Mariana Nelson
Family · Bakersfield, CANPI 1578175097
Payments from drug & device makers
Across 106 payments — averaging $22.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$372
- AstraZeneca$248
- Merck$226
- Abbott$219
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$178
- Amgen$134
- plus $1K from 19 others
What the payments were for
- Food & beverage$2,392100%
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 |
|---|---|---|
| Novartis | 17 | $372 |
| AstraZeneca | 9 | $248 |
| Merck | 10 | $226 |
| Abbott | 17 | $219 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 7 | $178 |
| Amgen | 6 | $134 |
| GSK | 1 | $124 |
| Pfizer | 6 | $117 |
| AbbVie | 1 | $115 |
| Abiomed | 3 | $87 |
| Kiniksa Pharmaceuticals International, PLC | 4 | $79 |
| Boehringer Ingelheim | 3 | $79 |
| Scpharmaceuticals Inc. | 3 | $77 |
| Esperion Therapeutics, Inc. | 2 | $50 |
| Inspire Medical Systems, Inc. | 3 | $46 |
| Boston Scientific | 2 | $39 |
| Medtronic | 2 | $31 |
| Heartflow, Inc. | 2 | $30 |
| Biotronik Inc. | 1 | $27 |
| Irhythm Technologies, Inc. | 1 | $26 |
| Cvrx, Inc. | 2 | $26 |
| Shockwave Medical, Inc | 1 | $21 |
| Altathera Pharmaceuticals LLC | 1 | $18 |
| Bayer | 1 | $13 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $11 |
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
$2,392 in reported general payments places this provider in the 85th percentile of 10,634 family providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| XareltoRivaroxaban | 12 | $15,980 |
| FarxigaDapagliflozin Propanediol | 19 | $14,565 |
| EliquisApixaban | 13 | $10,368 |
| EntrestoSacubitril/Valsartan | 16 | $7,495 |
| Ranolazine ErRanolazine | 14 | $1,408 |
| Rosuvastatin Calcium | 69 | $1,130 |
| Midodrine Hcl | 13 | $717 |
| Atorvastatin Calcium | 60 | $519 |
| Spironolactone | 38 | $377 |
| Amlodipine Besylate | 72 | $364 |
| Metoprolol Succinate | 37 | $345 |
| Carvedilol | 37 | $277 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 13 | $148 |
| Amiodarone Hcl | 12 | $147 |
| Ezetimibe | 11 | $121 |
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 |
|---|---|---|
| AstraZenecaFarxiga | $248 | $14,56519 claims |
| PfizerEliquis | $117 | $10,36813 claims |
| NovartisEntresto | $372 | $7,49516 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 10,634 family providers in California.
Other family in Bakersfield
- Jennifer TougasBakersfield$302K
- Ashton ChaseBakersfield$86K
- Lori RobertsonChino Hills$475K
- Annette ShonLos Angeles$406K
- Nancy GardettoSan Diego$394K
- Lisa HigginsHanford$311K
- Kim SchaferSacramento$288K
- Dawn MeyerSan Diego$270K
- Jennifer KangCerritos$255K
- Jenine StoneEscondido$231K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.