Kara Sierra, APRN
Family · Little Rock, ARNPI 1568820389
Payments from drug & device makers
Across 451 payments — averaging $16.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Johnson & Johnson$704
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$675
- Enterra Medical, Inc.$525
- Regeneron Healthcare Solutions, Inc.$388
- Phathom Pharmaceuticals, Inc.$337
- plus $3K from 26 others
What the payments were for
- Travel & lodging$561%
- Food & beverage$7,35198%
- Education$751%
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 |
|---|---|---|
| AbbVie | 163 | $2,271 |
| Johnson & Johnson | 35 | $704 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 40 | $675 |
| Enterra Medical, Inc. | 8 | $525 |
| Regeneron Healthcare Solutions, Inc. | 14 | $388 |
| Phathom Pharmaceuticals, Inc. | 33 | $337 |
| Pfizer | 14 | $301 |
| Gilead | 12 | $298 |
| Aimmune Therapeutics, Inc. | 18 | $214 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $195 |
| Nestle Healthcare Nutrition Inc. | 18 | $178 |
| Merck | 9 | $177 |
| Ironwood Pharmaceuticals, Inc | 19 | $173 |
| Ardelyx, Inc. | 8 | $155 |
| Madrigal Pharmaceuticals | 7 | $142 |
| Intercept Pharmaceuticals, Inc. | 8 | $112 |
| QOL Medical, LLC | 6 | $91 |
| Lilly USA, LLC | 5 | $91 |
| Vivus LLC | 4 | $66 |
| Janssen Scientific Affairs, LLC | 1 | $66 |
| Medtronic | 2 | $45 |
| Ferring Pharmaceuticals Inc. | 2 | $38 |
| Novo Nordisk | 2 | $35 |
| Ipsen Biopharmaceuticals, Inc | 2 | $32 |
| UCB, Inc. | 2 | $29 |
| Braintree Laboratories, Inc. | 2 | $26 |
| Endogastric Solutions, Inc | 1 | $24 |
| Redhill Biopharma Inc. | 1 | $20 |
| Organon | 1 | $20 |
| Phadia US Inc. | 1 | $19 |
| Boehringer Ingelheim | 1 | $19 |
| Cardiva Medical, Inc. | 1 | $17 |
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
$7,483 in reported general payments places this provider in the 95th percentile of 2,103 family providers in Arkansas.
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 |
|---|---|---|
| Pantoprazole Sodium | 12 | $173 |
| Famotidine | 15 | $168 |
Paid to pharmacies, not to this prescriber.
Other family in Little Rock
- Anthony EcholsLittle Rock$25K
- Michael StirlingLittle Rock$23K
- Laura BarganierLittle Rock$17K
- Emily AllenLittle Rock$14K
- Brandy EasonLittle Rock$13K
- Matthew TaylorLittle Rock$10K
- Collene RogersLittle Rock$9K
- Morgan BittengleLittle Rock$9K
- Melissa BaldwinLittle Rock$8K
- Leah CarringtonRogers$1.6M
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.