Bethany Sirianni-Jones
Physician Assistant · Lewiston, NYNPI 1124527023
Payments from drug & device makers
Across 422 payments — averaging $17.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$855
- Lilly USA, LLC$786
- GSK$678
- Novo Nordisk$611
- Pfizer$541
- Takeda Pharmaceuticals U.S.A., Inc.$396
- plus $3K from 33 others
What the payments were for
- Food & beverage$7,197100%
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 |
|---|---|---|
| Boehringer Ingelheim | 48 | $855 |
| Lilly USA, LLC | 49 | $786 |
| GSK | 43 | $678 |
| Novo Nordisk | 40 | $611 |
| Pfizer | 36 | $541 |
| Takeda Pharmaceuticals U.S.A., Inc. | 23 | $396 |
| Bayer | 17 | $280 |
| AbbVie | 13 | $276 |
| Vanda Pharmaceuticals Inc. | 16 | $255 |
| Otsuka America Pharmaceutical, Inc. | 9 | $186 |
| Amgen | 10 | $183 |
| Merck | 9 | $175 |
| Shield Therapeutics Inc | 10 | $166 |
| E.r. Squibb & Sons, L.L.C. | 9 | $158 |
| Exact Sciences | 8 | $154 |
| Amarin Pharma, Inc. | 9 | $154 |
| Novartis | 8 | $147 |
| Kowa Pharmaceuticals America, Inc. | 9 | $147 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 6 | $127 |
| AstraZeneca(2 entities) | 7 | $123 |
| Phathom Pharmaceuticals, Inc. | 5 | $95 |
| Astellas Pharma US Inc | 4 | $90 |
| UCB, Inc. | 4 | $86 |
| GE HealthCare | 5 | $64 |
| Edwards Lifesciences | 2 | $58 |
| Xeris Pharmaceuticals, Inc. | 3 | $49 |
| Boston Scientific | 2 | $47 |
| Mylan Specialty L.p. | 3 | $44 |
| Lundbeck LLC | 2 | $39 |
| Optinose US, Inc. | 2 | $36 |
| Verona Pharma, Inc. | 2 | $34 |
| Averitas Pharma Inc. | 1 | $26 |
| Johnson & Johnson | 2 | $26 |
| Banner Life Sciences, LLC | 1 | $21 |
| Gilead | 1 | $20 |
| Esperion Therapeutics, Inc. | 1 | $20 |
| Corcept Therapeutics | 1 | $19 |
| Sumitomo Pharma America, Inc. | 1 | $18 |
| Metacel Pharmaceuticals LLC | 1 | $8 |
How this compares
$7,197 in reported general payments places this provider in the 95th percentile of 11,358 physician assistant providers in New York.
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 |
|---|---|---|
| EliquisApixaban | 109 | $131,393 |
| MounjaroTirzepatide | 68 | $78,859 |
| OzempicSemaglutide | 52 | $50,084 |
| JardianceEmpagliflozin | 59 | $42,639 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 41 | $33,628 |
| XareltoRivaroxaban | 24 | $28,157 |
| TrulicityDulaglutide | 20 | $22,865 |
| JanuviaSitagliptin Phosphate | 13 | $15,626 |
| FarxigaDapagliflozin Propanediol | 15 | $15,355 |
| VascepaIcosapent Ethyl | 19 | $9,889 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 14 | $8,688 |
| TradjentaLinagliptin | 13 | $7,835 |
| Tresiba Flextouch U-100Insulin Degludec | 11 | $7,702 |
| BrilintaTicagrelor | 13 | $5,466 |
| Atorvastatin Calcium | 432 | $4,787 |
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 |
|---|---|---|
| PfizerEliquis, Paxlovid | $541 | $132,740122 claims |
| Lilly USA, LLCMounjaro, Trulicity | $786 | $101,72588 claims |
| Boehringer IngelheimJardiance, Tradjenta | $855 | $50,47472 claims |
| Novo NordiskOzempic | $611 | $50,08452 claims |
| GSKTrelegy Ellipta | $678 | $33,62841 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Brilinta | $123 | $29,50942 claims |
| Johnson & JohnsonXarelto | $26 | $28,15724 claims |
| MerckJanuvia | $175 | $15,62613 claims |
| AbbVieSynthroid | $276 | $3,66637 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 11,358 physician assistant providers in New York.
Other physician assistant in Lewiston
- Henry YuBronx$1M
- Michael AsbachAmherst$962K
- Janelle BunceJamestown$565K
- Kristyl Cuenca-SiskoNew York$478K
- Melissa WhiteGarden City$320K
- Lawrence HermanHolbrook$315K
- Kaitlyn NelsonBrooklyn$289K
- Sari KatzGarden City$271K
- Julius NwosuBronx$256K
- Cameron KiserNew York$225K
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.