Shayna Manuel
Nurse Practitioner · San Antonio, TXNPI 1710385158
Payments from drug & device makers
Across 93 payments — averaging $21.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$537
- Mayne Pharma Commercial LLC$427
- Exeltis, USA Inc.$360
- AbbVie$87
- Hologic Sales And Service, LLC$77
- Myriad Women's Health, Inc.$75
- plus $476 from 12 others
What the payments were for
- Food & beverage$1,67582%
- Education$36518%
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 |
|---|---|---|
| Astellas Pharma US Inc | 15 | $537 |
| Mayne Pharma Commercial LLC | 23 | $427 |
| Exeltis, USA Inc. | 20 | $360 |
| AbbVie | 4 | $87 |
| Hologic Sales And Service, LLC | 2 | $77 |
| Myriad Women's Health, Inc. | 1 | $75 |
| Millicent US Inc | 4 | $74 |
| Shield Therapeutics Inc | 5 | $71 |
| Organon | 7 | $70 |
| Biogen | 3 | $68 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $42 |
| Aspira Women's Health Inc | 2 | $30 |
| Sumitomo Pharma America, Inc. | 1 | $26 |
| Pfizer | 1 | $25 |
| Novo Nordisk | 1 | $19 |
| BD | 1 | $19 |
| Avion Pharmaceuticals | 1 | $16 |
| Pharmacosmos Therapeutics Inc. | 1 | $15 |
How this compares
$2,040 in reported general payments places this provider in the 85th percentile of 5,422 nurse practitioner providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol (Once Weekly)Estradiol | 13 | $462 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in San Antonio
- Corrie BerkSan Antonio$155K
- Sonja BruneSan Antonio$51K
- Laura GalvanSan Antonio$32K
- Eduardo GonzalezSan Antonio$32K
- Roberta RomeroSan Antonio$26K
- Christopher GarciaSan Antonio$21K
- Jennifer ZavalaSan Antonio$17K
- Amy RivasSan Antonio$17K
- Erika SimpsonSan Antonio$16K
- Alexis WahlenSan Antonio$16K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.