Sandra Mancilla, MD
Family Medicine · Laurel, DENPI 1033247325
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 238 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 22.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,352 and has fallen 60.1% since, to $540 in 2025.
Across 238 payments — averaging $24.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AstraZeneca$581
- Lilly USA, LLC$513
- Amgen$469
- Abbott$423
- Johnson & Johnson$254
- plus $2K from 22 others
What the payments were for
- Food & beverage$5,760100%
- Education$70%
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 |
|---|---|---|
| Novo Nordisk | 77 | $1,294 |
| AstraZeneca | 28 | $581 |
| Lilly USA, LLC | 22 | $513 |
| Amgen | 14 | $469 |
| Abbott | 8 | $423 |
| Johnson & Johnson | 5 | $254 |
| Pfizer | 14 | $231 |
| Astellas Pharma US Inc | 6 | $217 |
| GSK | 7 | $195 |
| Boehringer Ingelheim | 9 | $157 |
| Stryker | 2 | $150 |
| Eisai Inc. | 2 | $149 |
| Vertos Medical, Inc. | 1 | $148 |
| Biohaven Pharmaceuticals, Inc. | 2 | $134 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $113 |
| Mylan Specialty L.p. | 1 | $110 |
| Lundbeck LLC | 4 | $97 |
| Exact Sciences | 4 | $84 |
| Amarin Pharma, Inc. | 4 | $75 |
| AbbVie | 4 | $74 |
| Novartis | 4 | $70 |
| Merck | 3 | $65 |
| Otsuka America Pharmaceutical, Inc. | 3 | $53 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $48 |
| Globus Medical | 1 | $27 |
| Shionogi Inc | 1 | $14 |
| Medtronic | 1 | $11 |
| Athena Bioscience, LLC | 1 | $11 |
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.
- FreeStyle Libre 2$279
- mild Device Kit$148
- Saxenda$125
- XARELTO$125
- Dayvigo$125
- AIMOVIG$125
- EVENITY$125
- Veozah$125
- AIRSUPRA$122
- Ozempic$120
- MAKO$117
- NURTEC ODT$115
- Yupelri$110
- JARDIANCE$100
- BEXSERO$100
How this compares
$5,767 in reported general payments places this provider in the 85th percentile of 352 family medicine providers in Delaware.
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 | 57 | $90,874 |
| JardianceEmpagliflozin | 31 | $47,938 |
| EliquisApixaban | 31 | $42,748 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 46 | $41,321 |
| MounjaroTirzepatide | 31 | $36,916 |
| FarxigaDapagliflozin Propanediol | 23 | $33,515 |
| TradjentaLinagliptin | 13 | $19,496 |
| LinzessLinaclotide | 11 | $17,524 |
| TrulicityDulaglutide | 15 | $15,222 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 18 | $14,571 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 30 | $11,787 |
| Tresiba Flextouch U-100Insulin Degludec | 17 | $10,518 |
| Atorvastatin Calcium | 272 | $3,536 |
| Rosuvastatin Calcium | 218 | $3,325 |
| Arnuity ElliptaFluticasone Furoate | 15 | $2,960 |
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 | $1,294 | $90,87457 claims |
| Boehringer IngelheimJardiance, Tradjenta | $157 | $67,43444 claims |
| Lilly USA, LLCMounjaro, Trulicity | $513 | $52,13746 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $581 | $48,08641 claims |
| GSKTrelegy Ellipta, Arnuity Ellipta | $195 | $44,28161 claims |
| PfizerEliquis | $231 | $42,74831 claims |
| AbbVieLinzess, Synthroid | $74 | $19,65335 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 352 family medicine providers in Delaware.
Other family medicine in Laurel
- Gregory PapaNew Castle$67K
- Sarah MullinsWilmington$36K
- Ashley PanichelliWilmington$27K
- Michelle PapaNewark$23K
- Maryann ConnorWilmington$21K
- Jill MackeyWilmington$20K
- Wayne TuckerBear$20K
- Ian MyersNewark$17K
- Glenn HamiltonWilmington$17K
- Dustin DavisGeorgetown$17K
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.