Sierra Santellana
Physician Assistant · New Braunfels, TXNPI 1245578046
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 470 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 42 manufacturers, the largest accounting for just 15.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $2,523 and has fallen 56.9% since, to $1,088 in 2025. Among physician assistant clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 470 payments — averaging $17.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Amgen$791
- Lilly USA, LLC$679
- Novo Nordisk$571
- Takeda Pharmaceuticals U.S.A., Inc.$498
- Pfizer$446
- plus $4K from 36 others
What the payments were for
- Food & beverage$7,988100%
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.
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.
- NURTEC ODT$117
- VRAYLAR$108
How this compares
$7,988 in reported general payments places this provider in the 90th percentile of 8,308 physician assistant providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 110 | $158,033 |
| OtezlaApremilast | 13 | $65,435 |
| JardianceEmpagliflozin | 34 | $45,023 |
| EliquisApixaban | 35 | $42,300 |
| TrulicityDulaglutide | 34 | $41,797 |
| FarxigaDapagliflozin Propanediol | 29 | $33,409 |
| MounjaroTirzepatide | 20 | $20,412 |
| VascepaIcosapent Ethyl | 31 | $20,266 |
| JanuviaSitagliptin Phosphate | 19 | $19,488 |
| Tresiba Flextouch U-200Insulin Degludec | 16 | $18,393 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 22 | $13,498 |
| Repatha SureclickEvolocumab | 13 | $11,158 |
| Praluent PenAlirocumab | 15 | $8,126 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 11 | $6,418 |
| Levothyroxine Sodium | 446 | $4,843 |
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 | $571 | $158,033110 claims |
| AmgenOtezla | $791 | $65,43513 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $679 | $62,20954 claims |
| Boehringer IngelheimJardiance | $33 | $45,02334 claims |
| PfizerEliquis | $446 | $42,30035 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $425 | $39,82840 claims |
| MerckJanuvia | $56 | $19,48819 claims |
| GSKShingrix | $150 | $2,96313 claims |
| AbbVieSynthroid | $1,197 | $2,92378 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 90th percentile of 8,308 physician assistant providers in Texas.
Other physician assistant in New Braunfels
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
- Holly GloverArlington$418K
- Kirk GautierAthens$416K
- Jaime RomanPlano$338K
- Michael WhiteDallas$276K
- Heidi JeffreysLubbock$259K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.