Kathrina Paner, PA
Medical · Las Vegas, NVNPI 1114152345
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.0% of the total across 124 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by GSK at 24.9% of the total. 2025 is the largest year on record at $1,008, 2.8 times the $365 reported in 2021.
Across 124 payments — averaging $28.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$874
- Stryker$818
- Regeneron Healthcare Solutions, Inc.$703
- Sanofi$485
- Optinose US, Inc.$347
- AstraZeneca$125
- plus $158 from 4 others
What the payments were for
- Food & beverage$3,43998%
- Education$712%
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 |
|---|---|---|
| GSK | 40 | $874 |
| Stryker | 13 | $818 |
| Regeneron Healthcare Solutions, Inc. | 32 | $703 |
| Sanofi | 19 | $485 |
| Optinose US, Inc. | 14 | $347 |
| AstraZeneca | 1 | $125 |
| Sanofi-aventis U.S. LLC | 1 | $53 |
| Amgen | 2 | $47 |
| Merck | 1 | $30 |
| Intersect ENT, Inc. | 1 | $28 |
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.
- NUCALA$250
- DUPIXENT$248
- XPRESS LOPROFILE$172
- XPRESS ENT DILATION SYSTEM$141
- TEZSPIRE$125
- Xhance$107
How this compares
$3,510 in reported general payments places this provider in the 75th percentile of 250 medical providers in Nevada.
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 |
|---|---|---|
| Ipratropium Bromide | 98 | $2,733 |
| Azelastine Hcl | 74 | $2,188 |
| Ofloxacin | 20 | $1,231 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 108 | $1,001 |
| Methylprednisolone | 95 | $648 |
| Fluticasone Propionate | 57 | $598 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 13 | $532 |
| Mupirocin | 22 | $199 |
| Famotidine | 30 | $193 |
| Doxycycline Hyclate | 20 | $186 |
| Prednisone | 98 | $156 |
| Azithromycin | 40 | $135 |
| Ciprofloxacin Hcl | 15 | $78 |
| Triamcinolone Acetonide | 13 | $73 |
| Levofloxacin | 13 | $42 |
Paid to pharmacies, not to this prescriber.
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- Melchor GochiocoLas Vegas$11K
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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.