Christina Nagle
Physician Assistant · Neenah, WINPI 1902433477
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $14,244 of the $18,336 with a category attached, or 77.7%. Medtronic accounts for 70.4% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $10,201, more than ten times the $6 reported in 2021. Among physician assistant clinicians in WI 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 71 payments — averaging $258.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$13K
- Tandem Diabetes Care, Inc.$5K
- BETA Bionics, Inc.$252
- Boehringer Ingelheim$125
- Dexcom, Inc.$116
- Insulet Corporation$108
- plus $46 from 3 others
What the payments were for
- Speaking & faculty fees$14,24478%
- Travel & lodging$2,46913%
- Food & beverage$1,6229%
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 |
|---|---|---|
| Medtronic | 46 | $12,902 |
| Tandem Diabetes Care, Inc. | 12 | $4,787 |
| BETA Bionics, Inc. | 7 | $252 |
| Boehringer Ingelheim | 1 | $125 |
| Dexcom, Inc. | 1 | $116 |
| Insulet Corporation | 1 | $108 |
| Novo Nordisk | 1 | $21 |
| Sequel Med Tech, LLC | 1 | $19 |
| Genentech USA, Inc. | 1 | $6 |
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.
- MINIMED 780G$12,273
- t:slim X2 Insulin Pump with Control-IQ$4,733
- JARDIANCE$125
- DEXCOM G6 TRANSMITTER$116
- Omnipod$108
How this compares
$18,336 in reported general payments places this provider in the 95th percentile of 2,804 physician assistant providers in Wisconsin.
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 | 235 | $282,269 |
| JardianceEmpagliflozin | 261 | $267,006 |
| TrulicityDulaglutide | 222 | $244,198 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 76 | $100,088 |
| MounjaroTirzepatide | 73 | $90,198 |
| Tresiba Flextouch U-100Insulin Degludec | 54 | $57,926 |
| Tresiba Flextouch U-200Insulin Degludec | 24 | $43,023 |
| Humalog Kwikpen U-200Insulin Lispro | 15 | $39,631 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 27 | $37,621 |
| FarxigaDapagliflozin Propanediol | 34 | $33,156 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 185 | $29,398 |
| Humalog Kwikpen U-100Insulin Lispro | 46 | $24,015 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 60 | $23,660 |
| Novolog FlexpenInsulin Aspart | 75 | $22,489 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 24 | $22,303 |
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, Novolog | $21 | $287,793261 claims |
| Boehringer IngelheimJardiance | $125 | $267,006261 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 2,804 physician assistant providers in Wisconsin.
Other physician assistant in Neenah
- David KuphalNeenah$17K
- Roopa AchuriNeenah$10K
- Sara HollandMadison$189K
- Lisa SershonMilwaukee$182K
- Sarah VicariFranklin$120K
- Jessica SzpakBaraboo$95K
- Amy BurmeschMenomonee Falls$79K
- Eric GoddeyneGreen Bay$61K
- Charnai SherryMilwaukee$45K
- Victoria MaloneyWauwatosa$28K
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.