Mark Sanders, PA
Medical · Rock Springs, WYNPI 1619018918
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.0% of the total across 258 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 21.4% — the pattern of someone who eats at a lot of different presentations. Among medical clinicians in WY 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 258 payments — averaging $19.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- AbbVie$980
- Lilly USA, LLC$370
- Amgen$350
- Merck$293
- GSK$262
- plus $2K from 21 others
What the payments were for
- Food & beverage$5,03499%
- Education$491%
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 |
|---|---|---|
| AstraZeneca | 38 | $1,086 |
| AbbVie | 41 | $980 |
| Lilly USA, LLC | 30 | $370 |
| Amgen | 21 | $350 |
| Merck | 18 | $293 |
| GSK | 13 | $262 |
| Otsuka America Pharmaceutical, Inc. | 13 | $219 |
| Corium, LLC | 9 | $214 |
| Lundbeck LLC | 8 | $164 |
| Pfizer | 9 | $155 |
| Xeris Pharmaceuticals, Inc. | 7 | $132 |
| Novo Nordisk | 8 | $122 |
| Novartis | 6 | $113 |
| Sunovion Pharmaceuticals Inc. | 5 | $80 |
| Dexcom, Inc. | 4 | $80 |
| Supernus Pharmaceuticals, Inc. | 5 | $71 |
| E.r. Squibb & Sons, L.L.C. | 4 | $70 |
| Mylan Specialty L.p. | 2 | $63 |
| Amarin Pharma, Inc. | 4 | $50 |
| Ironshore Pharmaceuticals Inc. | 2 | $46 |
| Boehringer Ingelheim | 3 | $40 |
| Collegium Pharmaceutical, Inc. | 2 | $36 |
| Eisai Inc. | 2 | $26 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $19 |
| Viatris Specialty LLC | 1 | $15 |
| Idorsia Pharmaceuticals US Inc | 1 | $14 |
| Gilead | 1 | $12 |
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
$5,083 in reported general payments places this provider in the 95th percentile of 56 medical providers in Wyoming.
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 | 118 | $85,042 |
| XareltoRivaroxaban | 52 | $54,136 |
| FarxigaDapagliflozin Propanediol | 26 | $36,093 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 28 | $32,510 |
| JanumetSitagliptin Phos/Metformin Hcl | 19 | $30,817 |
| JardianceEmpagliflozin | 19 | $26,254 |
| OzempicSemaglutide | 21 | $25,577 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 26 | $25,232 |
| SynjardyEmpagliflozin/Metformin Hcl | 16 | $23,947 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 14 | $17,698 |
| Trijardy XrEmpaglifloz/Linaglip/Metformin | 20 | $16,617 |
| TrulicityDulaglutide | 12 | $11,584 |
| JanuviaSitagliptin Phosphate | 17 | $11,426 |
| Tresiba Flextouch U-200Insulin Degludec | 15 | $10,633 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 15 | $10,277 |
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 |
|---|---|---|
| PfizerEliquis | $155 | $85,042118 claims |
| Boehringer IngelheimJardiance, Synjardy, Trijardy Xr, Combivent Respimat | $40 | $77,09470 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $1,086 | $74,20271 claims |
| MerckJanumet, Januvia | $293 | $42,24336 claims |
| Novo NordiskOzempic | $122 | $25,57721 claims |
| GSKTrelegy Ellipta | $262 | $25,23226 claims |
| Lilly USA, LLCTrulicity | $370 | $11,58412 claims |
| AbbVieLinzess, Synthroid | $980 | $8,32958 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 56 medical providers in Wyoming.
Other medical in Rock Springs
- Melissa JewellRock Springs$3K
- Daniel PedersenRock Springs$489
- Dylan PowellRock Springs$470
- Peter ChristiansenRock Springs$140
- Amy DolceRock Springs$34
- Jessica NeauSheridan$7K
- Autumn BarrettSheridan$6K
- John VippermanCody$5K
- Gary OttersbachCasper$4K
- Sharae InmanSheridan$4K
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.