Derick Thomas, PA
Physician Assistant · Paducah, KYNPI 1003339920
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 38 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 6 manufacturers reported payments, led by Intrinsic Therapeutics at 53.6% of the total. Reporting peaked in 2024 at $571 and has fallen 54.3% since, to $261 in 2025.
Across 38 payments — averaging $35.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intrinsic Therapeutics$719
- Si-bone, Inc.$292
- Boston Scientific$174
- Amgen$120
- Pfizer$21
- Radius Health, Inc.$15
What the payments were for
- Food & beverage$1,340100%
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 |
|---|---|---|
| Intrinsic Therapeutics | 14 | $719 |
| Si-bone, Inc. | 4 | $292 |
| Boston Scientific | 10 | $174 |
| Amgen(2 entities) | 8 | $120 |
| Pfizer | 1 | $21 |
| Radius Health, Inc. | 1 | $15 |
How this compares
$1,340 in reported general payments places this provider in the 70th percentile of 1,448 physician assistant providers in Kentucky.
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 |
|---|---|---|
| Diclofenac Sodium | 188 | $2,001 |
| Tizanidine Hcl | 43 | $295 |
| Baclofen | 43 | $292 |
| Celecoxib | 16 | $274 |
| Meloxicam | 97 | $199 |
| Cyclobenzaprine Hcl | 18 | $167 |
| Prednisone | 20 | $114 |
| Methylprednisolone | 15 | $79 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Paducah
- Benjamin KirchnerPaducah$19K
- Christopher HodgesPaducah$17K
- Mark BrannonPaducah$11K
- Lisa BufordPaducah$9K
- Brandice HarrisonLexington$745K
- Lauren MeadeLexington$656K
- Melissa DavisLouisville$362K
- Kara MuddLouisville$98K
- Seth KingBowling Green$91K
- Marty MullinsHazard$63K
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.