Gianina Usera, MD
Endocrinology, Diabetes & Metabolism · Evans, GANPI 1295040590
Payments from drug & device makers
Across 240 payments — averaging $20.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$673
- Novo Nordisk$608
- Dexcom, Inc.$436
- Lilly USA, LLC$318
- Medtronic$270
- Abbott$258
- plus $2K from 26 others
What the payments were for
- Food & beverage$4,934100%
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 |
|---|---|---|
| Amgen(2 entities) | 30 | $673 |
| Novo Nordisk | 35 | $608 |
| Dexcom, Inc. | 23 | $436 |
| Lilly USA, LLC | 16 | $318 |
| Medtronic | 11 | $270 |
| Abbott | 15 | $258 |
| AbbVie | 14 | $240 |
| Bayer | 10 | $202 |
| Xeris Pharmaceuticals, Inc. | 10 | $202 |
| IBSA Pharma Inc. | 9 | $201 |
| BETA Bionics, Inc. | 2 | $178 |
| Corcept Therapeutics | 6 | $152 |
| Insulet Corporation | 5 | $148 |
| Antares Pharma, Inc. | 8 | $144 |
| Boehringer Ingelheim | 8 | $126 |
| Amneal Pharmaceuticals LLC | 6 | $123 |
| Sanofi-aventis U.S. LLC | 5 | $96 |
| Tandem Diabetes Care, Inc. | 4 | $88 |
| Mannkind Corporation | 4 | $69 |
| Ultragenyx Pharmaceutical Inc. | 2 | $51 |
| Halozyme Inc | 3 | $48 |
| Ascensia Diabetes Care US Inc. | 2 | $46 |
| Cequr Corporation | 2 | $43 |
| Neurocrine Biosciences, Inc. | 1 | $37 |
| Novartis | 2 | $31 |
| Sanofi US Services Inc. | 1 | $26 |
| Sequel Med Tech, LLC | 1 | $23 |
| Radius Health, Inc. | 1 | $23 |
| AstraZeneca | 1 | $22 |
| Zealand Pharma US, Inc. | 1 | $20 |
| Amryt Pharma Holdings Ltd | 1 | $19 |
| Astellas Pharma US Inc | 1 | $14 |
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.
- iLet Bionic Pancreas$422
- MINIMED 780G$112
- TEPEZZA$110
How this compares
$4,934 in reported general payments places this provider in the 60th percentile of 222 endocrinology, diabetes & metabolism providers in Georgia.
See all endocrinology, diabetes & metabolism providers in Georgia →
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 |
|---|---|---|
| MounjaroTirzepatide | 204 | $243,064 |
| OzempicSemaglutide | 127 | $212,564 |
| JardianceEmpagliflozin | 102 | $124,957 |
| TrulicityDulaglutide | 64 | $89,624 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 31 | $37,003 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 57 | $36,059 |
| Tresiba Flextouch U-200Insulin Degludec | 32 | $33,496 |
| RybelsusSemaglutide | 18 | $21,411 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 19 | $20,433 |
| SynthroidLevothyroxine Sodium | 215 | $18,990 |
| FarxigaDapagliflozin Propanediol | 19 | $18,857 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 32 | $18,396 |
| Tresiba Flextouch U-100Insulin Degludec | 13 | $10,680 |
| XyostedTestosterone Enanthate | 13 | $8,229 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 15 | $7,198 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $318 | $338,044283 claims |
| Novo NordiskOzempic, Rybelsus, Novolog | $608 | $239,596163 claims |
| Boehringer IngelheimJardiance | $126 | $124,957102 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $96 | $20,43319 claims |
| AbbVieSynthroid | $240 | $18,990215 claims |
| AstraZenecaFarxiga | $22 | $18,85719 claims |
| Antares Pharma, Inc.Xyosted | $144 | $8,22913 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium, Unithroid | $123 | $2,835298 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 60th percentile of 222 endocrinology, diabetes & metabolism providers in Georgia.
Other endocrinology, diabetes & metabolism in Evans
- Bruce BodeAtlanta$18.3M
- Gulliermo UmpierrezAtlanta$6.6M
- John ReedRoswell$5.7M
- Thomas JonesMacon$4.8M
- Steven LeichterColumbus$3.1M
- Jason BernerJasper$2.6M
- Ashwini GoreMacon$2.6M
- Adeniyi OdugbesanLawrenceville$1.8M
- David RobertsonAtlanta$1.7M
- Thomas ZieglerAtlanta$1M
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.