Joelle Wagner, PA
Surgical · West Seneca, NYNPI 1750858981
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Si-bone, Inc. accounts for 85.5% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2023 at $10,207 and has fallen 95.1% since, to $500 in 2025. Among surgical clinicians in NY 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 230 payments — averaging $113.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$22K
- Intrinsic Therapeutics$987
- Amgen$446
- Gilead$315
- Genentech USA, Inc.$298
- Scilex Pharmaceuticals Inc.$273
- plus $1K from 13 others
What the payments were for
- Consulting fees$10,55040%
- Travel & lodging$7,15527%
- Food & beverage$8,46432%
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. | 172 | $22,376 |
| Intrinsic Therapeutics | 3 | $987 |
| Amgen(2 entities) | 4 | $446 |
| Gilead | 3 | $315 |
| Genentech USA, Inc. | 2 | $298 |
| Scilex Pharmaceuticals Inc. | 26 | $273 |
| AbbVie | 5 | $221 |
| Bayer | 1 | $125 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $125 |
| Saluda Medical Americas, Inc. | 2 | $124 |
| AstraZeneca | 1 | $122 |
| Biohaven Pharmaceuticals, Inc. | 1 | $120 |
| Otsuka America Pharmaceutical, Inc. | 1 | $119 |
| Edwards Lifesciences | 1 | $115 |
| Neurocrine Biosciences, Inc. | 1 | $112 |
| Radius Health, Inc. | 1 | $109 |
| Sanofi | 1 | $108 |
| Vertex | 3 | $59 |
| Integra Lifesciences Corporation | 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.
- IFUSE IMPLANT SYSTEM$13,300
- iFuse Implant$4,292
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$1,974
- NURTEC ODT$245
- AIMOVIG$241
- Descovy$225
- XOLAIR$148
- Kerendia$125
- LOKELMA$122
- REXULTI$119
- KRYSTEXXA$115
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$115
- Tymlos$109
- VRAYLAR$103
How this compares
$26,169 in reported general payments places this provider in the 95th percentile of 1,544 surgical providers in New York.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 185 | $1,347 |
| Baclofen | 60 | $452 |
| Gabapentin | 46 | $349 |
| Cyclobenzaprine Hcl | 28 | $328 |
| Methocarbamol | 46 | $291 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $230 |
| Tramadol Hcl | 57 | $164 |
| Ibuprofen | 13 | $160 |
| Methylprednisolone | 21 | $123 |
| Prednisone | 66 | $118 |
| Diazepam | 18 | $13 |
Paid to pharmacies, not to this prescriber.
Other surgical in West Seneca
- Lindsay SchweikarthAlbany$324K
- Nicole FeinNew York$225K
- Kenneth RuizNew York$93K
- Terry LinNew York$70K
- Beth PhillipsEast Syracuse$51K
- James DoolittleNew York$46K
- Tanya GeistAmherst$43K
- Irina KommNew York$39K
- Sarah MartineckWilliamsville$34K
- Richard DalabaAlbany$26K
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.