Karen Segovia
Nurse Practitioner · Fresno, CANPI 1013921055
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 48 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 19.9% — the pattern of someone who eats at a lot of different presentations.
Across 48 payments — averaging $21.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ironshore Pharmaceuticals Inc.$201
- Cranial Technologies, Inc$120
- GSK$92
- Boston Scientific$83
- Merck$82
- Kaleo, Inc.$64
- plus $371 from 15 others
What the payments were for
- Food & beverage$1,012100%
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 |
|---|---|---|
| Ironshore Pharmaceuticals Inc. | 12 | $201 |
| Cranial Technologies, Inc | 7 | $120 |
| GSK | 4 | $92 |
| Boston Scientific | 1 | $83 |
| Merck | 3 | $82 |
| Kaleo, Inc. | 3 | $64 |
| Sanofi Pasteur Inc. | 2 | $49 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $38 |
| Biomarin Pharmaceutical Inc. | 1 | $38 |
| AstraZeneca | 2 | $38 |
| Collegium Pharmaceutical, Inc. | 1 | $24 |
| Aimmune Therapeutics, Inc. | 1 | $22 |
| Sobi, Inc | 1 | $21 |
| Alk-abello, Inc | 1 | $21 |
| Seqirus USA Inc | 1 | $19 |
| Verrica Pharmaceuticals Inc. | 1 | $19 |
| Phadia US Inc. | 1 | $18 |
| Supernus Pharmaceuticals, Inc. | 1 | $18 |
| Pfizer | 1 | $16 |
| Biofire Diagnostics, LLC | 1 | $15 |
| Corium, LLC | 1 | $13 |
How this compares
$1,012 in reported general payments places this provider in the 75th percentile of 6,779 nurse practitioner providers in California.
Other nurse practitioner in Fresno
- Erica BedstedFresno$194K
- Sonja GrowcottFresno$31K
- Rhonda HewittStanford$917K
- Linda TrinhIrvine$884K
- Denise SinagaNorthridge$728K
- Debbie TaySanta Monica$642K
- Joe GorelickCampbell$638K
- Lynsey LakinArcadia$540K
- Kelly ChoiRancho Cucamonga$483K
- Hamta ZareStanford$428K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.