Jacob Lareau, PA
Physician Assistant · Portsmouth, NHNPI 1629708110
Payments from drug & device makers
What this record shows
Si-bone, Inc. accounts for 60.8% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $1,308, 9.2 times the $143 reported in 2022. Among physician assistant clinicians in NH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 17 payments — averaging $106.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$1K
- Stryker$169
- Innovation Technologies Inc$147
- Johnson & Johnson$146
- Smith+Nephew$142
- Acumed LLC$49
- plus $53 from 2 others
What the payments were for
- Travel & lodging$92151%
- Food & beverage$88349%
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 |
|---|---|---|
| Si-bone, Inc. | 7 | $1,097 |
| Stryker | 2 | $169 |
| Innovation Technologies Inc | 1 | $147 |
| Johnson & Johnson | 1 | $146 |
| Smith+Nephew | 3 | $142 |
| Acumed LLC | 1 | $49 |
| DJO, LLC | 1 | $35 |
| Orthofix Medical, Inc. | 1 | $18 |
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
$1,804 in reported general payments places this provider in the 90th percentile of 782 physician assistant providers in New Hampshire.
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 |
|---|---|---|
| Celecoxib | 78 | $3,009 |
| Cefadroxil | 19 | $347 |
| Tramadol Hcl | 102 | $317 |
| Oxycodone Hcl | 92 | $252 |
| Methylprednisolone | 26 | $186 |
| Ibuprofen | 17 | $129 |
| Meloxicam | 12 | $81 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Portsmouth
- Evelyn SteinPortsmouth$26K
- Kelly RouleauPortsmouth$12K
- Kyungran GibsonPortsmouth$6K
- Angela DemienPortsmouth$2K
- Joseph ZucchiSalem$40K
- Lindsay OverkoConcord$29K
- Shari AshtonManchester$24K
- Jacqueline WattsStratham$22K
- Ryan StrasserStratham$17K
- Karima PerettiManchester$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.