Grace Isaacs, PA
Physician Assistant · Louisville, KYNPI 1538512967
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $16,955 of the $27,569 with a category attached, or 61.5%. Optinose US, Inc. accounts for 82.2% of it on its own, with 15 other manufacturers making up the rest. Among physician assistant clinicians in KY 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 213 payments — averaging $129.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Optinose US, Inc.$23K
- Inspire Medical Systems, Inc.$2K
- Sanofi$873
- Regeneron Healthcare Solutions, Inc.$783
- Hologic Sales And Service, LLC$209
- Stryker$172
- plus $913 from 10 others
What the payments were for
- Consulting fees$1,0004%
- Speaking & faculty fees$16,95561%
- Travel & lodging$3,04011%
- Food & beverage$6,57424%
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 |
|---|---|---|
| Optinose US, Inc. | 85 | $22,653 |
| Inspire Medical Systems, Inc. | 45 | $1,967 |
| Sanofi | 18 | $873 |
| Regeneron Healthcare Solutions, Inc. | 38 | $783 |
| Hologic Sales And Service, LLC | 2 | $209 |
| Stryker | 2 | $172 |
| GSK | 5 | $156 |
| AstraZeneca | 3 | $145 |
| Medtronic | 2 | $142 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $119 |
| Cumberland Pharmaceuticals, Inc. | 1 | $100 |
| Axsome Therapeutics, Inc. | 5 | $94 |
| Lucid Diagnostics Inc. | 1 | $92 |
| Sanofi-aventis U.S. LLC | 2 | $31 |
| Octapharma USA, Inc. | 1 | $18 |
| Kaleo, Inc. | 1 | $16 |
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.
- Xhance$21,964
- Inspire Upper Airway Stimulation System$874
- DUPIXENT$746
- Inspire$455
- XPRESS ENT DILATION SYSTEM$135
- CoolSeal Generator$122
- FASENRA$121
- PTeye$114
- NURTEC ODT$103
- Caldolor$100
How this compares
$27,569 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Ipratropium Bromide | 121 | $3,865 |
| Azelastine Hcl | 76 | $2,269 |
| Fluticasone Propionate | 85 | $1,564 |
| Fluocinolone Acetonide Oil | 27 | $1,339 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 12 | $1,203 |
| Famotidine | 80 | $1,097 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 43 | $504 |
| Ofloxacin | 14 | $316 |
| Omeprazole | 15 | $293 |
| Clindamycin Hcl | 15 | $261 |
| Pantoprazole Sodium | 16 | $252 |
| Mupirocin | 36 | $206 |
| Montelukast Sodium | 14 | $30 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Louisville
- Melissa DavisLouisville$362K
- Kara MuddLouisville$98K
- Robert TatumLouisville$29K
- Joshua CastlenLouisville$16K
- Erin WaggonerLouisville$14K
- Shelley SchulerLouisville$12K
- Jacquee McNearLouisville$10K
- Kylee DreisbachLouisville$9K
- Emily LutzLouisville$9K
- Amy DavisLouisville$8K
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.