Irene Ghobrial, PA
Physician Assistant · Waltham, MANPI 1639261290
Payments from drug & device makers
Across 32 payments — averaging $118.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Janssen Global Services, LLC$1K
- Smith+Nephew$606
- Stryker$551
- Pacira Pharmaceuticals Incorporated$457
- Bioventus LLC$237
- Orthofix Medical, Inc.$132
- plus $375 from 5 others
What the payments were for
- Consulting fees$1,43038%
- Food & beverage$2,35862%
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 |
|---|---|---|
| Janssen Global Services, LLC | 1 | $1,430 |
| Smith+Nephew | 4 | $606 |
| Stryker | 5 | $551 |
| Pacira Pharmaceuticals Incorporated | 7 | $457 |
| Bioventus LLC | 4 | $237 |
| Orthofix Medical, Inc. | 1 | $132 |
| Vertex | 4 | $121 |
| Avanos Medical | 1 | $117 |
| Johnson & Johnson | 2 | $65 |
| Heron Therapeutics, Inc. | 2 | $43 |
| Pacira Therapeutics, Inc. | 1 | $29 |
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.
- Physio-Stim$264
- Zilretta$263
- INSPACE$246
- Bioinductive Implant with Arthroscopic Delivery System - Medium$178
- SPATIAL FRAME$178
- REAL INTELLIGENCE$178
- NOVOSTITCH$178
- Engage Partial Knee System$178
- Exogen Ultrasound Bone Healing System$145
- PICO$144
- SLINGSHOT$141
- N/A$137
- Iovera$118
- IOVERA SYSTEM$117
- ON-Q* PUMP AND ACCESSORIES$117
How this compares
$3,788 in reported general payments places this provider in the 95th percentile of 3,507 physician assistant providers in Massachusetts.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 96 | $566 |
| Methylprednisolone | 33 | $269 |
| Meloxicam | 16 | $62 |
| Ibuprofen | 24 | $57 |
| Tramadol Hcl | 33 | $28 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Waltham
- Jason RandWaltham$99K
- Christopher MasseyWilbraham$190K
- Lizabeth O ConnorEverett$182K
- Kimberly ComeauSwampscott$120K
- Stacey PanasciSpringfield$113K
- Karen ChunEast Boston$70K
- David PeckhamQuincy$61K
- Leslie SmithSpringfield$49K
- Andrea MilliganBoston$46K
- Lauren RousseauBoston$42K
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.