA INC	$110.62	6
BeiGene USA, Inc.	$110.12	4
Merck Sharp & Dohme Corporation	$76.23	3
Alexion Pharmaceuticals, Inc.	$75.26	3
Alnylam Pharmaceuticals Inc.	$70.88	3
SOBI, INC	$68.29	3
ABBVIE INC.	$65.97	2
Takeda Pharmaceuticals U.S.A., Inc.	$52.32	2
Regeneron Healthcare Solutions, Inc.	$47.43	2
Incyte Corporation	$46.73	2
Kyowa Kirin, Inc.	$42.50	2
Boehringer Ingelheim Pharmaceuticals, Inc.	$41.03	2
Kite Pharma, Inc.	$31.43	1
Tempus AI, Inc	$26.69	1
Legend Biotech USA Inc.	$25.35	1
JAZZ PHARMACEUTICALS INC.	$24.95	1
Pharmacosmos Therapeutics Inc.	$21.02	1
ACCORD HEALTHCARE, INC.	$19.71	1
Exelixis Inc.	$19.06	1
Agios Pharmaceuticals, Inc.	$16.56	1
PUMA BIOTECHNOLOGY, INC.	$16.29	1
Emmaus Medical, Inc.	$14.73	1
MorphoSys, US Inc.	$14.27	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$632.08	33
PY2022	$3,076.23	139
PY2023	$3,024.57	137
PY2024	$3,283.62	145

Payment records · PY2024 (145)

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

Program year 2024 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.	$32.24	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1108197066	CMS
ABBVIE INC.	$33.73	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1108197068	CMS
ACCORD HEALTHCARE, INC.	$19.71	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1120079574	CMS
Agios Pharmaceuticals, Inc.	$16.56	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1149640491	CMS
Alexion Pharmaceuticals, Inc.	$26.68	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1094043722	CMS
Alexion Pharmaceuticals, Inc.	$19.70	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1094034980	CMS
Alexion Pharmaceuticals, Inc.	$28.88	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1093958927	CMS
Alnylam Pharmaceuticals Inc.	$22.35	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1125849754	CMS
Alnylam Pharmaceuticals Inc.	$21.45	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1125849848	CMS
Alnylam Pharmaceuticals Inc.	$27.08	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1125849872	CMS
ARRAY BIOPHARMA INC	$24.06	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1131723258	CMS
ARRAY BIOPHARMA INC	$25.49	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1131728121	CMS
ARRAY BIOPHARMA INC	$20.80	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1131728119	CMS
ARRAY BIOPHARMA INC	$25.41	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1132026913	CMS
ARRAY BIOPHARMA INC	$1.14	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1131360095	CMS
ARRAY BIOPHARMA INC	$13.72	09/14/2024	Food and Beverage	Undisputed	01/23/2026	1131360099	CMS
AstraZeneca Pharmaceuticals LP	$22.92	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1104530346	CMS
AstraZeneca Pharmaceuticals LP	$14.44	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1104527874	CMS
AstraZeneca Pharmaceuticals LP	$22.47	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1105567020	CMS
AstraZeneca Pharmaceuticals LP	$23.24	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105712342	CMS
AstraZeneca Pharmaceuticals LP	$23.50	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1105776962	CMS
AstraZeneca Pharmaceuticals LP	$22.89	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1104531502	CMS
AstraZeneca Pharmaceuticals LP	$22.58	05/03/2024	Food and Beverage	Undisputed	01/23/2026	1104264517	CMS
AstraZeneca Pharmaceuticals LP	$22.38	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1104426649	CMS
AstraZeneca Pharmaceuticals LP	$18.03	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1104648659	CMS
AstraZeneca Pharmaceuticals LP	$28.16	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1105564092	CMS
AstraZeneca Pharmaceuticals LP	$21.53	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1104364815	CMS
AstraZeneca Pharmaceuticals LP	$29.93	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1104352440	CMS
AstraZeneca Pharmaceuticals LP	$27.69	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1105499128	CMS
AstraZeneca Pharmaceuticals LP	$20.08	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1104510104	CMS
BeiGene USA, Inc.	$22.65	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1120856973	CMS
BeiGene USA, Inc.	$27.65	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1120856977	CMS
BeiGene USA, Inc.	$24.26	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1120856979	CMS
BeiGene USA, Inc.	$35.56	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1120856975	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.28	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1118264319	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.75	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1118264317	CMS
Celgene Corporation	$33.27	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1101131818	CMS
Celgene Corporation	$15.79	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1101131820	CMS
Celgene Corporation	$31.66	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1101131824	CMS
Celgene Corporation	$31.24	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1101131834	CMS
Daiichi Sankyo Inc.	$23.45	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1089483055	CMS
Daiichi Sankyo Inc.	$29.10	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1089483059	CMS
Daiichi Sankyo Inc.	$28.98	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1089483057	CMS
Daiichi Sankyo Inc.	$28.69	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1089483061	CMS
Daiichi Sankyo Inc.	$28.20	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1089483051	CMS
Eisai Inc.	$22.73	02/03/2024	Food and Beverage	Undisputed	01/23/2026	1110792793	CMS
Eisai Inc.	$23.51	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1110792791	CMS
Eisai Inc.	$21.03	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1110792797	CMS
Eisai Inc.	$23.17	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1110792795	CMS
Eisai Inc.	$24.11	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1110792789	CMS
Eisai Inc.	$32.61	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1110792785	CMS
Eisai Inc.	$29.57	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1110792787	CMS
Eisai Inc.	$24.18	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1110792799	CMS
Emmaus Medical, Inc.	$14.73	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1073839744	CMS
Exelixis Inc.	$19.06	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1138568345	CMS
Gilead Sciences, Inc.	$27.71	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1133662318	CMS
Gilead Sciences, Inc.	$28.54	03/30/2024	Food and Beverage	Undisputed	01/23/2026	1133662320	CMS
Gilead Sciences, Inc.	$27.82	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1133662322	CMS
Gilead Sciences, Inc.	$29.77	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1133662324	CMS
Gilead Sciences, Inc.	$28.25	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1133662326	CMS
Gilead Sciences, Inc.	$26.69	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1133662328	CMS
Gilead Sciences, Inc.	$27.83	11/10/2024	Food and Beverage	Undisputed	01/23/2026	1133662330	CMS
GlaxoSmithKline, LLC.	$20.99	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1116446180	CMS
GlaxoSmithKline, LLC.	$24.56	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1116565128	CMS
GlaxoSmithKline, LLC.	$24.89	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1116329924	CMS
GlaxoSmithKline, LLC.	$20.76	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1115807588	CMS
GlaxoSmithKline, LLC.	$23.82	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1116493047	CMS
Incyte Corporation	$21.47	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1141315335	CMS
Incyte Corporation	$25.26	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1141254118	CMS
Janssen Biotech, Inc.	$3.98	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1078434073	CMS
Janssen Biotech, Inc.	$4.46	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1078434322	CMS
Janssen Biotech, Inc.	$25.18	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1078434502	CMS
Janssen Biotech, Inc.	$25.42	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1078434806	CMS
Janssen Biotech, Inc.	$14.59	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1078434494	CMS
Janssen Biotech, Inc.	$1.73	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1078434668	CMS
Janssen Biotech, Inc.	$74.99	05/24/2024	Education	Undisputed	01/23/2026	1078434290	CMS
Janssen Biotech, Inc.	$8.09	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1078434425	CMS
Janssen Biotech, Inc.	$4.71	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1078434697	CMS
Janssen Biotech, Inc.	$1.15	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1078435166	CMS
Janssen Biotech, Inc.	$11.40	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1078435182	CMS
Janssen Biotech, Inc.	$2.15	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1078435258	CMS
Janssen Biotech, Inc.	$21.50	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1078434898	CMS
JAZZ PHARMACEUTICALS INC.	$24.95	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1151320495	CMS
Kite Pharma, Inc.	$31.43	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1128611259	CMS
Kyowa Kirin, Inc.	$18.32	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1127046579	CMS
Kyowa Kirin, Inc.	$24.18	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1127046581	CMS
Legend Biotech USA Inc.	$25.35	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1131692824	CMS
Lilly USA, LLC	$28.47	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1135496988	CMS
Lilly USA, LLC	$79.07	02/21/2024	Education	Undisputed	01/23/2026	1135508006	CMS
Lilly USA, LLC	$29.30	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1135526579	CMS
Lilly USA, LLC	$24.35	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1135532530	CMS
Lilly USA, LLC	$20.06	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1135508002	CMS
Lilly USA, LLC	$29.03	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1135508004	CMS
Lilly USA, LLC	$28.41	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1135526577	CMS
Merck Sharp & Dohme LLC	$27.28	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1141855495	CMS
Merck Sharp & Dohme LLC	$23.12	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1141652898	CMS
Merck Sharp & Dohme LLC	$25.83	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1141652900	CMS
MorphoSys, US Inc.	$14.27	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1071901710	CMS
Novartis Pharmaceuticals Corporation	$12.13	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1087189249	CMS
Novartis Pharmaceuticals Corporation	$17.98	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1087189247	CMS
Novartis Pharmaceuticals Corporation	$13.43	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1087189251	CMS
Novartis Pharmaceuticals Corporation	$15.72	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1087189257	CMS
Novartis Pharmaceuticals Corporation	$3.31	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1087189275	CMS
Novartis Pharmaceuticals Corporation	$22.90	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1087189259	CMS
Novartis Pharmaceuticals Corporation	$32.01	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1087189263	CMS
Novartis Pharmaceuticals Corporation	$5.81	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1087189267	CMS
Novartis Pharmaceuticals Corporation	$17.20	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1087189271	CMS
Novartis Pharmaceuticals Corporation	$5.32	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1087189269	CMS
Novartis Pharmaceuticals Corporation	$3.16	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1087189273	CMS
Novartis Pharmaceuticals Corporation	$15.52	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1087189279	CMS
Novartis Pharmaceuticals Corporation	$18.91	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1087189285	CMS
Novartis Pharmaceuticals Corporation	$1.49	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1087189289	CMS
Novartis Pharmaceuticals Corporation	$21.00	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1087189283	CMS
Novartis Pharmaceuticals Corporation	$22.67	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1087189281	CMS
Novartis Pharmaceuticals Corporation	$25.62	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1087189291	CMS
Novartis Pharmaceuticals Corporation	$20.30	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1087189293	CMS
PFIZER INC.	$22.12	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1131721996	CMS
PFIZER INC.	$6.62	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1131721586	CMS
PFIZER INC.	$29.08	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1131281014	CMS
PFIZER INC.	$27.21	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1131290265	CMS
PFIZER INC.	$17.77	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1131728815	CMS
PFIZER INC.	$23.97	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1131353180	CMS
PFIZER INC.	$16.00	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1131352135	CMS
PFIZER INC.	$26.55	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1131338735	CMS
PFIZER INC.	$18.04	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1131836832	CMS
PFIZER INC.	$26.61	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1131354625	CMS
PFIZER INC.	$30.41	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1131374383	CMS
PFIZER INC.	$31.34	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1131358578	CMS
PFIZER INC.	$31.77	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1131381708	CMS
Pharmacosmos Therapeutics Inc.	$21.02	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1154832526	CMS
PharmaEssentia USA Corporation	$26.00	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1137307088	CMS
PharmaEssentia USA Corporation	$28.14	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1137307092	CMS
PharmaEssentia USA Corporation	$27.52	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1137307150	CMS
PharmaEssentia USA Corporation	$27.09	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1137307164	CMS
PharmaEssentia USA Corporation	$6.19	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1137307176	CMS
PharmaEssentia USA Corporation	$28.47	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1137307172	CMS
PUMA BIOTECHNOLOGY, INC.	$16.29	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1113846870	CMS
Regeneron Healthcare Solutions, Inc.	$21.80	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1114372297	CMS
Regeneron Healthcare Solutions, Inc.	$25.63	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1114372299	CMS
SOBI, INC	$14.00	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1141414822	CMS
SOBI, INC	$20.00	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1141423887	CMS
SOBI, INC	$34.29	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1141426135	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.04	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1144983748	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$32.28	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1144983750	CMS
Tempus AI, Inc	$26.69	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1150187136	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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