Alyssa Mrsny, PA
Physician Assistant · Dakota Dunes, SDNPI 1366826109
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.2% of the total across 503 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 18.3% — the pattern of someone who eats at a lot of different presentations. Among physician assistant clinicians in SD with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 503 payments — averaging $13.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Johnson & Johnson$955
- Sun Pharmaceutical Industries Inc.$810
- Lilly USA, LLC$651
- Pfizer$630
- Incyte Corporation$546
- plus $2K from 17 others
What the payments were for
- Food & beverage$6,35891%
- Education$6119%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AbbVie(2 entities) | 86 | $1,278 |
| Johnson & Johnson | 52 | $955 |
| Sun Pharmaceutical Industries Inc. | 42 | $810 |
| Lilly USA, LLC | 61 | $651 |
| Pfizer | 98 | $630 |
| Incyte Corporation | 26 | $546 |
| Novartis | 57 | $453 |
| Amgen | 18 | $357 |
| UCB, Inc. | 13 | $238 |
| Sanofi | 9 | $235 |
| E.r. Squibb & Sons, L.L.C. | 12 | $227 |
| Galderma Laboratories, L.p. | 9 | $148 |
| LEO Pharma Inc. | 5 | $108 |
| Sanofi-aventis U.S. LLC | 1 | $80 |
| Regeneron Healthcare Solutions, Inc. | 3 | $65 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $50 |
| Botanix SB Inc | 2 | $45 |
| Organon | 1 | $18 |
| Mimedx Group, Inc. | 1 | $17 |
| Kyowa Kirin, Inc. | 1 | $17 |
| Springworks Therapeutics, Inc. | 1 | $16 |
| Boston Scientific | 1 | $13 |
| Genentech USA, Inc. | 1 | $13 |
How this compares
$6,969 in reported general payments places this provider in the 95th percentile of 548 physician assistant providers in South Dakota.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OtezlaApremilast | 33 | $155,743 |
| XolairOmalizumab | 14 | $39,559 |
| Minocycline Hcl | 99 | $2,939 |
| Ketoconazole | 153 | $2,743 |
| Triamcinolone Acetonide | 92 | $1,596 |
| Clindamycin Phosphate | 25 | $1,257 |
| Tretinoin | 13 | $1,096 |
| Clobetasol Propionate | 24 | $971 |
| Doxycycline Hyclate | 13 | $460 |
| Fluconazole | 27 | $354 |
| Finasteride | 42 | $145 |
| Hydroxyzine Hcl | 17 | $134 |
| Mupirocin | 14 | $117 |
| Spironolactone | 19 | $111 |
| Hydrocortisone | 13 | $33 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AmgenOtezla | $357 | $155,74333 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 548 physician assistant providers in South Dakota.
Other physician assistant in Dakota Dunes
- Stephanie FeltsDakota Dunes$6K
- Emily KruseDakota Dunes$5K
- Amy DietrichDakota Dunes$4K
- Lukas SachauDakota Dunes$3K
- Lindsey SchutteDakota Dunes$2K
- Daniel MooreDakota Dunes$2K
- Kimberly NelsonSioux Falls$11K
- Jordan HeinsRapid City$10K
- Ryanne WaageAberdeen$9K
- Christina PekoskeSioux Falls$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.