Ernestina Agresti, DO
Family Medicine · Roseville, CANPI 1558432021
Payments from drug & device makers
Across 148 payments — averaging $15.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$396
- AbbVie$373
- GSK$259
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$184
- Amgen$172
- AstraZeneca$140
- plus $777 from 28 others
What the payments were for
- Food & beverage$2,302100%
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 |
|---|---|---|
| Lilly USA, LLC | 23 | $396 |
| AbbVie(2 entities) | 31 | $373 |
| GSK | 17 | $259 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $184 |
| Amgen | 10 | $172 |
| AstraZeneca | 9 | $140 |
| Kowa Pharmaceuticals America, Inc. | 6 | $94 |
| Johnson & Johnson | 3 | $66 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $60 |
| Exact Sciences | 3 | $47 |
| Merck | 3 | $45 |
| Novartis | 3 | $44 |
| Vertex | 2 | $37 |
| Collegium Pharmaceutical, Inc. | 2 | $32 |
| Boehringer Ingelheim | 2 | $31 |
| Aimmune Therapeutics, Inc. | 2 | $31 |
| Lundbeck LLC | 1 | $25 |
| Abbott | 1 | $24 |
| Biohaven Pharmaceuticals, Inc. | 1 | $20 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $19 |
| Pfizer | 1 | $18 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Mayne Pharma Commercial LLC | 1 | $16 |
| Alfasigma USA, Inc. | 1 | $16 |
| Intra-sana Laboratories | 1 | $15 |
| Sanofi | 1 | $15 |
| Boston Scientific | 1 | $15 |
| Nevro Corp. | 1 | $13 |
| Philips North America LLC | 1 | $13 |
| Amarin Pharma, Inc. | 1 | $12 |
| IBSA Pharma Inc. | 1 | $12 |
| Forte Bio-pharma LLC | 1 | $11 |
| GRT US Holding, Inc. | 1 | $10 |
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.
- KISUNLA$114
How this compares
$2,302 in reported general payments places this provider in the 80th percentile of 10,533 family medicine providers in California.
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 |
|---|---|---|
| EliquisApixaban | 93 | $95,322 |
| OzempicSemaglutide | 70 | $92,980 |
| MounjaroTirzepatide | 50 | $54,442 |
| JanuviaSitagliptin Phosphate | 22 | $30,447 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 29 | $24,176 |
| CreonLipase/Protease/Amylase | 11 | $23,059 |
| JardianceEmpagliflozin | 12 | $17,792 |
| MyrbetriqMirabegron | 19 | $17,720 |
| XareltoRivaroxaban | 19 | $17,165 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 555 | $17,026 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 27 | $15,741 |
| Buprenorphine | 35 | $10,973 |
| Advair HfaFluticasone Propion/Salmeterol | 16 | $6,892 |
| Rosuvastatin Calcium | 264 | $6,643 |
| Breo ElliptaFluticasone/Vilanterol | 11 | $6,614 |
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 |
|---|---|---|
| PfizerEliquis | $18 | $95,32293 claims |
| Lilly USA, LLCMounjaro | $396 | $54,44250 claims |
| AbbVieCreon, Linzess, Synthroid | $373 | $33,80466 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $259 | $30,79040 claims |
| MerckJanuvia | $45 | $30,44722 claims |
| Boehringer IngelheimJardiance | $31 | $17,79212 claims |
| Johnson & JohnsonXarelto | $66 | $17,16519 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 80th percentile of 10,533 family medicine providers in California.
Other family medicine in Roseville
- Amina HaggagNorthridge$112.8M
- Steven ReynoldsLong Beach$53M
- Rizwana MohseniLake Forest$26.7M
- Daniel JohnsonSan Diego$15.7M
- Stacey LayleSan Diego$14.8M
- Apinya VutikullirdCypress$14.3M
- Hanid AudishSpring Valley$13.6M
- Augusto FocilOxnard$12.6M
- Jack VuLong Beach$10.1M
- Suzanne FussellOxnard$8.9M
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.