Samantha Nigro
Physician Assistant · Sacramento, CANPI 1134718802
Payments from drug & device makers
Across 95 payments — averaging $33.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$711
- Amgen$413
- Bayer$257
- Novo Nordisk$226
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$165
- Avanos Medical$139
- plus $1K from 22 others
What the payments were for
- Food & beverage$3,217100%
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 | 16 | $711 |
| Amgen | 7 | $413 |
| Bayer | 5 | $257 |
| Novo Nordisk | 10 | $226 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 10 | $165 |
| Avanos Medical | 1 | $139 |
| Merck | 6 | $120 |
| AbbVie | 1 | $116 |
| Lilly USA, LLC | 6 | $113 |
| Verona Pharma, Inc. | 1 | $103 |
| Abbott | 4 | $101 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| Neurocrine Biosciences, Inc. | 4 | $91 |
| Johnson & Johnson | 3 | $68 |
| Dexcom, Inc. | 2 | $56 |
| GSK | 2 | $49 |
| Exact Sciences | 2 | $49 |
| Sanofi Pasteur Inc. | 1 | $46 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $43 |
| Pfizer | 2 | $37 |
| Tandem Diabetes Care, Inc. | 1 | $37 |
| Axsome Therapeutics, Inc. | 1 | $35 |
| Boehringer Ingelheim | 2 | $33 |
| Vanda Pharmaceuticals Inc. | 1 | $29 |
| Xeris Pharmaceuticals, Inc. | 1 | $22 |
| Phadia US Inc. | 1 | $22 |
| Alkermes, Inc. | 1 | $20 |
| Antares Pharma, Inc. | 1 | $17 |
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
$3,217 in reported general payments places this provider in the 85th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| SynjardyEmpagliflozin/Metformin Hcl | 46 | $35,495 |
| JardianceEmpagliflozin | 34 | $35,089 |
| TrulicityDulaglutide | 39 | $34,109 |
| JanuviaSitagliptin Phosphate | 29 | $24,630 |
| XareltoRivaroxaban | 24 | $18,122 |
| VemlidyTenofovir Alafenamide | 12 | $16,357 |
| FarxigaDapagliflozin Propanediol | 21 | $15,114 |
| Spiriva RespimatTiotropium Bromide | 23 | $14,367 |
| Breo ElliptaFluticasone/Vilanterol | 30 | $13,197 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 20 | $5,337 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 28 | $4,786 |
| BreynaBudesonide/Formoterol Fumarate | 14 | $3,507 |
| Advair DiskusFluticasone Propion/Salmeterol | 12 | $3,080 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 27 | $2,395 |
| Atorvastatin Calcium | 287 | $1,742 |
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 |
|---|---|---|
| Boehringer IngelheimSynjardy, Jardiance, Spiriva Respimat | $33 | $84,951103 claims |
| Lilly USA, LLCTrulicity | $113 | $34,10939 claims |
| MerckJanuvia | $120 | $24,63029 claims |
| Johnson & JohnsonXarelto | $68 | $18,12224 claims |
| GileadVemlidy | $711 | $16,35712 claims |
| GSKBreo Ellipta | $49 | $13,19730 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 85th percentile of 10,423 physician assistant providers in California.
Other physician assistant in Sacramento
- Franklin ClineSacramento$458K
- John QuigleyDowney$2.9M
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
- Eric CheungLos Angeles$213K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.