Madison Dalpe
Physician Assistant · Conroe, TXNPI 1962083626
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 163 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Inspire Medical Systems, Inc. accounts for 67.0% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2023 at $1,880 and has fallen 64.9% since, to $660 in 2025.
Across 163 payments — averaging $23.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Sanofi$684
- Regeneron Healthcare Solutions, Inc.$286
- Medtronic$119
- Alafair Biosciences, Inc.$40
- Optinose US, Inc.$37
- plus $119 from 6 others
What the payments were for
- Travel & lodging$100%
- Food & beverage$3,82998%
- Education$581%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 126 | $2,611 |
| Sanofi | 14 | $684 |
| Regeneron Healthcare Solutions, Inc. | 11 | $286 |
| Medtronic | 3 | $119 |
| Alafair Biosciences, Inc. | 1 | $40 |
| Optinose US, Inc. | 2 | $37 |
| Aerin Medical Inc. | 1 | $33 |
| Shionogi Inc | 1 | $21 |
| Merck | 1 | $19 |
| GRT US Holding, Inc. | 1 | $18 |
| Melinta Therapeutics, LLC | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
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.
- Inspire$420
How this compares
$3,897 in reported general payments places this provider in the 85th percentile of 8,308 physician assistant providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Montelukast Sodium | 12 | $40 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Conroe
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
- Michael WhiteDallas$276K
- Heidi JeffreysLubbock$259K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.