Brett Horst, PA
Physician Assistant · Oklahoma City, OKNPI 1891764197
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Nalu Medical, Inc. accounts for 89.6% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2021 at $4,422 and has fallen 99.5% since, to $21 in 2025. Among physician assistant clinicians in OK with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 60 payments — averaging $109.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nalu Medical, Inc.$6K
- Cerapedics Inc.$170
- Intrinsic Therapeutics$104
- Lundbeck LLC$90
- AbbVie$57
- Orthofix Medical, Inc.$41
- plus $221 from 10 others
Across 2 payments — averaging $3662.50 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Nalu Medical, Inc.$7K
What the payments were for
- Consulting fees$3,85058%
- Travel & lodging$3345%
- Food & beverage$2,39536%
- Education$70%
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 |
|---|---|---|
| Nalu Medical, Inc. | 35 | $5,903 |
| Cerapedics Inc. | 2 | $170 |
| Intrinsic Therapeutics | 1 | $104 |
| Lundbeck LLC | 4 | $90 |
| AbbVie | 3 | $57 |
| Orthofix Medical, Inc. | 2 | $41 |
| Teva Pharmaceuticals USA, Inc. | 2 | $40 |
| Pfizer | 2 | $32 |
| Otsuka America Pharmaceutical, Inc. | 2 | $30 |
| Pacira Pharmaceuticals Incorporated | 1 | $21 |
| Medtronic | 1 | $20 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $19 |
| Vertex | 1 | $18 |
| Collegium Pharmaceutical, Inc. | 1 | $15 |
| Antares Pharma, Inc. | 1 | $14 |
| Solventum Corporation | 1 | $14 |
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
$6,585 in reported general payments places this provider in the 90th percentile of 1,491 physician assistant providers in Oklahoma.
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 |
|---|---|---|
| Cyclobenzaprine Hcl | 33 | $703 |
| Tizanidine Hcl | 44 | $545 |
| Gabapentin | 22 | $312 |
| Baclofen | 13 | $119 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Oklahoma City
- Jennifer SmithOklahoma City$134K
- Sarah HawkOklahoma City$23K
- Brooke CromerOklahoma City$14K
- Mary Jane RorickOklahoma City$14K
- Alma HintzeOklahoma City$14K
- Emily McLainOklahoma City$13K
- Deniz AktasOklahoma City$13K
- Jovonne SmithOklahoma City$12K
- Anthony SharpOklahoma City$11K
- Whitney PriceOklahoma City$11K
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.