Audrey Lastra, PA
Medical · New Haven, CTNPI 1104105600
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,408 of the $13,174 with a category attached, or 86.6%. It is spread thinly across 33 manufacturers, the largest accounting for just 20.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $5,625, more than ten times the $395 reported in 2021. Among medical clinicians in CT 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 406 payments — averaging $32.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$3K
- AbbVie$2K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$1K
- Madrigal Pharmaceuticals$897
- Phathom Pharmaceuticals, Inc.$771
- plus $5K from 27 others
What the payments were for
- Consulting fees$1,56012%
- Food & beverage$11,40887%
- Education$2062%
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 |
|---|---|---|
| Johnson & Johnson | 35 | $2,749 |
| AbbVie | 90 | $1,968 |
| Takeda Pharmaceuticals U.S.A., Inc. | 40 | $1,185 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 35 | $1,011 |
| Madrigal Pharmaceuticals | 10 | $897 |
| Phathom Pharmaceuticals, Inc. | 27 | $771 |
| Ardelyx, Inc. | 27 | $611 |
| Sanofi | 18 | $606 |
| Bristol Myers Squibb | 16 | $448 |
| Gilead | 15 | $415 |
| Novo Nordisk | 3 | $274 |
| Intercept Pharmaceuticals, Inc. | 10 | $271 |
| Pfizer | 19 | $258 |
| Regeneron Healthcare Solutions, Inc. | 6 | $246 |
| E.r. Squibb & Sons, L.L.C. | 3 | $242 |
| Lilly USA, LLC | 6 | $231 |
| Ironwood Pharmaceuticals, Inc | 10 | $200 |
| Ferring Pharmaceuticals Inc. | 8 | $164 |
| Evoke Pharma, Inc. | 8 | $138 |
| QOL Medical, LLC | 2 | $65 |
| Aimmune Therapeutics, Inc. | 2 | $63 |
| Braintree Laboratories, Inc. | 3 | $54 |
| Exact Sciences | 2 | $54 |
| Celltrion USA Inc. | 2 | $46 |
| Ipsen Biopharmaceuticals, Inc | 1 | $29 |
| Orphalan Inc | 1 | $26 |
| Mallinckrodt Hospital Products Inc. | 1 | $23 |
| Janssen Scientific Affairs, LLC | 1 | $23 |
| Mirum Pharmaceuticals, Inc. | 1 | $22 |
| Amgen | 1 | $22 |
| Digestive Care, Inc. | 1 | $22 |
| Fujifilm Healthcare Americas Corporation | 1 | $20 |
| Nestle Healthcare Nutrition Inc. | 1 | $19 |
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.
How this compares
$13,174 in reported general payments places this provider in the 95th percentile of 592 medical providers in Connecticut.
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 |
|---|---|---|
| CreonLipase/Protease/Amylase | 15 | $72,362 |
| LinzessLinaclotide | 45 | $53,300 |
| IbsrelaTenapanor Hcl | 16 | $46,346 |
| TrulancePlecanatide | 29 | $21,260 |
| VoqueznaVonoprazan Fumarate | 18 | $18,533 |
| Dexlansoprazole DrDexlansoprazole | 21 | $8,961 |
| Mesalamine | 24 | $8,321 |
| Esomeprazole Magnesium | 55 | $5,995 |
| Omeprazole | 265 | $4,858 |
| Budesonide DrBudesonide | 12 | $4,504 |
| Budesonide EcBudesonide | 16 | $4,026 |
| PlenvuPeg3350/Sod Sul/Nacl/Kcl/Asb/C | 24 | $3,374 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 60 | $3,340 |
| SutabSod Sulf/Pot Chloride/Mag Sulf | 18 | $2,941 |
| Sucralfate | 18 | $2,609 |
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 |
|---|---|---|
| AbbVieCreon, Linzess | $1,968 | $125,66260 claims |
| Ardelyx, Inc.Ibsrela | $611 | $46,34616 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCTrulance, Plenvu | $1,011 | $24,63453 claims |
| Phathom Pharmaceuticals, Inc.Voquezna | $771 | $18,53318 claims |
| Braintree Laboratories, Inc.Sutab | $54 | $2,94118 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 592 medical providers in Connecticut.
Other medical in New Haven
- Gregory RauNew Haven$211K
- Ryan DonovanNew Haven$75K
- Melissa FairbairnNew Haven$11K
- Kyla RedwoodNew Haven$9K
- Anna RodonskiNew Haven$7K
- Michael SchultzNew Haven$5K
- Breana BrehmNew Haven$5K
- Andrew TurczakNew Haven$5K
- Shilpa DesaiStamford$215K
- John JasinskiNorwalk$185K
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.