Thek Mouanoutoua
Physician Assistant · Fresno, CANPI 1275772964
Payments from drug & device makers
Across 177 payments — averaging $28.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bayer$930
- AstraZeneca$919
- Gilead$435
- GSK$398
- Pfizer$310
- Lilly USA, LLC$294
- plus $2K from 21 others
What the payments were for
- Food & beverage$5,025100%
- Education$200%
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 |
|---|---|---|
| Bayer | 28 | $930 |
| AstraZeneca | 21 | $919 |
| Gilead | 9 | $435 |
| GSK | 15 | $398 |
| Pfizer | 17 | $310 |
| Lilly USA, LLC | 16 | $294 |
| Amgen(2 entities) | 9 | $290 |
| AbbVie | 11 | $229 |
| Dexcom, Inc. | 3 | $179 |
| Phathom Pharmaceuticals, Inc. | 2 | $140 |
| Boehringer Ingelheim | 7 | $129 |
| Biohaven Pharmaceuticals, Inc. | 8 | $129 |
| Biohaven Pharmaceutical Holding Company Ltd. | 7 | $124 |
| Dynavax Technologies Corporation | 2 | $117 |
| Merck | 5 | $105 |
| Xeris Pharmaceuticals, Inc. | 4 | $75 |
| Novo Nordisk | 3 | $58 |
| VBI Vaccine (delaware) Inc. | 1 | $23 |
| Sanofi Pasteur Inc. | 1 | $22 |
| Abbott | 1 | $21 |
| Aimmune Therapeutics, Inc. | 1 | $21 |
| Johnson & Johnson | 1 | $21 |
| Shield Therapeutics Inc | 1 | $20 |
| Exact Sciences | 1 | $19 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
| Phadia US Inc. | 1 | $12 |
| Philips North America LLC | 1 | $12 |
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
$5,045 in reported general payments places this provider in the 90th percentile of 10,423 physician assistant providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 155 | $155,370 |
| TradjentaLinagliptin | 103 | $92,710 |
| JanuviaSitagliptin Phosphate | 75 | $60,916 |
| LinzessLinaclotide | 35 | $41,959 |
| TrulicityDulaglutide | 33 | $39,578 |
| Spiriva RespimatTiotropium Bromide | 39 | $37,545 |
| FarxigaDapagliflozin Propanediol | 29 | $29,780 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 350 | $25,081 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 54 | $24,916 |
| JanumetSitagliptin Phos/Metformin Hcl | 28 | $23,644 |
| RybelsusSemaglutide | 11 | $23,232 |
| MounjaroTirzepatide | 15 | $15,550 |
| VemlidyTenofovir Alafenamide | 11 | $15,416 |
| XareltoRivaroxaban | 14 | $12,838 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $12,673 |
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, Tradjenta, Spiriva Respimat | $129 | $285,625297 claims |
| MerckJanuvia, Janumet | $105 | $84,560103 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $294 | $55,12848 claims |
| AbbVieLinzess | $229 | $41,95935 claims |
| AstraZenecaFarxiga | $919 | $29,78029 claims |
| Novo NordiskRybelsus | $58 | $23,23211 claims |
| GileadVemlidy | $435 | $15,41611 claims |
| Johnson & JohnsonXarelto | $21 | $12,83814 claims |
| GSKTrelegy Ellipta | $398 | $12,67312 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 10,423 physician assistant providers in California.
Other physician assistant in Fresno
- Brooke KutkaFresno$67K
- David BakerFresno$37K
- John QuigleyDowney$2.9M
- 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
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.