Michelle Apicella, PA
Physician Assistant · Brunswick, OHNPI 1316440878
Payments from drug & device makers
Across 129 payments — averaging $62.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Insmed, Inc.$6K
- AstraZeneca$510
- Sanofi$403
- Regeneron Healthcare Solutions, Inc.$347
- United Therapeutics Corporation$303
- GSK$231
- plus $609 from 7 others
What the payments were for
- Consulting fees$2,68833%
- Travel & lodging$1,09814%
- Food & beverage$4,06851%
- Education$1842%
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 |
|---|---|---|
| Insmed, Inc. | 69 | $5,634 |
| AstraZeneca | 11 | $510 |
| Sanofi | 12 | $403 |
| Regeneron Healthcare Solutions, Inc. | 8 | $347 |
| United Therapeutics Corporation | 6 | $303 |
| GSK | 13 | $231 |
| Boehringer Ingelheim | 2 | $190 |
| Baxter Healthcare | 1 | $147 |
| Sanofi-aventis U.S. LLC | 1 | $79 |
| Amgen | 2 | $71 |
| Verona Pharma, Inc. | 2 | $50 |
| Electromed, Inc. | 1 | $43 |
| Mylan Specialty L.p. | 1 | $29 |
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.
- AIRSUPRA$241
- DUPIXENT$240
- Arikayce$238
- Hillrom - Vest System Model 205 Acute Care$147
- TEZSPIRE$121
How this compares
$8,037 in reported general payments places this provider in the 95th percentile of 4,098 physician assistant providers in Ohio.
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 |
|---|---|---|
| Dupixent PenDupilumab | 20 | $73,689 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 72 | $59,540 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 58 | $47,697 |
| Spiriva RespimatTiotropium Bromide | 49 | $37,620 |
| Breo ElliptaFluticasone/Vilanterol | 73 | $32,242 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 38 | $30,432 |
| Bevespi AerosphereGlycopyrrolate/Formoterol Fum | 57 | $27,965 |
| Advair HfaFluticasone Propion/Salmeterol | 60 | $24,072 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 24 | $19,605 |
| SymbicortBudesonide/Formoterol Fumarate | 42 | $13,816 |
| DuleraMometasone/Formoterol | 35 | $13,643 |
| Incruse ElliptaUmeclidinium Bromide | 18 | $10,142 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 44 | $5,464 |
| Arnuity ElliptaFluticasone Furoate | 18 | $5,447 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 200 | $5,298 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta, Arnuity Ellipta | $231 | $125,960205 claims |
| AstraZenecaBreztri Aerosphere, Bevespi Aerosphere, Symbicort | $510 | $101,321171 claims |
| Boehringer IngelheimSpiriva Respimat, Stiolto Respimat | $190 | $57,22573 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 4,098 physician assistant providers in Ohio.
Other physician assistant in Brunswick
- Steven WurzelbacherCincinnati$309K
- Emily AnkromDayton$192K
- Amanda MaggartWorthington$164K
- Megan SevillaMayfield Heights$132K
- Erin StrculaBelpre$106K
- Natalie WalkupSylvania$105K
- Sarah LaubNew Albany$100K
- Jessica RhominskiCanal Winchester$78K
- Alan OdonnellCincinnati$71K
- Brook GramBeloit$52K
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.