Pauline Pagel
Nurse Practitioner · Dallas, TXNPI 1215074638
Payments from drug & device makers
Across 332 payments — averaging $20.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$962
- Abbott$653
- Dexcom, Inc.$602
- Novo Nordisk$488
- Sanofi-aventis U.S. LLC$482
- Lilly USA, LLC$456
- plus $3K from 31 others
What the payments were for
- Food & beverage$6,70398%
- Education$1122%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 29 | $962 |
| Abbott | 39 | $653 |
| Dexcom, Inc. | 30 | $602 |
| Novo Nordisk | 26 | $488 |
| Sanofi-aventis U.S. LLC | 22 | $482 |
| Lilly USA, LLC | 28 | $456 |
| Boehringer Ingelheim | 19 | $411 |
| Insulet Corporation | 18 | $399 |
| Xeris Pharmaceuticals, Inc. | 17 | $281 |
| Medtronic | 7 | $276 |
| Bayer | 9 | $175 |
| AbbVie | 10 | $175 |
| Amgen | 7 | $153 |
| Antares Pharma, Inc. | 8 | $138 |
| Corcept Therapeutics | 5 | $136 |
| IBSA Pharma Inc. | 6 | $94 |
| Ascensia Diabetes Care US Inc. | 5 | $92 |
| Tandem Diabetes Care, Inc. | 5 | $84 |
| Amarin Pharma, Inc. | 5 | $80 |
| Mannkind Corporation | 3 | $78 |
| Currax Pharmaceuticals LLC | 4 | $78 |
| Avvisto Therapeutics, LLC | 4 | $75 |
| Merck | 4 | $63 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $45 |
| BETA Bionics, Inc. | 3 | $44 |
| Amphastar Pharmaceuticals, Inc. | 2 | $41 |
| Halozyme Inc | 2 | $39 |
| Madrigal Pharmaceuticals | 1 | $37 |
| Nevro Corp. | 2 | $33 |
| Zealand Pharma US, Inc. | 2 | $26 |
| Recordati_rare_diseases_inc. | 1 | $19 |
| Echosens North America, Inc. | 1 | $19 |
| Acella Pharmaceuticals, LLC | 1 | $17 |
| Rhythm Pharmaceuticals, Inc. | 1 | $17 |
| Amneal Pharmaceuticals LLC | 1 | $16 |
| Acerus Pharmaceuticals Corporation | 1 | $15 |
| Vivus LLC | 1 | $14 |
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.
- FARXIGA$365
- MINIMED 780G$183
- Omnipod$138
How this compares
$6,815 in reported general payments places this provider in the 95th percentile of 5,422 nurse practitioner providers in Texas.
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 |
|---|---|---|
| OzempicSemaglutide | 244 | $428,021 |
| MounjaroTirzepatide | 170 | $267,348 |
| FarxigaDapagliflozin Propanediol | 140 | $164,115 |
| JardianceEmpagliflozin | 120 | $136,403 |
| Tresiba Flextouch U-200Insulin Degludec | 56 | $88,671 |
| Tresiba Flextouch U-100Insulin Degludec | 102 | $84,009 |
| TrulicityDulaglutide | 33 | $73,653 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 72 | $70,991 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 41 | $65,563 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 36 | $62,570 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 38 | $59,870 |
| Humalog Kwikpen U-200Insulin Lispro | 23 | $49,998 |
| JanuviaSitagliptin Phosphate | 37 | $44,480 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 32 | $43,125 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 33 | $36,332 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic, Novolog, Novolog Mix 70-30 | $488 | $446,266288 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $456 | $352,633233 claims |
| AstraZenecaFarxiga | $962 | $164,115140 claims |
| Boehringer IngelheimJardiance, Tradjenta | $411 | $158,628136 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $482 | $62,57036 claims |
| MerckJanuvia | $63 | $44,48037 claims |
| AbbVieSynthroid, Armour Thyroid | $175 | $2,62830 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $16 | $1,787136 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 5,422 nurse practitioner providers in Texas.
Other nurse practitioner in Dallas
- Samantha OnealDallas$133K
- Tam TranDallas$37K
- Tobin SpeightDallas$35K
- Rachel TiuDallas$19K
- Cecilia DavisAustin$262K
- Melanie MorrisHouston$254K
- Stephanie BrownHarlingen$235K
- Brittney MisercolaKilleen$223K
- Roger ChapmanTyler$211K
- Kelly BrassilHouston$194K
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.