Marianna Garcia, PA
Physician Assistant · Norfolk, VANPI 1396189692
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.3%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 6 manufacturers reported payments, led by Abbott at 57.7% of the total. Reporting peaked in 2022 at $4,010 and has fallen 82.6% since, to $699 in 2025. Among physician assistant clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 158 payments — averaging $67.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$6K
- Medtronic$3K
- Edwards Lifesciences$900
- W. L. Gore & Associates, Inc.$95
- Boston Scientific$29
- Masimo Corporation$13
What the payments were for
- Speaking & faculty fees$2,18820%
- Travel & lodging$2,92427%
- Food & beverage$5,59452%
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 |
|---|---|---|
| Abbott | 52 | $6,175 |
| Medtronic | 81 | $3,495 |
| Edwards Lifesciences | 22 | $900 |
| W. L. Gore & Associates, Inc. | 1 | $95 |
| Boston Scientific | 1 | $29 |
| Masimo Corporation | 1 | $13 |
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.
- MitraClip$2,793
- MitraClip System$1,722
- COREVALVE EVOLUT R$1,335
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$225
- EVOQUE$167
- CoreValve Evolut$145
- SAPIEN 3 Ultra RESILIA$134
- PORTICO$100
How this compares
$10,706 in reported general payments places this provider in the 95th percentile of 3,376 physician assistant providers in Virginia.
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 |
|---|---|---|
| EliquisApixaban | 73 | $46,863 |
| Metoprolol Succinate | 40 | $741 |
| ClopidogrelClopidogrel Bisulfate | 37 | $595 |
| Bumetanide | 23 | $357 |
| Furosemide | 55 | $325 |
| Spironolactone | 26 | $207 |
| Amlodipine Besylate | 23 | $144 |
| Carvedilol | 33 | $135 |
| Atorvastatin Calcium | 13 | $114 |
| Metoprolol Tartrate | 17 | $83 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Norfolk
- Melissa AlcoxNorfolk$73K
- Hillary HartungNorfolk$62K
- Stephanie HadleyNorfolk$15K
- Danielle JohnsonNorfolk$13K
- Ericka ThompsonNorfolk$13K
- John DalessandroSalem$160K
- Jalal AlghabraFredericksburg$119K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Lindsay TomReston$71K
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.