Karen Deshotel
Nurse Practitioner · Lafayette, LANPI 1326019258
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $236,250 of the $263,819 with a category attached, or 89.6%. Novartis accounts for 98.8% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2021 at $153,660 and has fallen 99.8% since, to $236 in 2025. Among nurse practitioner clinicians in LA 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 38 payments — averaging $6942.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$261K
- Genentech USA, Inc.$517
- GSK$472
- E.r. Squibb & Sons, L.L.C.$425
- AstraZeneca$226
- Merck$198
- plus $1K from 14 others
What the payments were for
- Consulting fees$236,25090%
- Travel & lodging$24,4409%
- Food & beverage$3,0291%
- Education$1000%
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 |
|---|---|---|
| Novartis | 8 | $260,690 |
| Genentech USA, Inc. | 4 | $517 |
| GSK | 4 | $472 |
| E.r. Squibb & Sons, L.L.C. | 4 | $425 |
| AstraZeneca | 2 | $226 |
| Merck | 2 | $198 |
| ADC Therapeutics America, Inc. | 1 | $122 |
| Regeneron Healthcare Solutions, Inc. | 1 | $121 |
| Ipsen Biopharmaceuticals, Inc | 1 | $115 |
| EMD Serono, Inc. | 1 | $111 |
| Agios Pharmaceuticals, Inc. | 1 | $111 |
| Genentech, Inc. | 1 | $108 |
| Amgen | 1 | $106 |
| Epizyme, Inc. | 1 | $102 |
| Seagen Inc. | 1 | $100 |
| Astellas Pharma US Inc | 1 | $100 |
| Mirati Therapeutics, Inc. | 1 | $78 |
| Lilly USA, LLC | 1 | $75 |
| Exelixis Inc. | 1 | $25 |
| AVEO Pharmaceuticals, Inc. | 1 | $19 |
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
$263,819 in reported general payments places this provider in the 95th percentile of 969 nurse practitioner providers in Louisiana.
Other nurse practitioner in Lafayette
- Matt LandryLafayette$50K
- Cynthia CobbLafayette$48K
- Mareesa MathersLafayette$10K
- Paula MitchellLafayette$8K
- Andre KnappLafayette$8K
- Emily LevyLafayette$8K
- Craig ManzerLafayette$7K
- Kellie WestLafayette$7K
- Courtney LafleurLafayette$6K
- Christopher ManuelKaplan$145K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.