Cara Herman, PA
Physician Assistant · Annapolis, MDNPI 1831403229
Payments from drug & device makers
Across 206 payments — averaging $21.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$719
- AbbVie$543
- Pfizer$489
- Lilly USA, LLC$489
- Exact Sciences$285
- Astellas Pharma US Inc$256
- plus $2K from 33 others
What the payments were for
- Food & beverage$4,395100%
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 |
|---|---|---|
| Novo Nordisk | 35 | $719 |
| AbbVie | 25 | $543 |
| Pfizer | 23 | $489 |
| Lilly USA, LLC | 27 | $489 |
| Exact Sciences | 11 | $285 |
| Astellas Pharma US Inc | 12 | $256 |
| Boehringer Ingelheim | 10 | $184 |
| Dexcom, Inc. | 5 | $168 |
| Amgen | 8 | $154 |
| Merck | 6 | $147 |
| Si-bone, Inc. | 1 | $99 |
| Sumitomo Pharma America, Inc. | 4 | $86 |
| Abbott | 4 | $65 |
| AstraZeneca | 3 | $62 |
| Idorsia Pharmaceuticals US Inc | 3 | $62 |
| Hologic Sales And Service, LLC | 2 | $46 |
| Esperion Therapeutics, Inc. | 2 | $44 |
| GSK | 2 | $39 |
| Seqirus USA Inc | 2 | $34 |
| Johnson & Johnson | 1 | $33 |
| Novartis | 2 | $29 |
| Sanofi-aventis U.S. LLC | 1 | $27 |
| Sanofi US Services Inc. | 1 | $26 |
| Dynavax Technologies Corporation | 1 | $25 |
| Tactile Systems Technology Inc | 1 | $24 |
| Neos Therapeutics, LP | 1 | $22 |
| Vertical Pharmaceuticals, LLC | 1 | $22 |
| Cequr Corporation | 1 | $22 |
| Axsome Therapeutics, Inc. | 1 | $22 |
| Sanofi Pasteur Inc. | 1 | $22 |
| Amphastar Pharmaceuticals, Inc. | 1 | $21 |
| Amryt Pharma Holdings Ltd | 1 | $19 |
| TMS Neurohealth Centers Inc. | 1 | $19 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| BETA Bionics, Inc. | 1 | $16 |
| Otsuka America Pharmaceutical, Inc. | 1 | $15 |
| Bayer | 1 | $14 |
| Inspire Medical Systems, Inc. | 1 | $14 |
| Xeris Pharmaceuticals, Inc. | 1 | $14 |
How this compares
$4,395 in reported general payments places this provider in the 90th percentile of 2,567 physician assistant providers in Maryland.
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 | 64 | $76,093 |
| EliquisApixaban | 35 | $49,177 |
| LinzessLinaclotide | 17 | $14,184 |
| Ezetimibe | 20 | $3,109 |
| Atorvastatin Calcium | 221 | $2,620 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 25 | $2,369 |
| Rosuvastatin Calcium | 95 | $2,358 |
| Amlodipine Besylate | 215 | $1,917 |
| Losartan Potassium | 134 | $1,839 |
| Doxepin Hcl | 20 | $1,767 |
| Valsartan | 23 | $1,349 |
| Levothyroxine Sodium | 128 | $1,343 |
| Tamsulosin Hcl | 64 | $1,296 |
| SynthroidLevothyroxine Sodium | 16 | $1,191 |
| Pravastatin Sodium | 38 | $1,143 |
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 | $719 | $76,09364 claims |
| PfizerEliquis | $489 | $49,17735 claims |
| AbbVieLinzess, Synthroid | $543 | $15,37533 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 2,567 physician assistant providers in Maryland.
Other physician assistant in Annapolis
- Lisa FoxAnnapolis$26K
- Clifford AmosAnnapolis$21K
- Andrew MarsellaAnnapolis$18K
- Julie CatlinAnnapolis$18K
- Melissa VeneracionAnnapolis$16K
- Nathan TurnerAnnapolis$11K
- Margaret JoyceTowson$220K
- Kara CossisBaltimore$177K
- Michael RitmillerOwings Mills$92K
- Garland JamesSilver Spring$86K
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.