Tari Smith
Physician Assistant · West Sacramento, CANPI 1073671038
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 343 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 40 manufacturers, the largest accounting for just 15.6% — the pattern of someone who eats at a lot of different presentations. Among physician assistant clinicians in CA 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 343 payments — averaging $21.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- Lilly USA, LLC$976
- Bayer$673
- Boehringer Ingelheim$589
- AbbVie$540
- Johnson & Johnson$448
- plus $3K from 34 others
What the payments were for
- Food & beverage$7,350100%
- 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 | 47 | $1,149 |
| Lilly USA, LLC | 47 | $976 |
| Bayer | 30 | $673 |
| Boehringer Ingelheim | 29 | $589 |
| AbbVie | 23 | $540 |
| Johnson & Johnson(2 entities) | 21 | $448 |
| AstraZeneca | 20 | $402 |
| Abbott | 15 | $344 |
| Pfizer | 22 | $300 |
| Merck | 10 | $224 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 10 | $200 |
| GSK | 10 | $197 |
| Dexcom, Inc. | 5 | $150 |
| Sanofi-aventis U.S. LLC | 7 | $134 |
| Phathom Pharmaceuticals, Inc. | 2 | $124 |
| Medtronic | 3 | $124 |
| Intra-sana Laboratories | 4 | $78 |
| Amgen | 5 | $77 |
| Exact Sciences | 3 | $73 |
| Sanofi Pasteur Inc. | 3 | $73 |
| Novartis | 3 | $71 |
| Phadia US Inc. | 2 | $41 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $37 |
| Astellas Pharma US Inc | 2 | $37 |
| Biohaven Pharmaceuticals, Inc. | 2 | $36 |
| Otsuka America Pharmaceutical, Inc. | 1 | $24 |
| Electromed, Inc. | 2 | $23 |
| Mayne Pharma Commercial LLC | 1 | $23 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $23 |
| RGH Enterprises LLC | 1 | $18 |
| Aimmune Therapeutics, Inc. | 1 | $17 |
| Alnylam Pharmaceuticals Inc. | 1 | $17 |
| Gilead | 1 | $16 |
| Cranial Technologies, Inc | 1 | $15 |
| Novavax Inc | 1 | $15 |
| Vertex | 1 | $14 |
| LNHC, Inc | 1 | $14 |
| GRT US Holding, Inc. | 1 | $14 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
| VBI Vaccine (delaware) Inc. | 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.
How this compares
$7,357 in reported general payments places this provider in the 95th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 41 | $48,524 |
| MounjaroTirzepatide | 36 | $36,566 |
| Breo ElliptaFluticasone/Vilanterol | 12 | $6,353 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 16 | $6,263 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 102 | $2,871 |
| SymbicortBudesonide/Formoterol Fumarate | 11 | $2,848 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 17 | $2,469 |
| Atorvastatin Calcium | 133 | $1,364 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 49 | $1,232 |
| Levothyroxine Sodium | 102 | $864 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 12 | $826 |
| Omeprazole | 51 | $767 |
| Metformin Hcl | 76 | $755 |
| Gabapentin | 72 | $711 |
| Tamsulosin Hcl | 22 | $549 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $589 | $48,52441 claims |
| Lilly USA, LLCMounjaro | $976 | $36,56636 claims |
| GSKBreo Ellipta | $197 | $6,35312 claims |
| AstraZenecaSymbicort | $402 | $2,84811 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 95th percentile of 10,423 physician assistant providers in California.
Other physician assistant in West Sacramento
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
- Heather AustinSalinas$219K
- Andrea FoxStanford$172K
- Asma HussainiThousand Oaks$102K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.