Michelle Nagel
Physician Assistant · San Diego, CANPI 1033580865
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 308 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 39 manufacturers reported payments, led by AbbVie at 29.4% of the total. Reporting peaked in 2024 at $1,732 and has fallen 62.9% since, to $642 in 2025. Among physician assistant clinicians in CA 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 308 payments — averaging $22.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Supernus Pharmaceuticals, Inc.$640
- Novo Nordisk$494
- Gilead$445
- Corium, LLC$324
- Pfizer$315
- plus $3K from 33 others
What the payments were for
- Food & beverage$6,778100%
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 |
|---|---|---|
| AbbVie | 88 | $1,996 |
| Supernus Pharmaceuticals, Inc. | 13 | $640 |
| Novo Nordisk | 25 | $494 |
| Gilead | 20 | $445 |
| Corium, LLC | 11 | $324 |
| Pfizer | 17 | $315 |
| Lilly USA, LLC | 15 | $277 |
| Viiv Healthcare Company | 12 | $247 |
| Bausch Health US, LLC | 14 | $226 |
| Takeda Pharmaceuticals U.S.A., Inc. | 13 | $196 |
| Biohaven Pharmaceuticals, Inc. | 4 | $166 |
| Ironshore Pharmaceuticals Inc. | 8 | $155 |
| Neos Therapeutics, LP | 5 | $108 |
| Noven Therapeutics, LLC | 6 | $105 |
| Teva Pharmaceuticals USA, Inc. | 5 | $103 |
| GSK | 5 | $91 |
| AstraZeneca | 4 | $91 |
| Amgen | 4 | $79 |
| Axsome Therapeutics, Inc. | 4 | $67 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $64 |
| Idorsia Pharmaceuticals US Inc | 4 | $61 |
| Exact Sciences | 3 | $61 |
| Lundbeck LLC | 2 | $48 |
| Inspire Medical Systems, Inc. | 2 | $47 |
| Agile Therapeutics, Inc. | 2 | $40 |
| Tris Pharma Inc | 2 | $37 |
| Collegium Pharmaceutical, Inc. | 2 | $35 |
| Otsuka America Pharmaceutical, Inc. | 2 | $31 |
| Jazz Pharmaceuticals Inc. | 2 | $30 |
| Corcept Therapeutics | 1 | $30 |
| Bayer | 1 | $24 |
| Merck | 1 | $23 |
| Redhill Biopharma Inc. | 1 | $23 |
| Alfasigma USA, Inc. | 1 | $20 |
| Phadia US Inc. | 1 | $19 |
| IBSA Pharma Inc. | 1 | $18 |
| Coopersurgical, Inc. | 1 | $16 |
| Highridge Medical LLC | 1 | $14 |
| Organon | 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.
- QELBREE$394
- UBRELVY$148
- NURTEC ODT$131
- Azstarys$118
How this compares
$6,778 in reported general payments places this provider in the 95th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Zolpidem Tartrate | 14 | $87 |
| Sertraline Hcl | 13 | $68 |
| Lisinopril | 15 | $29 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in San Diego
- Jeremy AdlerSan Diego$82K
- Anne DenslowSan Diego$43K
- Kathryn SmileySan Diego$33K
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.