Monica Spellman, PA
Physician Assistant · Fredericksburg, VANPI 1568493955
Payments from drug & device makers
Across 640 payments — averaging $18.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$1K
- QOL Medical, LLC$812
- Gilead$677
- Sanofi$622
- plus $5K from 30 others
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 | 162 | $2,437 |
| Takeda Pharmaceuticals U.S.A., Inc. | 84 | $1,292 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 59 | $1,107 |
| QOL Medical, LLC | 38 | $812 |
| Gilead | 32 | $677 |
| Sanofi | 26 | $622 |
| Johnson & Johnson | 33 | $565 |
| Ironwood Pharmaceuticals, Inc | 29 | $530 |
| Pfizer | 21 | $464 |
| Ardelyx, Inc. | 27 | $456 |
| Madrigal Pharmaceuticals | 11 | $263 |
| Ipsen Biopharmaceuticals, Inc | 10 | $250 |
| Celltrion USA Inc. | 10 | $224 |
| Nestle Healthcare Nutrition Inc. | 9 | $206 |
| Alnylam Pharmaceuticals Inc. | 12 | $171 |
| Ferring Pharmaceuticals Inc. | 7 | $151 |
| Intercept Pharmaceuticals, Inc. | 6 | $148 |
| Bristol Myers Squibb | 9 | $147 |
| Phathom Pharmaceuticals, Inc. | 8 | $120 |
| Regeneron Healthcare Solutions, Inc. | 6 | $116 |
| Aimmune Therapeutics, Inc. | 3 | $88 |
| Merck | 5 | $83 |
| Lilly USA, LLC | 4 | $81 |
| Novo Nordisk | 3 | $66 |
| Braintree Laboratories, Inc. | 4 | $64 |
| Daiichi Sankyo Inc. | 3 | $63 |
| Amgen | 3 | $59 |
| Vivus LLC | 4 | $57 |
| Redhill Biopharma Inc. | 3 | $57 |
| Organon | 2 | $42 |
| Enterra Medical, Inc. | 2 | $41 |
| Fresenius Kabi USA, LLC | 1 | $28 |
| Boston Scientific | 1 | $26 |
| Endogastric Solutions, Inc | 1 | $23 |
| Boehringer Ingelheim | 1 | $20 |
| Intra-sana Laboratories | 1 | $15 |
How this compares
$11,572 in reported general payments places this provider in the 95th percentile of 3,376 physician assistant providers in Virginia.
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.
Other physician assistant in Fredericksburg
- Jalal AlghabraFredericksburg$119K
- Leah WallerFredericksburg$18K
- Kaitlin GilbertFredericksburg$13K
- Denise HamiltonFredericksburg$12K
- John DalessandroSalem$160K
- Jamie GiovanelliVirginia Beach$118K
- John CarterStaunton$90K
- Melissa AlcoxNorfolk$73K
- Lindsay TomReston$71K
- Robert HigginsonRichmond$66K
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.