Joy Miedema, PA
Physician Assistant · Oceanside, CANPI 1225319676
Payments from drug & device makers
Across 61 payments — averaging $20.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$171
- Amarin Pharma, Inc.$167
- Novo Nordisk$154
- AbbVie$127
- GSK$110
- AstraZeneca$92
- plus $414 from 13 others
What the payments were for
- Food & beverage$1,234100%
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 |
|---|---|---|
| Lilly USA, LLC | 8 | $171 |
| Amarin Pharma, Inc. | 9 | $167 |
| Novo Nordisk | 9 | $154 |
| AbbVie | 5 | $127 |
| GSK | 5 | $110 |
| AstraZeneca | 5 | $92 |
| Astellas Pharma US Inc | 3 | $67 |
| Johnson & Johnson | 3 | $59 |
| Boehringer Ingelheim | 2 | $56 |
| Exact Sciences | 2 | $37 |
| Sanofi-aventis U.S. LLC | 2 | $33 |
| Linus Health, Inc. | 1 | $26 |
| Dexcom, Inc. | 1 | $24 |
| Kowa Pharmaceuticals America, Inc. | 1 | $24 |
| Vertex | 1 | $21 |
| Phathom Pharmaceuticals, Inc. | 1 | $20 |
| Bausch Health US, LLC | 1 | $17 |
| Pfizer | 1 | $16 |
| Otsuka America Pharmaceutical, Inc. | 1 | $14 |
How this compares
$1,234 in reported general payments places this provider in the 75th percentile of 10,423 physician assistant providers in California.
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 |
|---|---|---|
| Losartan Potassium | 21 | $377 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $79 |
| Famotidine | 15 | $79 |
| Levothyroxine Sodium | 18 | $67 |
| Hydrochlorothiazide | 11 | $48 |
| Amlodipine Besylate | 11 | $45 |
| Alprazolam | 12 | $26 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Oceanside
- John QuigleyDowney$2.9M
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
- Eric CheungLos Angeles$213K
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.