Karen Siler, NP
Acute Care · Beaumont, TXNPI 1346873486
Payments from drug & device makers
Across 180 payments — averaging $15.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$920
- Novo Nordisk$354
- Lilly USA, LLC$245
- AstraZeneca$232
- Bayer$182
- Corium, LLC$171
- plus $731 from 21 others
What the payments were for
- Food & beverage$2,835100%
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 | 64 | $920 |
| Novo Nordisk | 25 | $354 |
| Lilly USA, LLC | 15 | $245 |
| AstraZeneca | 15 | $232 |
| Bayer | 9 | $182 |
| Corium, LLC | 9 | $171 |
| Astellas Pharma US Inc | 4 | $76 |
| Idorsia Pharmaceuticals US Inc | 4 | $63 |
| Ironshore Pharmaceuticals Inc. | 3 | $59 |
| Boehringer Ingelheim | 3 | $58 |
| Exact Sciences | 3 | $57 |
| Sanofi-aventis U.S. LLC | 3 | $55 |
| Tris Pharma Inc | 3 | $53 |
| Kowa Pharmaceuticals America, Inc. | 2 | $37 |
| Genentech USA, Inc. | 4 | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $29 |
| Daiichi Sankyo Inc. | 2 | $29 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $27 |
| GSK | 1 | $22 |
| Phathom Pharmaceuticals, Inc. | 1 | $22 |
| Ironwood Pharmaceuticals, Inc | 1 | $19 |
| Amarin Pharma, Inc. | 1 | $19 |
| Amgen | 1 | $19 |
| Currax Pharmaceuticals LLC | 1 | $15 |
| Pfizer | 1 | $15 |
| Esperion Therapeutics, Inc. | 1 | $15 |
| Dexcom, Inc. | 1 | $13 |
How this compares
$2,835 in reported general payments places this provider in the 85th percentile of 2,323 acute care providers in Texas.
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 |
|---|---|---|
| OzempicSemaglutide | 56 | $54,040 |
| MounjaroTirzepatide | 37 | $37,783 |
| FarxigaDapagliflozin Propanediol | 33 | $19,348 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 22 | $16,592 |
| Armour ThyroidThyroid,pork | 13 | $1,934 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 42 | $1,599 |
| Levothyroxine Sodium | 126 | $1,562 |
| Atorvastatin Calcium | 124 | $1,225 |
| ProgesteroneProgesterone, Micronized | 19 | $1,107 |
| Liothyronine Sodium | 21 | $1,022 |
| Bupropion XlBupropion Hcl | 20 | $828 |
| Montelukast Sodium | 62 | $809 |
| Np ThyroidThyroid,pork | 11 | $769 |
| Celecoxib | 36 | $754 |
| SynthroidLevothyroxine Sodium | 29 | $724 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic | $354 | $54,04056 claims |
| Lilly USA, LLCMounjaro | $245 | $37,78337 claims |
| AstraZenecaFarxiga | $232 | $19,34833 claims |
| GSKTrelegy Ellipta | $22 | $16,59222 claims |
| AbbVieArmour Thyroid, Synthroid | $920 | $2,65742 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 2,323 acute care providers in Texas.
Other acute care in Beaumont
- Jennifer PilotteDallas$232K
- Christie MorrisonSan Antonio$225K
- Amanda BradleyDallas$85K
- Laura WilsonEl Paso$32K
- Kim HuynhCypress$29K
- Martha LibertyDallas$28K
- Afton DickersonHouston$27K
- Eleanor WeltgeHouston$25K
- Leslie GutierrezHouston$25K
- Bahia ElkamandSugar Land$23K
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.