Isabelle Skurka, NP
Adult Health · Dyer, INNPI 1134230865
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.3% of the total across 37 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 17 manufacturers, the largest accounting for just 23.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $846 and has fallen 58.9% since, to $348 in 2025.
Across 37 payments — averaging $82.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$726
- Novartis$439
- Boehringer Ingelheim$336
- AstraZeneca$197
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$193
- Johnson & Johnson$189
- plus $966 from 11 others
What the payments were for
- Food & beverage$3,02699%
- Education$201%
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 | 11 | $726 |
| Novartis | 5 | $439 |
| Boehringer Ingelheim | 3 | $336 |
| AstraZeneca | 2 | $197 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 3 | $193 |
| Johnson & Johnson | 2 | $189 |
| Bridgebio Pharma, Inc. | 1 | $124 |
| Madrigal Pharmaceuticals | 1 | $121 |
| Teva Pharmaceuticals USA, Inc. | 1 | $114 |
| Merck | 1 | $102 |
| Exact Sciences | 1 | $98 |
| Esperion Therapeutics, Inc. | 1 | $95 |
| Kyowa Kirin, Inc. | 1 | $95 |
| Boston Scientific | 1 | $94 |
| Novo Nordisk | 1 | $89 |
| Tactile Systems Technology Inc | 1 | $20 |
| E.r. Squibb & Sons, L.L.C. | 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.
How this compares
$3,046 in reported general payments places this provider in the 85th percentile of 391 adult health providers in Indiana.
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 |
|---|---|---|
| JardianceEmpagliflozin | 97 | $146,926 |
| EliquisApixaban | 115 | $146,378 |
| EntrestoSacubitril/Valsartan | 94 | $130,383 |
| XareltoRivaroxaban | 77 | $101,426 |
| FarxigaDapagliflozin Propanediol | 52 | $62,084 |
| Repatha SureclickEvolocumab | 44 | $38,808 |
| BrilintaTicagrelor | 12 | $13,973 |
| Prasugrel Hcl | 63 | $11,165 |
| VascepaIcosapent Ethyl | 18 | $8,023 |
| Ezetimibe | 230 | $4,619 |
| Icosapent Ethyl | 20 | $4,548 |
| Rosuvastatin Calcium | 319 | $4,224 |
| Metoprolol Succinate | 298 | $4,070 |
| Atorvastatin Calcium | 478 | $3,764 |
| ClopidogrelClopidogrel Bisulfate | 320 | $3,000 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $336 | $146,92697 claims |
| NovartisEntresto | $439 | $130,38394 claims |
| Johnson & JohnsonXarelto | $189 | $101,42677 claims |
| AstraZenecaFarxiga, Brilinta | $197 | $76,05764 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 85th percentile of 391 adult health providers in Indiana.
Other adult health in Dyer
- Kathryn GjeldumDyer$4K
- Jodi BultDyer$3K
- Jennifer BerryIndianapolis$50K
- Tajuana DavisZionsville$31K
- Patricia Damron-RobinsonMerrillville$20K
- Terry RidgeCarmel$20K
- Kristine StarcevichMerrillville$19K
- Jolyn Holliday VezaGreenfield$17K
- Anna MatulewiczMishawaka$14K
- Ludmila Pichugena-EmersonMiddlebury$14K
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.