Dania Manigat, APRN
Adult Health · Lake Mary, FLNPI 1336750793
Payments from drug & device makers
Across 131 payments — averaging $27.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$760
- BETA Bionics, Inc.$411
- Sanofi-aventis U.S. LLC$278
- Medtronic$261
- Novo Nordisk$247
- Bayer$226
- plus $1K from 23 others
What the payments were for
- Food & beverage$3,664100%
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 |
|---|---|---|
| Amgen | 24 | $760 |
| BETA Bionics, Inc. | 6 | $411 |
| Sanofi-aventis U.S. LLC | 7 | $278 |
| Medtronic | 12 | $261 |
| Novo Nordisk | 9 | $247 |
| Bayer | 10 | $226 |
| Boehringer Ingelheim | 5 | $203 |
| Tandem Diabetes Care, Inc. | 5 | $186 |
| Lilly USA, LLC | 9 | $186 |
| Amneal Pharmaceuticals LLC | 8 | $158 |
| Recordati_rare_diseases_inc. | 4 | $87 |
| Cequr Corporation | 1 | $82 |
| AbbVie | 4 | $81 |
| Ascendis Pharma Endocrinology Inc | 3 | $78 |
| Xeris Pharmaceuticals, Inc. | 4 | $77 |
| Halozyme Inc | 3 | $49 |
| Nevro Corp. | 2 | $38 |
| Insulet Corporation | 2 | $33 |
| Vivus LLC | 2 | $33 |
| Acella Pharmaceuticals, LLC | 2 | $30 |
| GSK | 1 | $25 |
| Ascensia Diabetes Care US Inc. | 1 | $22 |
| Abbott | 1 | $22 |
| Mannkind Corporation | 1 | $18 |
| Corcept Therapeutics | 1 | $16 |
| Tolmar, Inc. | 1 | $15 |
| Averitas Pharma Inc. | 1 | $14 |
| Sanofi Pasteur Inc. | 1 | $14 |
| Antares Pharma, Inc. | 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.
- iLet Bionic Pancreas$936
- TEPEZZA$236
- Prolia$125
- TZIELD$121
- JARDIANCE$113
- Ozempic$112
- Repatha$111
- t:slim X2 Insulin Pump with Control-IQ$101
How this compares
$3,664 in reported general payments places this provider in the 85th percentile of 2,237 adult health providers in Florida.
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 | 170 | $224,327 |
| JardianceEmpagliflozin | 193 | $221,602 |
| MounjaroTirzepatide | 86 | $134,316 |
| TrulicityDulaglutide | 62 | $85,373 |
| RybelsusSemaglutide | 41 | $50,718 |
| JanuviaSitagliptin Phosphate | 31 | $38,459 |
| FarxigaDapagliflozin Propanediol | 33 | $31,159 |
| Tresiba Flextouch U-100Insulin Degludec | 54 | $29,269 |
| Tresiba Flextouch U-200Insulin Degludec | 31 | $26,893 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $19,404 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 14 | $18,699 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 22 | $14,690 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 13 | $13,388 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 90 | $10,861 |
| NovologInsulin Aspart | 15 | $10,520 |
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, Rybelsus, Novolog | $247 | $285,564226 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $186 | $225,412167 claims |
| Boehringer IngelheimJardiance | $203 | $221,602193 claims |
| AbbVieSynthroid | $81 | $5,75474 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium, Unithroid | $158 | $2,827184 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 85th percentile of 2,237 adult health providers in Florida.
Other adult health in Lake Mary
- Richard Whetzel SchillLake Mary$23K
- Patricia PagnottaMaitland$441K
- Carly KoelschSarasota$265K
- Norma SolisMiami$150K
- Ashley PontenbergWinter Park$136K
- Jeffrey HernandezMiami$122K
- Jamie JohnsonTampa$58K
- Jessica MangesClearwater$52K
- Sita SwamyOrlando$49K
- Alejandro Dela CruzOrlando$44K
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.