Francisco Fiol
Physician Assistant · Loganville, GANPI 1265073894
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.9% of the total across 737 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 59 manufacturers, the largest accounting for just 12.2% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $6,434, 3.1 times the $2,054 reported in 2021. Among physician assistant clinicians in GA 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 737 payments — averaging $21.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Neurocrine Biosciences, Inc.$806
- UCB, Inc.$792
- Neurelis, Inc.$720
- Catalyst Pharmaceuticals, Inc.$685
- Axsome Therapeutics, Inc.$670
- plus $10K from 53 others
What the payments were for
- Speaking & faculty fees$790%
- Food & beverage$15,74999%
- Education$911%
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.
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
$15,919 in reported general payments places this provider in the 95th percentile of 3,581 physician assistant providers in Georgia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| NuedextaDextromethorphan Hbr/Quinidine | 12 | $32,958 |
| QuliptaAtogepant | 18 | $32,406 |
| Aimovig AutoinjectorErenumab-Aooe | 36 | $32,037 |
| Nurtec OdtRimegepant Sulfate | 18 | $25,873 |
| UbrelvyUbrogepant | 19 | $22,452 |
| BotoxOnabotulinumtoxina | 12 | $14,566 |
| NeuproRotigotine | 11 | $12,047 |
| FycompaPerampanel | 13 | $11,364 |
| Lacosamide | 16 | $4,207 |
| Memantine Hcl ErMemantine Hcl | 28 | $4,168 |
| Memantine Hcl | 151 | $3,950 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 69 | $3,916 |
| Pyridostigmine Bromide | 14 | $2,944 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 53 | $2,769 |
| Gabapentin | 150 | $2,668 |
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 |
|---|---|---|
| AbbVieQulipta, Ubrelvy, Botox | $1,940 | $69,42449 claims |
| Avanir Pharmaceuticals, Inc.Nuedexta | $21 | $32,95812 claims |
| PfizerNurtec Odt | $653 | $25,87318 claims |
| UCB, Inc.Neupro | $792 | $12,04711 claims |
| Eisai Inc.Fycompa | $382 | $11,36413 claims |
| Amneal Pharmaceuticals LLCPyridostigmine Bromide | $219 | $2,94414 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 95th percentile of 3,581 physician assistant providers in Georgia.
Other physician assistant in Loganville
- Douglas DiruggieroCartersville$1.3M
- Jennifer CobbsAtlanta$1M
- A BrunnerStockbridge$1M
- Joseph LangshawCalhoun$879K
- Alison MoeAtlanta$410K
- Maggie SchreckAtlanta$389K
- Lisa HillMarietta$190K
- Laura BishopBrunswick$103K
- Jaime AckermanAtlanta$84K
- Richard BurrellBrunswick$69K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.