Leslie Spires
Physician Assistant · Mer Rouge, LANPI 1295490910
Payments from drug & device makers
Across 144 payments — averaging $17.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$503
- Bayer$403
- Astellas Pharma US Inc$199
- Axsome Therapeutics, Inc.$162
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$151
- Avanir Pharmaceuticals, Inc.$145
- plus $1K from 22 others
What the payments were for
- Food & beverage$2,565100%
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 | 34 | $503 |
| Bayer | 21 | $403 |
| Astellas Pharma US Inc | 11 | $199 |
| Axsome Therapeutics, Inc. | 8 | $162 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 7 | $151 |
| Avanir Pharmaceuticals, Inc. | 8 | $145 |
| Novo Nordisk | 6 | $108 |
| Merck | 5 | $92 |
| Nestle Healthcare Nutrition Inc. | 5 | $83 |
| Harmony Biosciences LLC | 3 | $81 |
| GSK | 4 | $73 |
| Amgen | 4 | $73 |
| Exact Sciences | 4 | $61 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $60 |
| Smith+Nephew | 2 | $51 |
| Xeris Pharmaceuticals, Inc. | 3 | $50 |
| Paratek Pharmaceuticals, Inc. | 3 | $46 |
| Otsuka America Pharmaceutical, Inc. | 2 | $36 |
| Eisai Inc. | 2 | $34 |
| Lilly USA, LLC | 1 | $23 |
| AstraZeneca | 1 | $21 |
| Vertex | 1 | $20 |
| Global Blood Therapeutics, Inc. | 1 | $18 |
| Ardelyx, Inc. | 1 | $17 |
| Boehringer Ingelheim | 1 | $17 |
| Hikma Pharmaceuticals USA | 1 | $17 |
| Aimmune Therapeutics, Inc. | 1 | $14 |
| Athena Bioscience, LLC | 1 | $6 |
How this compares
$2,565 in reported general payments places this provider in the 85th percentile of 1,246 physician assistant providers in Louisiana.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MounjaroTirzepatide | 35 | $35,907 |
| OzempicSemaglutide | 30 | $32,977 |
| EliquisApixaban | 38 | $19,313 |
| JardianceEmpagliflozin | 23 | $15,345 |
| LinzessLinaclotide | 16 | $9,069 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 11 | $8,246 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 43 | $1,061 |
| Gabapentin | 70 | $932 |
| Sucralfate | 16 | $876 |
| Fluticasone Propionate | 69 | $565 |
| Levothyroxine Sodium | 54 | $459 |
| Atorvastatin Calcium | 73 | $427 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 25 | $418 |
| Losartan Potassium | 66 | $364 |
| Diclofenac Sodium | 36 | $354 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $23 | $35,90735 claims |
| Novo NordiskOzempic | $108 | $32,97730 claims |
| Boehringer IngelheimJardiance | $17 | $15,34523 claims |
| AbbVieLinzess | $503 | $9,06916 claims |
| GSKTrelegy Ellipta | $73 | $8,24611 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 85th percentile of 1,246 physician assistant providers in Louisiana.
Other physician assistant in Mer Rouge
- Shelly EsnardBaton Rouge$141K
- Jefferson OberleNew Orleans$66K
- Jennifer ScheuermannNew Orleans$56K
- Claire DarreJefferson$50K
- Elizabeth ClementNew Orleans$35K
- Mary Negrotto GuntherSlidell$29K
- Kristen HebertZachary$27K
- David GsellNew Orleans$26K
- Nakia BrooksNew Orleans$25K
- Savannah SanchezBaton Rouge$19K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.