Leonel Gras
Physician Assistant · Coconut Creek, FLNPI 1841288446
Payments from drug & device makers
Across 139 payments — averaging $22.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exact Sciences$529
- Novo Nordisk$414
- GSK$324
- Lilly USA, LLC$295
- Astellas Pharma US Inc$232
- Amarin Pharma, Inc.$188
- plus $1K from 17 others
What the payments were for
- Food & beverage$3,02097%
- Education$803%
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 |
|---|---|---|
| Exact Sciences | 17 | $529 |
| Novo Nordisk | 16 | $414 |
| GSK | 16 | $324 |
| Lilly USA, LLC | 17 | $295 |
| Astellas Pharma US Inc | 6 | $232 |
| Amarin Pharma, Inc. | 12 | $188 |
| Pfizer | 8 | $153 |
| Teva Pharmaceuticals USA, Inc. | 7 | $146 |
| Bayer | 5 | $140 |
| Amgen | 8 | $137 |
| Boehringer Ingelheim | 6 | $99 |
| AbbVie | 3 | $81 |
| Johnson & Johnson | 4 | $71 |
| AstraZeneca | 2 | $54 |
| Shield Therapeutics Inc | 1 | $38 |
| Novartis | 2 | $37 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $36 |
| Merck | 2 | $30 |
| Boston Scientific | 1 | $23 |
| Esperion Therapeutics, Inc. | 1 | $20 |
| Abbott | 1 | $19 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Redhill Biopharma Inc. | 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.
- RYBELSUS$115
How this compares
$3,100 in reported general payments places this provider in the 80th percentile of 8,062 physician assistant providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 44 | $58,664 |
| MounjaroTirzepatide | 23 | $33,472 |
| EliquisApixaban | 22 | $30,395 |
| Omega-3 Acid Ethyl Esters | 29 | $2,378 |
| Atorvastatin Calcium | 216 | $1,119 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 22 | $1,046 |
| Levothyroxine Sodium | 106 | $819 |
| Diclofenac Sodium | 57 | $752 |
| Glipizide ErGlipizide | 58 | $735 |
| Tamsulosin Hcl | 88 | $733 |
| Metoprolol Succinate | 61 | $667 |
| Metformin Hcl | 115 | $551 |
| Amlodipine Besylate | 115 | $544 |
| Losartan Potassium | 80 | $522 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 20 | $470 |
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 | $414 | $58,66444 claims |
| Lilly USA, LLCMounjaro | $295 | $33,47223 claims |
| PfizerEliquis | $153 | $30,39522 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 80th percentile of 8,062 physician assistant providers in Florida.
Other physician assistant in Coconut Creek
- Richard MarshallPort Orange$988K
- Audrey BeckerSt Augustine$689K
- Kevin WilliamsTampa$647K
- Brian BonomoLecanto$559K
- Melissa SingletonOcala$482K
- Reeli ReinuMaitland$427K
- Jeanelle KingMiami$424K
- Risha BellomoOrlando$397K
- Jason BergerClearwater$344K
- Ashley MillerGainesville$328K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.