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Zest Holdings, LLC: payments to doctors

Reported under the Physician Payments Sunshine Act for Open Payments program years 20192025. Figures group every CMS reporting entity belonging to this corporate parent.

Total reported
$2.5M
Providers paid
2,027
Transactions
3,439
Average per transaction
$734

The average per transaction — $734 — is the number worth reading. A large total spread across hundreds of thousands of transactions is a company buying a great many modest meals at educational presentations. A large total across few transactions means consulting, speaking or royalty arrangements with a small number of physicians. The totals alone do not distinguish them.

Where the money went

StateTotal reportedShare
Oklahoma$751,63629.8%
Texas$611,33324.2%
Nevada$343,32013.6%
California$238,0339.4%
Florida$160,8206.4%
Utah$120,2624.8%
Ohio$64,2392.5%
Arizona$52,8782.1%
Maine$27,7231.1%
New York$24,8711.0%
Georgia$24,4781.0%
Arkansas$23,3680.9%
Kentucky$10,5130.4%
Minnesota$10,4910.4%
Illinois$6,5120.3%
Virginia$5,3620.2%
Pennsylvania$5,2570.2%
Michigan$4,9890.2%
Hawaii$4,6060.2%
Missouri$3,6480.1%
Washington$3,6280.1%
Maryland$3,5540.1%
Massachusetts$3,2420.1%
Colorado$3,1580.1%
South Carolina$2,6980.1%
Alabama$2,2020.1%
Oregon$1,6210.1%
North Carolina$1,3920.1%
Tennessee$1,3660.1%
Connecticut$1,1690.0%
New Jersey$9590.0%
Louisiana$9040.0%
Kansas$8880.0%
Indiana$5510.0%
West Virginia$4450.0%
Mississippi$4420.0%
New Mexico$3860.0%
Idaho$3800.0%
Wisconsin$3520.0%
Rhode Island$1500.0%
Nebraska$1410.0%
Delaware$940.0%
New Hampshire$790.0%
Alaska$480.0%
Iowa$420.0%
Puerto Rico$180.0%
North Dakota$140.0%
South Dakota$120.0%
← All reporting companies