{"entity":{"entity_id":"3fd18142-fd1d-414d-aef2-5cb0661c3829","entity_type":"person","display_name":"JAMES PALEN","state":"MO","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T10:43:21.481636+00:00","updated_at":"2026-06-11T10:43:21.481636+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"163332","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1598902728","rule":"D-OP-NPI","recipient_profile_id":"163332"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T07:20:57.508485+00:00","recorded_at":"2026-06-13T07:20:57.508485+00:00"},{"id_scheme":"npi","id_value":"1598902728","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1598902728","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T10:43:22.51282+00:00","recorded_at":"2026-06-11T10:43:22.51282+00:00"},{"id_scheme":"pac_id","id_value":"7517012230","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1598902728","rule":"D-PECOS","enrlmt_id":"I20091105000159","pecos_asct_cntl_id":"7517012230"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:30:38.874919+00:00","recorded_at":"2026-06-12T18:30:38.874919+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20091105000159","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1598902728","rule":"D-PECOS","enrlmt_id":"I20091105000159"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:30:38.874919+00:00","recorded_at":"2026-06-12T18:30:38.874919+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"09925c6f-6858-4586-ac27-f204ded6249a","entity_type":"organization","display_name":"Janssen Pharmaceuticals, Inc","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000232","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:58:34.038851+00:00","recorded_at":"2026-06-13T13:58:34.038851+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0797abb8-23a4-4401-a089-562b3f1b05b1","entity_type":"organization","display_name":"Novo Nordisk Inc","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000144","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:32:27.631498+00:00","recorded_at":"2026-06-13T15:32:27.631498+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"356b2c4e-26dc-4b2e-af63-ccc4c33b855f","entity_type":"organization","display_name":"AstraZeneca Pharmaceuticals LP","state":"DE"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000146","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:33:42.454638+00:00","recorded_at":"2026-06-13T18:33:42.454638+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"09393ae7-8267-4853-8195-1801d4ccac46","entity_type":"organization","display_name":"ABBVIE INC.","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000204","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T19:03:40.508071+00:00","recorded_at":"2026-06-13T19:03:40.508071+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e3305284-4049-4dac-8981-81e89a770aef","entity_type":"organization","display_name":"Paratek Pharmaceuticals, Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000476817","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:31:39.54167+00:00","recorded_at":"2026-06-13T20:31:39.54167+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4bb95475-9c05-4770-9c04-39004ec2ca47","entity_type":"organization","display_name":"GlaxoSmithKline, LLC.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000005449","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T21:18:24.13616+00:00","recorded_at":"2026-06-13T21:18:24.13616+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"68ebd987-9b4b-489a-83ec-64e9547a83d7","entity_type":"organization","display_name":"Amgen Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000203","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:00:03.908092+00:00","recorded_at":"2026-06-13T22:00:03.908092+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3eca0d95-2000-43c7-a12a-62b4f65430f4","entity_type":"organization","display_name":"Otsuka America Pharmaceutical, Inc.","state":"MD"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000010723","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:27:00.207011+00:00","recorded_at":"2026-06-13T22:27:00.207011+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f064e96f-0b24-4189-82c5-f6c43ee33586","entity_type":"organization","display_name":"Valinor Pharma, LLC","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100001351984","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:47:28.505824+00:00","recorded_at":"2026-06-13T23:47:28.505824+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cf82f7f5-9f0e-48d6-b2a2-56fbbcc1235b","entity_type":"organization","display_name":"PFIZER INC.","state":"NY"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000286","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:24:46.267549+00:00","recorded_at":"2026-06-14T00:24:46.267549+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"d5e632ba-11b3-4e0d-8916-0f356c49ee59","entity_type":"organization","display_name":"Averitas Pharma Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100001386985","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:58:20.598139+00:00","recorded_at":"2026-06-14T00:58:20.598139+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4fe18420-2258-4e6e-b1a1-3a2d669c382b","entity_type":"organization","display_name":"Lilly USA, LLC","state":"IN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000066","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:11:17.491177+00:00","recorded_at":"2026-06-14T01:11:17.491177+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"af77e147-a7dd-476c-8821-d21932c1760d","entity_type":"organization","display_name":"Takeda Pharmaceuticals U.S.A., Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000337","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:11:46.755751+00:00","recorded_at":"2026-06-14T02:11:46.755751+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b19fc3df-bc10-48d5-9730-c0cc09b3112d","entity_type":"organization","display_name":"Astellas Pharma US Inc","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000137","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:30:42.865942+00:00","recorded_at":"2026-06-14T02:30:42.865942+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"517d3d48-b783-4b26-93e8-7f362245d83c","entity_type":"organization","display_name":"ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000781818","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:42:51.555504+00:00","recorded_at":"2026-06-14T03:42:51.555504+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"206741a2-c94d-4332-8b5b-b8008dcbe49e","entity_type":"organization","display_name":"Lundbeck LLC","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000236","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:21:01.660216+00:00","recorded_at":"2026-06-14T04:21:01.660216+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"2d7b8b9c-7740-47ee-8bdc-e9a5a558eb6e","entity_type":"organization","display_name":"Ardelyx, Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100001146890","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:32:42.249192+00:00","recorded_at":"2026-06-14T04:32:42.249192+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f921906d-f707-431e-beed-6b0c7c3667c2","entity_type":"organization","display_name":"Mylan Specialty L.P.","state":"WV"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000005573","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:46:19.770445+00:00","recorded_at":"2026-06-14T04:46:19.770445+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"6610486c-4e48-4e54-a01c-87c75b4d44d7","entity_type":"organization","display_name":"Axsome Therapeutics, Inc.","state":"NY"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100001111886","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:01:58.653736+00:00","recorded_at":"2026-06-14T05:01:58.653736+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fd3c2749-8925-4881-b0ff-a50346cb3479","entity_type":"organization","display_name":"Sumitomo Pharma America, Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100001316929","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:08:53.482714+00:00","recorded_at":"2026-06-14T05:08:53.482714+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7726385a-935c-4128-99ea-9e8edc22f307","entity_type":"organization","display_name":"Neurocrine Biosciences, Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000186746","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:29:48.47038+00:00","recorded_at":"2026-06-14T05:29:48.47038+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"c0f8d055-3c60-414c-b2f7-770241c67b85","entity_type":"organization","display_name":"Phathom Pharmaceuticals, Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100001176938","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:37:06.969287+00:00","recorded_at":"2026-06-14T05:37:06.969287+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"58060257-94c6-4746-9304-4f12a41f2409","entity_type":"organization","display_name":"Teva Pharmaceuticals USA, Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000000141","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:49:08.399244+00:00","recorded_at":"2026-06-14T05:49:08.399244+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"36b48fc5-0a2b-4502-924a-0e667cbd5f9c","entity_type":"organization","display_name":"Salix Pharmaceuticals, a division of Bausch Health US, LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598902728","manufacturer_id":"100000226817","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:17:25.022154+00:00","recorded_at":"2026-06-14T06:17:25.022154+00:00"},{"direction":"outbound","edge_type":"owns","neighbor":{"entity_id":"34a11a52-6ba0-4469-8ab2-31e10bc8d67a","entity_type":"organization","display_name":"RATLIFF ENTERPRISES LLC","state":"MO"},"attributes":{"role_code":"72","association_date":"01/14/2025","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"7517012230","source_pk":1936,"type_owner":"I","enrollment_id":"O20021212000016","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"RATLIFF ENTERPRISES LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:14:56.113181+00:00","recorded_at":"2026-06-16T06:14:56.113181+00:00"},{"direction":"outbound","edge_type":"owns","neighbor":{"entity_id":"79b52c23-26e3-45de-afa2-e7110e635ddf","entity_type":"organization","display_name":"CAPE GIRARDEAU I INC","state":"MO"},"attributes":{"role_code":"43","association_date":"01/01/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"7517012230","source_pk":29321,"type_owner":"I","enrollment_id":"O20050608000267","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"CAPE GIRARDEAU I INC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:17:25.007108+00:00","recorded_at":"2026-06-16T06:17:25.007108+00:00"},{"direction":"outbound","edge_type":"owns","neighbor":{"entity_id":"6ce205c2-0cb3-440f-9f7a-ff04c33283c1","entity_type":"organization","display_name":"ELDERCARE OF MARBLE HILL, LLC","state":"MO"},"attributes":{"role_code":"43","association_date":"01/01/2025","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"7517012230","source_pk":86536,"type_owner":"I","enrollment_id":"O20100119000611","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"ELDERCARE OF MARBLE HILL, LLC"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-16T06:22:51.739863+00:00","recorded_at":"2026-06-16T06:22:51.739863+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}