Nafanua Braginsky, APRN
Family · Honolulu, HINPI 1346339264
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 101 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by AbbVie at 32.3% of the total. 2025 is the largest year on record at $1,413, more than ten times the $30 reported in 2021.
Across 101 payments — averaging $27.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$883
- Johnson & Johnson$417
- Takeda Pharmaceuticals U.S.A., Inc.$379
- Bristol Myers Squibb$195
- Sanofi$182
- Pfizer$158
- plus $519 from 8 others
What the payments were for
- Food & beverage$2,733100%
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 | 35 | $883 |
| Johnson & Johnson | 17 | $417 |
| Takeda Pharmaceuticals U.S.A., Inc. | 10 | $379 |
| Bristol Myers Squibb | 8 | $195 |
| Sanofi | 5 | $182 |
| Pfizer | 9 | $158 |
| Regeneron Healthcare Solutions, Inc. | 6 | $141 |
| E.r. Squibb & Sons, L.L.C. | 1 | $124 |
| Madrigal Pharmaceuticals | 3 | $88 |
| Exact Sciences | 2 | $51 |
| Celltrion USA Inc. | 2 | $43 |
| Ardelyx, Inc. | 1 | $33 |
| Intercept Pharmaceuticals, Inc. | 1 | $22 |
| Olympus America Inc. | 1 | $16 |
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
$2,733 in reported general payments places this provider in the 85th percentile of 466 family providers in Hawaii.
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 |
|---|---|---|
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 248 | $3,310 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 58 | $1,017 |
| Atorvastatin Calcium | 51 | $576 |
| Lisinopril | 25 | $189 |
| Losartan Potassium | 36 | $187 |
| Amlodipine Besylate | 30 | $172 |
| Metoprolol Succinate | 15 | $127 |
| Pantoprazole Sodium | 13 | $73 |
| Metformin Hcl | 23 | $73 |
| Alendronate Sodium | 17 | $50 |
| Glipizide | 14 | $35 |
Paid to pharmacies, not to this prescriber.
Other family in Honolulu
- Joey SesonHonolulu$48K
- Kanna DokgoHonolulu$26K
- John MosesHonolulu$24K
- Leif MarzHonolulu$11K
- Ia Lynne AranaHonolulu$9K
- Josette DudoitHonolulu$8K
- Kailie WongHonolulu$6K
- Jane StinsonHonolulu$6K
- Melissa leHonolulu$6K
- Karen RowanHonolulu$6K
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.