Michelle Guadagno, PA
Physician Assistant · Charlotte, NCNPI 1760883839
Payments from drug & device makers
Across 36 payments — averaging $45.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$315
- AbbVie$248
- Medical Device Business Services, Inc.$234
- Si-bone, Inc.$186
- Adaptive Biotechnologies Corporation$130
- Relievant Medsystems, Inc.$125
- plus $418 from 13 others
What the payments were for
- Food & beverage$1,51892%
- Education$1378%
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 | $315 |
| AbbVie | 2 | $248 |
| Medical Device Business Services, Inc. | 2 | $234 |
| Si-bone, Inc. | 4 | $186 |
| Adaptive Biotechnologies Corporation | 1 | $130 |
| Relievant Medsystems, Inc. | 1 | $125 |
| Sanofi-aventis U.S. LLC | 1 | $96 |
| Johnson & Johnson(2 entities) | 4 | $60 |
| Spineology Inc. | 1 | $34 |
| Medacta USA, Inc. | 1 | $34 |
| Boston Scientific | 1 | $27 |
| Stemline Therapeutics Inc. | 1 | $24 |
| Iovance Biotherapeutics, Inc. | 1 | $23 |
| Heron Therapeutics, Inc. | 1 | $23 |
| Arteriocyte Medical Systems, Inc. | 1 | $21 |
| Spine Wave, Inc. | 1 | $21 |
| Intrinsic Therapeutics | 1 | $21 |
| Providence Medical Technology, Inc. | 1 | $18 |
| Globus Medical | 1 | $15 |
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
$1,655 in reported general payments places this provider in the 75th percentile of 7,441 physician assistant providers in North Carolina.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 132 | $1,146 |
| Gabapentin | 68 | $666 |
| Oxycodone Hcl | 44 | $339 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 46 | $337 |
| Methocarbamol | 51 | $292 |
| Tizanidine Hcl | 56 | $262 |
| Cyclobenzaprine Hcl | 11 | $63 |
| Tramadol Hcl | 26 | $48 |
| Diazepam | 14 | $9 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Charlotte
- Rachel HolzhauerCharlotte$739K
- Amber BlairCharlotte$551K
- Kristin CabedaCharlotte$135K
- Meghan EmigCharlotte$124K
- Juleidy TurnipseedCharlotte$84K
- Erin SiceloffCharlotte$50K
- Ronald RodriguezCharlotte$31K
- Lamiaa TolbaCharlotte$29K
- Sanaya GandhiCharlotte$29K
- Jacqueline LeyrerCharlotte$24K
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.