Karla Dwyer
Gerontology · Wichita Falls, TXNPI 1588175624
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 196 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 20 manufacturers, the largest accounting for just 17.0% — the pattern of someone who eats at a lot of different presentations. Among gerontology clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 196 payments — averaging $23.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- E.r. Squibb & Sons, L.L.C.$784
- Abiomed$620
- Boehringer Ingelheim$559
- Novartis$392
- AstraZeneca$363
- Edwards Lifesciences$339
- plus $2K from 14 others
What the payments were for
- Food & beverage$4,612100%
- Education$50%
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C. | 57 | $784 |
| Abiomed | 32 | $620 |
| Boehringer Ingelheim | 17 | $559 |
| Novartis | 16 | $392 |
| AstraZeneca | 5 | $363 |
| Edwards Lifesciences | 8 | $339 |
| Merck | 14 | $275 |
| Abbott | 4 | $206 |
| Novo Nordisk | 4 | $198 |
| Pfizer | 10 | $184 |
| Johnson & Johnson | 10 | $161 |
| Boston Scientific | 5 | $133 |
| Bayer | 3 | $128 |
| Inari Medical, Inc. | 1 | $92 |
| Amgen | 4 | $55 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $54 |
| Inspire Medical Systems, Inc. | 2 | $29 |
| Medtronic | 1 | $16 |
| Terumo Medical Corporation | 1 | $16 |
| Esperion Therapeutics, Inc. | 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.
How this compares
$4,617 in reported general payments places this provider in the 90th percentile of 653 gerontology providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| CamzyosMavacamten | 17 | $141,423 |
| EliquisApixaban | 131 | $127,517 |
| JardianceEmpagliflozin | 36 | $26,912 |
| XareltoRivaroxaban | 25 | $22,533 |
| EntrestoSacubitril/Valsartan | 21 | $21,231 |
| Repatha SureclickEvolocumab | 21 | $21,005 |
| FarxigaDapagliflozin Propanediol | 15 | $11,075 |
| BrilintaTicagrelor | 14 | $6,323 |
| Praluent PenAlirocumab | 11 | $5,879 |
| Metoprolol Succinate | 336 | $4,498 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 13 | $4,212 |
| Valsartan | 156 | $4,066 |
| Ezetimibe | 40 | $2,014 |
| Amiodarone Hcl | 65 | $1,693 |
| Ranolazine ErRanolazine | 30 | $1,574 |
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C.Camzyos | $784 | $141,42317 claims |
| PfizerEliquis | $184 | $127,517131 claims |
| Boehringer IngelheimJardiance | $559 | $26,91236 claims |
| Johnson & JohnsonXarelto | $161 | $22,53325 claims |
| NovartisEntresto | $392 | $21,23121 claims |
| AstraZenecaFarxiga, Brilinta | $363 | $17,39829 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 90th percentile of 653 gerontology providers in Texas.
Other gerontology in Wichita Falls
- Kimberly WelchCoppell$113K
- Tiffany KesslerDallas$84K
- Jennifer WestFort Worth$67K
- Bailey EstesAbilene$34K
- Scott ZelaHouston$28K
- Marissa Marti-SmithDallas$27K
- Andrew BargerAustin$22K
- Meagan ChavarriaHouston$21K
- Samantha BoggsGalveston$15K
- Amber ArmstrongAustin$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.