Sandra Cyril, PA
Physician Assistant · Miami, FLNPI 1184653271
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $9,326 of the $11,605 with a category attached, or 80.4%. It is spread thinly across 34 manufacturers, the largest accounting for just 16.6% — the pattern of someone who eats at a lot of different presentations. Among physician assistant clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 284 payments — averaging $40.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- LEO Pharma Inc.$2K
- Incyte Corporation$2K
- Galderma Laboratories, L.p.$1K
- Pfizer$865
- Johnson & Johnson$707
- Dermavant Sciences, Inc.$532
- plus $5K from 28 others
What the payments were for
- Consulting fees$1,62014%
- Speaking & faculty fees$1301%
- Food & beverage$9,32680%
- Education$5295%
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 |
|---|---|---|
| LEO Pharma Inc. | 17 | $1,925 |
| Incyte Corporation | 20 | $1,557 |
| Galderma Laboratories, L.p. | 24 | $1,418 |
| Pfizer | 33 | $865 |
| Johnson & Johnson | 23 | $707 |
| Dermavant Sciences, Inc. | 19 | $532 |
| Journey Medical Corporation | 15 | $532 |
| AbbVie | 19 | $448 |
| Sun Pharmaceutical Industries Inc. | 22 | $392 |
| Sanofi | 14 | $381 |
| UCB, Inc. | 8 | $371 |
| Arcutis Biotherapeutics, Inc. | 8 | $366 |
| Novartis | 9 | $333 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 7 | $321 |
| E.r. Squibb & Sons, L.L.C. | 4 | $232 |
| Janssen Scientific Affairs, LLC | 2 | $212 |
| Regeneron Healthcare Solutions, Inc. | 8 | $186 |
| Organon | 7 | $131 |
| EPI Health, LLC | 1 | $94 |
| Boehringer Ingelheim | 4 | $93 |
| Lilly USA, LLC | 2 | $72 |
| Sanofi-aventis U.S. LLC | 1 | $70 |
| Almirall LLC | 3 | $67 |
| Amgen | 2 | $41 |
| Verrica Pharmaceuticals Inc. | 2 | $41 |
| Convatec Inc. | 1 | $41 |
| Kyowa Kirin, Inc. | 1 | $27 |
| VYNE Pharmaceuticals Inc. | 1 | $27 |
| Mayne Pharma Commercial LLC | 1 | $27 |
| Pierre Fabre Pharmaceuticals, Inc. | 2 | $25 |
| Organogenesis Inc. | 1 | $20 |
| Biofrontera Inc. | 1 | $19 |
| Helsinn Therapeutics (U.S.), Inc. | 1 | $17 |
| Krystal Biotech Inc | 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.
How this compares
$11,605 in reported general payments places this provider in the 95th percentile of 8,062 physician assistant 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Clobetasol Propionate | 51 | $3,217 |
| Metronidazole | 17 | $2,491 |
| Ketoconazole | 134 | $1,716 |
| Triamcinolone Acetonide | 150 | $1,092 |
| Clindamycin Phosphate | 14 | $790 |
| Ammonium Lactate | 42 | $730 |
| Ciclopirox | 23 | $278 |
| Mupirocin | 43 | $259 |
| Mometasone Furoate | 22 | $246 |
| Doxycycline Monohydrate | 24 | $217 |
| Hydrocortisone | 25 | $117 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Miami
- Jeanelle KingMiami$424K
- Dallas GreenMiami$195K
- Paula BrezavscekMiami$127K
- Rita QuintanaMiami$110K
- Carol AntequeraMiami$98K
- Ziyad PeerMiami$89K
- Lisa DavisMiami$81K
- Audrey BeckerSt Augustine$689K
- Kevin WilliamsTampa$647K
- Brian BonomoLecanto$559K
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.