Shaily Estrella, PA
Medical · Winston Salem, NCNPI 1215916531
Payments from drug & device makers
Across 13 payments — averaging $102.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$311
- Amgen$161
- Medtronic$148
- AstraZeneca$124
- Abbott$114
- Kyowa Kirin, Inc.$109
- plus $362 from 4 others
What the payments were for
- Food & beverage$1,330100%
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 | 3 | $311 |
| Amgen | 2 | $161 |
| Medtronic | 1 | $148 |
| AstraZeneca | 1 | $124 |
| Abbott | 1 | $114 |
| Kyowa Kirin, Inc. | 1 | $109 |
| Merck | 1 | $103 |
| Averitas Pharma Inc. | 1 | $97 |
| Bayer | 1 | $83 |
| Alnylam Pharmaceuticals Inc. | 1 | $80 |
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.
- Wegovy$218
- KYPHON EXPRESS II KYPHOPAK TRAY$148
- TEZSPIRE$124
- FREESTYLE LIBRE 3$114
- VERQUVO$103
- Repatha$101
How this compares
$1,330 in reported general payments places this provider in the 65th percentile of 878 medical providers in North Carolina.
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 |
|---|---|---|
| XphozahTenapanor Hcl | 11 | $46,012 |
| ProsolParenteral Amino Acid 20% No.1 | 69 | $11,116 |
| Sevelamer Carbonate | 26 | $6,444 |
| Hydralazine Hcl | 11 | $152 |
| Amlodipine Besylate | 12 | $73 |
| Gabapentin | 13 | $39 |
Paid to pharmacies, not to this prescriber.
Other medical in Winston Salem
- Amanda ZimmermanWinston Salem$48K
- John RobbinsWinston Salem$26K
- Christopher GeorgeffWinston Salem$13K
- Victoria HinkelWinston Salem$12K
- Grace McLaurinHickory$553K
- Joel ThompsonCharlotte$269K
- Virginia JethroCary$213K
- Payal Soni-PatelAsheville$76K
- William JarrettElkin$59K
- David TaylorMorehead City$40K
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.