Paula Birch, CRNA
Nurse Anesthetist, Certified Registered · St Augustine, FLNPI 1861501629
Payments from drug & device makers
Across 29 payments — averaging $21.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$139
- Pacira Pharmaceuticals Incorporated$129
- Edwards Lifesciences$127
- Getinge USA Sales, LLC$77
- Heron Therapeutics, Inc.$68
- Acacia Pharma Inc$39
- plus $55 from 3 others
What the payments were for
- Food & beverage$634100%
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 |
|---|---|---|
| Merck | 7 | $139 |
| Pacira Pharmaceuticals Incorporated | 6 | $129 |
| Edwards Lifesciences | 4 | $127 |
| Getinge USA Sales, LLC | 3 | $77 |
| Heron Therapeutics, Inc. | 4 | $68 |
| Acacia Pharma Inc | 2 | $39 |
| CSL Behring | 1 | $21 |
| Masimo Corporation | 1 | $18 |
| Vyaire Medical, Inc. | 1 | $16 |
How this compares
$634 in reported general payments places this provider in the 90th percentile of 4,234 nurse anesthetist, certified registered providers in Florida.
See all nurse anesthetist, certified registered providers in Florida →
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 nurse anesthetist, certified registered in St Augustine
- Mary MartinSt Augustine$25K
- Peter WrinklePanama City$7.8M
- Vicky JohnsonSarasota$382K
- Jonathan KlineWesley Chapel$218K
- Erik RauchSt Petersburg$83K
- Ryann LaveniaFort Myers$71K
- John YoungTampa$56K
- Michelle AlleMiami$54K
- Nicholas AngelisPensacola$28K
- Laura GallagherFort Lauderdale$25K
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.