Leah Waller, PA
Physician Assistant · Fredericksburg, VANPI 1740673250
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.6%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 40.5% of the total. Reporting peaked in 2022 at $7,401 and has fallen 86.8% since, to $976 in 2025. Among physician assistant clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 349 payments — averaging $50.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$7K
- Sanofi$3K
- AbbVie$658
- LEO Pharma Inc.$650
- Johnson & Johnson$591
- Pfizer$587
- plus $4K from 21 others
What the payments were for
- Consulting fees$2,18712%
- Speaking & faculty fees$5,20730%
- Travel & lodging$8385%
- Food & beverage$8,85851%
- Education$4302%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 50 | $7,087 |
| Sanofi | 27 | $3,498 |
| AbbVie(2 entities) | 28 | $658 |
| LEO Pharma Inc. | 31 | $650 |
| Johnson & Johnson | 23 | $591 |
| Pfizer | 25 | $587 |
| Incyte Corporation | 22 | $583 |
| Novartis | 25 | $549 |
| Galderma Laboratories, L.p. | 16 | $411 |
| E.r. Squibb & Sons, L.L.C. | 13 | $346 |
| Journey Medical Corporation | 10 | $305 |
| Lilly USA, LLC | 13 | $287 |
| UCB, Inc. | 6 | $253 |
| Sun Pharmaceutical Industries Inc. | 12 | $223 |
| VYNE Pharmaceuticals Inc. | 8 | $219 |
| Dermavant Sciences, Inc. | 7 | $218 |
| Revance Therapeutics, Inc. | 2 | $176 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 7 | $139 |
| Lumenis BE Inc | 1 | $138 |
| Arcutis Biotherapeutics, Inc. | 8 | $130 |
| Amgen | 4 | $120 |
| Janssen Scientific Affairs, LLC | 1 | $100 |
| Medimetriks Pharmaceuticals, Inc. | 4 | $79 |
| Strata Skin Sciences, Inc. | 1 | $67 |
| Organon | 2 | $56 |
| Botanix SB Inc | 2 | $34 |
| Nabriva Therapeutics, PLC | 1 | $16 |
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
$17,520 in reported general payments places this provider in the 95th percentile of 3,376 physician assistant providers in Virginia.
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 |
|---|---|---|
| Ketoconazole | 15 | $172 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Fredericksburg
- Jalal AlghabraFredericksburg$119K
- Kaitlin GilbertFredericksburg$13K
- Denise HamiltonFredericksburg$12K
- Monica SpellmanFredericksburg$12K
- John DalessandroSalem$160K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
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.