Juliette Beristain, PA
Physician Assistant · Virginia Beach, VANPI 1538763081
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $34,000 of the $53,541 with a category attached, or 63.5%. Intrinsic Therapeutics accounts for 88.1% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $22,769, more than ten times the $120 reported in 2021. Among physician assistant clinicians in VA 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 140 payments — averaging $382.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intrinsic Therapeutics$47K
- Medacta USA, Inc.$2K
- Globus Medical$2K
- Orthofix Medical, Inc.$1K
- Medical Device Business Services, Inc.$344
- Nevro Corp.$314
- plus $171 from 2 others
Across 10 payments — averaging $300.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Intrinsic Therapeutics$3K
What the payments were for
- Consulting fees$34,00064%
- Speaking & faculty fees$5,37510%
- Travel & lodging$8,57016%
- Food & beverage$5,45910%
- Education$1370%
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 |
|---|---|---|
| Intrinsic Therapeutics | 82 | $47,170 |
| Medacta USA, Inc. | 22 | $2,152 |
| Globus Medical(2 entities) | 11 | $1,930 |
| Orthofix Medical, Inc. | 7 | $1,461 |
| Medical Device Business Services, Inc. | 3 | $344 |
| Nevro Corp. | 11 | $314 |
| Abbott | 3 | $158 |
| Medtronic | 1 | $13 |
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.
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$86,437
- XLIF$1,605
- MYSPINE$1,441
- Mariner MIS$1,152
- Mariner$143
- PROCLAIM$114
- Vyrsa V1$101
How this compares
$53,541 in reported general payments places this provider in the 95th percentile of 3,376 physician assistant providers in Virginia.
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 |
|---|---|---|
| Gabapentin | 32 | $250 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $186 |
| Oxycodone Hcl | 21 | $100 |
| Methocarbamol | 31 | $80 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Virginia Beach
- Jamie GiovanelliVirginia Beach$118K
- Chelsea ChristensenVirginia Beach$21K
- Ashton Dear-HuffmanVirginia Beach$14K
- Samantha McCartyVirginia Beach$14K
- Kimberly SilverVirginia Beach$13K
- Timothy JacksonVirginia Beach$12K
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
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.