Michelle Sirman-Wells
Acute Care · Palm Beach Gardens, FLNPI 1427450469
Payments from drug & device makers
Across 39 payments — averaging $80.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$440
- AbbVie$290
- Novo Nordisk$250
- Boehringer Ingelheim$238
- Madrigal Pharmaceuticals$146
- Alnylam Pharmaceuticals Inc.$141
- plus $2K from 20 others
What the payments were for
- Food & beverage$3,146100%
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 |
|---|---|---|
| Gilead | 4 | $440 |
| AbbVie | 4 | $290 |
| Novo Nordisk | 2 | $250 |
| Boehringer Ingelheim | 2 | $238 |
| Madrigal Pharmaceuticals | 1 | $146 |
| Alnylam Pharmaceuticals Inc. | 1 | $141 |
| Cvrx, Inc. | 1 | $133 |
| Neurocrine Biosciences, Inc. | 1 | $125 |
| Sanofi-aventis U.S. LLC | 1 | $125 |
| GSK | 1 | $125 |
| AstraZeneca(2 entities) | 2 | $125 |
| Idorsia Pharmaceuticals US Inc | 2 | $118 |
| Insmed, Inc. | 1 | $115 |
| Atricure, Inc. | 1 | $107 |
| Acadia Pharmaceuticals Inc | 1 | $104 |
| Medtronic | 1 | $103 |
| Biogen | 1 | $101 |
| Abbott | 1 | $93 |
| Bayer | 1 | $71 |
| CSL Behring | 2 | $45 |
| EMD Serono, Inc. | 2 | $43 |
| Merz Pharmaceuticals, LLC | 2 | $32 |
| Teva Pharmaceuticals USA, Inc. | 1 | $24 |
| UCB, Inc. | 1 | $21 |
| Genentech USA, Inc. | 1 | $19 |
| Curonix LLC | 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.
- Wegovy$250
- REZDIFFRA$146
- AMVUTTRA$141
- Barostim Neo System$133
- UBRELVY$125
- QULIPTA$125
- ONGENTYS$125
- AREXVY$125
- TZIELD$125
- Biktarvy$122
- Arikayce$115
- Epclusa$110
- SYNERGY ABLATION SYSTEM$107
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$107
- ANDEXXA$106
- NUPLAZID$104
- QUVIVIQ$103
- INTELLIS ADAPTIVESTIM$103
How this compares
$3,146 in reported general payments places this provider in the 90th percentile of 1,150 acute care providers in Florida.
Other acute care in Palm Beach Gardens
- Melisa WilsonOrlando$3.6M
- Amanda PeacockJacksonville$81K
- Katrina RileyTampa$66K
- Diane GrayLake Mary$49K
- Heather RamousSafety Harbor$38K
- Melanie WeresJacksonville$37K
- Jayne JaramilloJacksonville$27K
- Melissa HamiltonTampa$23K
- Kimberly GrantAltamonte Springs$20K
- Julie ElliottWinter Haven$17K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.