Magdalena Garbacz
Nurse Practitioner · Spokane, WANPI 1427612514
Payments from drug & device makers
Across 77 payments — averaging $48.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Novo Nordisk$806
- Sanofi-aventis U.S. LLC$247
- Insulet Corporation$239
- Lilly USA, LLC$149
- Bayer$147
- plus $663 from 14 others
What the payments were for
- Travel & lodging$88524%
- Food & beverage$2,85176%
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 |
|---|---|---|
| Medtronic | 10 | $1,484 |
| Novo Nordisk | 18 | $806 |
| Sanofi-aventis U.S. LLC | 3 | $247 |
| Insulet Corporation | 11 | $239 |
| Lilly USA, LLC | 7 | $149 |
| Bayer | 3 | $147 |
| Amgen | 5 | $109 |
| BETA Bionics, Inc. | 1 | $105 |
| Boehringer Ingelheim | 4 | $90 |
| Corcept Therapeutics | 3 | $66 |
| Dexcom, Inc. | 2 | $66 |
| Globus Medical | 1 | $44 |
| Sequel Med Tech, LLC | 2 | $41 |
| Tandem Diabetes Care, Inc. | 1 | $29 |
| Chiesi USA, Inc. | 1 | $23 |
| Neurocrine Biosciences, Inc. | 1 | $18 |
| Xeris Pharmaceuticals, Inc. | 1 | $18 |
| Mannkind Corporation | 1 | $18 |
| Recordati_rare_diseases_inc. | 1 | $18 |
| Calliditas Therapeutics US Inc. | 1 | $17 |
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.
- MINIMED 780G$1,150
- RYBELSUS$446
- iLet Bionic Pancreas$314
- Ozempic$125
- SOLIQUA 100/33$119
- Kerendia$117
- TZIELD$107
How this compares
$3,736 in reported general payments places this provider in the 95th percentile of 2,466 nurse practitioner providers in Washington.
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 |
|---|---|---|
| OzempicSemaglutide | 115 | $165,255 |
| JardianceEmpagliflozin | 68 | $90,239 |
| MounjaroTirzepatide | 58 | $86,035 |
| Tresiba Flextouch U-200Insulin Degludec | 46 | $74,818 |
| TrulicityDulaglutide | 46 | $56,886 |
| Tresiba Flextouch U-100Insulin Degludec | 55 | $40,104 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 27 | $37,936 |
| FarxigaDapagliflozin Propanediol | 30 | $29,553 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 21 | $27,752 |
| Humalog Kwikpen U-200Insulin Lispro | 12 | $17,653 |
| JanuviaSitagliptin Phosphate | 12 | $16,790 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 16 | $15,376 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 87 | $11,312 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 13 | $10,121 |
| Humalog Kwikpen U-100Insulin Lispro | 27 | $5,733 |
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, Novolog | $806 | $169,325132 claims |
| Lilly USA, LLCMounjaro, Trulicity, Baqsimi, Insulin Lispro | $149 | $150,032127 claims |
| Boehringer IngelheimJardiance | $90 | $90,23968 claims |
| Sanofi-aventis U.S. LLCLantus | $247 | $1,79821 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 95th percentile of 2,466 nurse practitioner providers in Washington.
Other nurse practitioner in Spokane
- Veronica NavarroSpokane$34K
- Nancy WickreSpokane$15K
- Jamelynn MarkSpokane$14K
- Mackenzi HeatonSpokane$12K
- Susan CainSpokane$8K
- Pamela Schell WerschlerSpokane$7K
- Nelbie Anne DuranSpokane$6K
- Natalya WolterSpokane$5K
- Darla ChapmanSeattle$541K
- Olga VoloshinaSeattle$279K
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.