Karla Urgilez
Physician Assistant · Silver Spring, MDNPI 1023849239
Payments from drug & device makers
Across 61 payments — averaging $23.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$315
- Pfizer$191
- Teva Pharmaceuticals USA, Inc.$143
- Neurocrine Biosciences, Inc.$112
- Neurelis, Inc.$99
- Axsome Therapeutics, Inc.$92
- plus $477 from 12 others
What the payments were for
- Food & beverage$1,430100%
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 | 11 | $315 |
| Pfizer | 10 | $191 |
| Teva Pharmaceuticals USA, Inc. | 6 | $143 |
| Neurocrine Biosciences, Inc. | 4 | $112 |
| Neurelis, Inc. | 5 | $99 |
| Axsome Therapeutics, Inc. | 4 | $92 |
| Novartis | 3 | $77 |
| Lundbeck LLC | 3 | $75 |
| Amgen | 2 | $60 |
| Genentech USA, Inc. | 2 | $50 |
| Bristol Myers Squibb | 3 | $49 |
| Life Molecular Imaging Ltd | 1 | $34 |
| UCB, Inc. | 2 | $32 |
| Alnylam Pharmaceuticals Inc. | 1 | $22 |
| Biotronik NRO, Inc. | 1 | $22 |
| AstraZeneca | 1 | $19 |
| Cycle Pharmaceuticals Inc | 1 | $18 |
| Eisai 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.
- UBRELVY$122
How this compares
$1,430 in reported general payments places this provider in the 80th percentile of 2,567 physician assistant providers in Maryland.
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.
Other physician assistant in Silver Spring
- Garland JamesSilver Spring$86K
- Alyssa KlopferSilver Spring$14K
- Jeffrey KufelSilver Spring$13K
- Margaret JoyceTowson$220K
- Kara CossisBaltimore$177K
- Michael RitmillerOwings Mills$92K
- Melissa BearekmanBaltimore$81K
- Brittany YerkesSalisbury$81K
- Bruce SmithBaltimore$63K
- Shannon MarriottBaltimore$38K
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.