David Gsell, PA
Physician Assistant · New Orleans, LANPI 1073095717
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.0%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 6 manufacturers reported payments, led by Avita Medical Americas, LLC at 58.1% of the total. Reporting peaked in 2023 at $10,066 and has fallen 98.8% since, to $121 in 2025. Among physician assistant clinicians in LA 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 79 payments — averaging $325.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Avita Medical Americas, LLC$15K
- Smith+Nephew$10K
- Polynovo North America LLC$910
- Integra Lifesciences Corporation$165
- KCI USA, Inc.$42
- Urgo Medical North America, LLC$16
What the payments were for
- Consulting fees$11,31444%
- Speaking & faculty fees$8,07531%
- Travel & lodging$4,53418%
- Food & beverage$1,7747%
- Education$420%
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 |
|---|---|---|
| Avita Medical Americas, LLC | 24 | $14,945 |
| Smith+Nephew | 27 | $9,662 |
| Polynovo North America LLC | 23 | $910 |
| Integra Lifesciences Corporation | 3 | $165 |
| KCI USA, Inc. | 1 | $42 |
| Urgo Medical North America, LLC | 1 | $16 |
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.
- RECELL$14,603
- Oasis$9,339
- COLLAGENASE SANTYL$9,339
- Versajet$9,339
- ACTICOAT 4" X 4"$8,457
- INTEGRA$409
- Novosorb BTM$315
- INTEGRA DERMAL REGENERATION TEMPLATE$136
- PRIMATRIX$136
How this compares
$25,739 in reported general payments places this provider in the 95th percentile of 1,246 physician assistant providers in Louisiana.
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 |
|---|---|---|
| Gabapentin | 23 | $558 |
| Oxycodone Hcl | 25 | $69 |
| Hydroxyzine Pamoate | 20 | $52 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in New Orleans
- Jefferson OberleNew Orleans$66K
- Jennifer ScheuermannNew Orleans$56K
- Elizabeth ClementNew Orleans$35K
- Nakia BrooksNew Orleans$25K
- Sydney TsenNew Orleans$16K
- Stephanie EscheteNew Orleans$9K
- Rija AmirNew Orleans$7K
- Emily EstopinalNew Orleans$6K
- Shelly EsnardBaton Rouge$141K
- Claire DarreJefferson$50K
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.