Jean Ann Yaccino, DO
Nephrology · Lewes, DENPI 1376514349
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.1% of the total across 68 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 23.7% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,050 and has fallen 62.9% since, to $390 in 2025.
Across 68 payments — averaging $41.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vifor Pharma, Inc.$671
- Boehringer Ingelheim$529
- Travere Therapeutics, Inc.$270
- AstraZeneca$215
- Medtronic$191
- Mallinckrodt Hospital Products Inc.$129
- plus $831 from 11 others
What the payments were for
- Food & beverage$2,61192%
- Education$2258%
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 |
|---|---|---|
| Vifor Pharma, Inc. | 17 | $671 |
| Boehringer Ingelheim | 7 | $529 |
| Travere Therapeutics, Inc. | 13 | $270 |
| AstraZeneca | 5 | $215 |
| Medtronic | 2 | $191 |
| Mallinckrodt Hospital Products Inc. | 2 | $129 |
| Heartflow, Inc. | 1 | $117 |
| Novo Nordisk | 1 | $114 |
| Amgen | 5 | $107 |
| Ardelyx, Inc. | 2 | $100 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $90 |
| Bayer | 2 | $81 |
| Calliditas Therapeutics US Inc. | 4 | $79 |
| Novartis | 3 | $66 |
| Lilly USA, LLC | 1 | $31 |
| Aurinia Pharma U.S., Inc. | 1 | $24 |
| Otsuka America Pharmaceutical, Inc. | 1 | $21 |
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
$2,836 in reported general payments places this provider in the 55th percentile of 49 nephrology providers in Delaware.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 55 | $83,424 |
| KerendiaFinerenone | 47 | $82,053 |
| JardianceEmpagliflozin | 21 | $32,097 |
| VeltassaPatiromer Calcium Sorbitex | 17 | $30,823 |
| Olmesartan Medoxomil | 76 | $2,277 |
| Irbesartan | 51 | $1,383 |
| Valsartan | 33 | $1,135 |
| Losartan Potassium | 85 | $1,089 |
| Bumetanide | 30 | $1,016 |
| Telmisartan | 31 | $996 |
| Amlodipine Besylate | 83 | $919 |
| Potassium Chloride | 26 | $691 |
| Calcitriol | 25 | $667 |
| Ramipril | 18 | $378 |
| Chlorthalidone | 26 | $372 |
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 |
|---|---|---|
| AstraZenecaFarxiga | $215 | $83,42455 claims |
| BayerKerendia | $81 | $82,05347 claims |
| Boehringer IngelheimJardiance | $529 | $32,09721 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 55th percentile of 49 nephrology providers in Delaware.
Other nephrology in Lewes
- Shalini SehgalLewes$2K
- Afsheen AfzalLewes$432
- Mwangi KamauLewes$283
- Jose SaezLewes$231
- Prayus TailorNewark$127K
- William DahmsNewark$94K
- Theodore SaadNewark$26K
- Gerald MilanDover$16K
- Ranine GhamrawiWilmington$16K
- Arun MalhotraWilmington$9K
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.