Elizabeth Hester, PA
Physician Assistant · North Chesterfield, VANPI 1205219573
Payments from drug & device makers
Across 315 payments — averaging $32.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Verrica Pharmaceuticals Inc.$4K
- Johnson & Johnson$1K
- AbbVie$801
- Sanofi$543
- Arcutis Biotherapeutics, Inc.$502
- Novartis$401
- plus $3K from 18 others
What the payments were for
- Speaking & faculty fees$3,50034%
- Travel & lodging$4985%
- Food & beverage$5,47453%
- Education$7738%
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 |
|---|---|---|
| Verrica Pharmaceuticals Inc. | 12 | $4,347 |
| Johnson & Johnson | 45 | $1,136 |
| AbbVie(2 entities) | 46 | $801 |
| Sanofi | 22 | $543 |
| Arcutis Biotherapeutics, Inc. | 64 | $502 |
| Novartis | 17 | $401 |
| Pfizer | 19 | $341 |
| Incyte Corporation | 14 | $320 |
| Sun Pharmaceutical Industries Inc. | 9 | $258 |
| LEO Pharma Inc. | 10 | $214 |
| Amgen | 7 | $198 |
| E.r. Squibb & Sons, L.L.C. | 10 | $173 |
| Lilly USA, LLC | 8 | $150 |
| UCB, Inc. | 6 | $144 |
| Regeneron Healthcare Solutions, Inc. | 6 | $129 |
| Janssen Scientific Affairs, LLC | 1 | $111 |
| Regeneron | 1 | $100 |
| Galderma Laboratories, L.p. | 6 | $89 |
| Sanofi-aventis U.S. LLC | 1 | $80 |
| Dermavant Sciences, Inc. | 3 | $59 |
| Organon | 4 | $57 |
| VYNE Pharmaceuticals Inc. | 1 | $45 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $37 |
| Almirall LLC | 1 | $13 |
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
$10,245 in reported general payments places this provider in the 95th percentile of 3,376 physician assistant providers in Virginia.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 21 | $145,102 |
| Dupixent SyringeDupilumab | 12 | $52,913 |
| Clobetasol Propionate | 120 | $4,450 |
| Fluorouracil | 17 | $1,348 |
| Doxycycline Hyclate | 56 | $1,011 |
| Ketoconazole | 56 | $931 |
| Clindamycin Phosphate | 35 | $896 |
| Betamethasone Dipropionate | 23 | $758 |
| Triamcinolone Acetonide | 85 | $754 |
| Metronidazole | 15 | $680 |
| Gentamicin Sulfate | 14 | $660 |
| Doxycycline Monohydrate | 18 | $291 |
| Mupirocin | 36 | $281 |
| Mometasone Furoate | 20 | $261 |
| Lamotrigine | 14 | $250 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in North Chesterfield
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
- Jameka McElroy-BrooklynArlington$65K
- Hillary HartungNorfolk$62K
- Juliette BeristainVirginia Beach$54K
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.