April Herd, PA
Medical · Fresno, CANPI 1811093826
Payments from drug & device makers
Across 405 payments — averaging $20.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$796
- Dexcom, Inc.$764
- Lilly USA, LLC$721
- Abbott$625
- AstraZeneca$607
- Bayer$564
- plus $4K from 32 others
What the payments were for
- Food & beverage$8,44299%
- Gifts$591%
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 |
|---|---|---|
| Medtronic | 19 | $796 |
| Dexcom, Inc. | 29 | $764 |
| Lilly USA, LLC | 55 | $721 |
| Abbott | 51 | $625 |
| AstraZeneca(2 entities) | 24 | $607 |
| Bayer | 27 | $564 |
| Boehringer Ingelheim | 29 | $535 |
| Amgen(2 entities) | 14 | $502 |
| Novo Nordisk | 28 | $480 |
| Tandem Diabetes Care, Inc. | 9 | $322 |
| Sanofi-aventis U.S. LLC | 18 | $320 |
| AbbVie | 12 | $264 |
| Mannkind Corporation | 13 | $262 |
| Insulet Corporation | 14 | $236 |
| Radius Health, Inc. | 5 | $228 |
| Xeris Pharmaceuticals, Inc. | 11 | $190 |
| Recordati_rare_diseases_inc. | 2 | $122 |
| Corcept Therapeutics | 4 | $106 |
| IBSA Pharma Inc. | 5 | $93 |
| Ascensia Diabetes Care US Inc. | 4 | $90 |
| Ipsen Biopharmaceuticals, Inc | 3 | $67 |
| Nevro Corp. | 2 | $65 |
| Antares Pharma, Inc. | 3 | $63 |
| Ultragenyx Pharmaceutical Inc. | 3 | $61 |
| Kyowa Kirin, Inc. | 3 | $59 |
| Pfizer | 2 | $46 |
| Halozyme Inc | 2 | $44 |
| Lifescan, Inc. | 2 | $40 |
| Esperion Therapeutics, Inc. | 2 | $33 |
| BD | 2 | $33 |
| Cequr Corporation | 1 | $30 |
| Amarin Pharma, Inc. | 1 | $24 |
| Vistapharm, Inc. | 1 | $23 |
| Zealand Pharma US, Inc. | 1 | $23 |
| EUSA Pharma (US) LLC | 1 | $22 |
| Acella Pharmaceuticals, LLC | 1 | $16 |
| Amryt Pharma Holdings Ltd | 1 | $15 |
| Bigfoot Biomedical Inc | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- MINIMED 780G$353
- MINIMED 770G$207
- FARXIGA$125
- EVENITY$125
- Tymlos$122
- Repatha$122
- t-slim insulin pump$121
- MOUNJARO$120
- FreeStyle Libre 2$111
- DEXCOM G7 GSS (161)$107
- Kerendia$100
How this compares
$8,501 in reported general payments places this provider in the 90th percentile of 2,087 medical providers in California.
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 |
|---|---|---|
| OzempicSemaglutide | 556 | $1,011,098 |
| JardianceEmpagliflozin | 387 | $476,731 |
| MounjaroTirzepatide | 297 | $398,763 |
| FarxigaDapagliflozin Propanediol | 195 | $218,633 |
| TrulicityDulaglutide | 128 | $211,716 |
| RybelsusSemaglutide | 78 | $168,797 |
| Humalog Kwikpen U-200Insulin Lispro | 32 | $125,050 |
| Tresiba Flextouch U-200Insulin Degludec | 80 | $87,762 |
| Humalog Kwikpen U-100Insulin Lispro | 182 | $68,628 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 58 | $55,849 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 44 | $55,018 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 264 | $45,630 |
| JanuviaSitagliptin Phosphate | 42 | $45,224 |
| Teriparatide | 21 | $38,706 |
| Novolog FlexpenInsulin Aspart | 90 | $37,644 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus, Novolog | $480 | $1,195,703668 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $721 | $633,161485 claims |
| Boehringer IngelheimJardiance, Tradjenta | $535 | $506,920408 claims |
| AstraZenecaFarxiga | $607 | $218,633195 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $320 | $29,48319 claims |
| AbbVieSynthroid | $264 | $16,936162 claims |
| BayerKerendia | $564 | $10,93613 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 90th percentile of 2,087 medical providers in California.
Other medical in Fresno
- David PenaFresno$18K
- Nicola LowreyOrange$655K
- Justin LoveLoma Linda$553K
- David DoriguzziLancaster$514K
- Alison GracomIrvine$467K
- Jeffrey BonnaudLos Angeles$314K
- Ana TorresLaguna Beach$229K
- Heather ParlettRedlands$168K
- Deirdre MoxleyFullerton$149K
- Tri leGardena$127K
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.