Carolina Ionete, MD
Neurology · Worcester, MANPI 1386650190
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $125,433 of the $144,222 with a category attached, or 87.0%. 11 manufacturers reported payments, led by Sanofi at 45.8% of the total. Reporting peaked in 2021 at $69,942 and has fallen 99.8% since, to $159 in 2025. Among neurology clinicians in MA 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 68 payments — averaging $2120.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$66K
- Sanofi US Services Inc.$64K
- AstraZeneca$4K
- E.r. Squibb & Sons, L.L.C.$4K
- F. Hoffmann-la Roche AG$2K
- EMD Serono, Inc.$2K
- plus $3K from 5 others
Across 216 payments — averaging $10,774 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.
- Genentech, Inc.$2.1M
- Novartis$131K
- Biogen$76K
- Sanofi$23K
- F. Hoffmann-la Roche AG$2K
What the payments were for
- Consulting fees$125,43387%
- Speaking & faculty fees$7,9025%
- Travel & lodging$8,1806%
- Food & beverage$1,6141%
- Education$1,0921%
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 |
|---|---|---|
| Sanofi | 36 | $66,047 |
| Sanofi US Services Inc. | 6 | $64,069 |
| AstraZeneca | 6 | $4,010 |
| E.r. Squibb & Sons, L.L.C. | 3 | $3,917 |
| F. Hoffmann-la Roche AG | 5 | $2,012 |
| EMD Serono, Inc. | 4 | $1,590 |
| Banner Life Sciences, LLC | 1 | $900 |
| Bristol Myers Squibb | 2 | $813 |
| TG Therapeutics, Inc. | 2 | $713 |
| Genentech USA, Inc. | 2 | $112 |
| Genentech, Inc. | 1 | $38 |
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
$144,222 in reported general payments places this provider in the 95th percentile of 761 neurology providers in Massachusetts.
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 |
|---|---|---|
| CopaxoneGlatiramer Acetate | 41 | $239,252 |
| Kesimpta PenOfatumumab | 14 | $118,738 |
| Avonex Pen (4 Pack)Interferon Beta-1a | 13 | $105,307 |
| Glatiramer Acetate | 30 | $67,208 |
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 28 | $65,991 |
| Emgality PenGalcanezumab-Gnlm | 12 | $12,626 |
| UbrelvyUbrogepant | 11 | $11,247 |
| Dalfampridine ErDalfampridine | 30 | $10,394 |
| Baclofen | 113 | $2,935 |
| Modafinil | 40 | $1,467 |
| Gabapentin | 91 | $1,259 |
| Pregabalin | 12 | $656 |
| Nortriptyline Hcl | 27 | $403 |
| Carbamazepine | 12 | $393 |
| Duloxetine Hcl | 14 | $324 |
Paid to pharmacies, not to this prescriber.
Other neurology in Worcester
- Herbert MarkleyWorcester$183K
- Christopher WrightBoston$2.5M
- Shivang JoshiWestborough$1.2M
- Egilius SpieringsWellesley Hills$680K
- Thomas ScammellBoston$617K
- Salvatore NapoliFoxboro$613K
- Alfred SandrockBoston$490K
- Joshua KatzWellesley$462K
- Guy BuckleBrookline$450K
- Pushpa NarayanaswamiBoston$420K
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.