Tracy Candace Degenstein
Family · Richland, WANPI 1003895533
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.4% of the total across 387 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 37 manufacturers, the largest accounting for just 23.7% — the pattern of someone who eats at a lot of different presentations. Among family clinicians in WA 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 387 payments — averaging $27.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$3K
- AbbVie$2K
- GSK$999
- Novo Nordisk$988
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$593
- Teva Pharmaceuticals USA, Inc.$367
- plus $3K from 31 others
What the payments were for
- Speaking & faculty fees$1251%
- Food & beverage$10,52298%
- Education$470%
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 |
|---|---|---|
| AstraZeneca | 68 | $2,539 |
| AbbVie | 80 | $1,898 |
| GSK | 31 | $999 |
| Novo Nordisk | 50 | $988 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 7 | $593 |
| Teva Pharmaceuticals USA, Inc. | 19 | $367 |
| Bayer | 8 | $346 |
| Axsome Therapeutics, Inc. | 6 | $303 |
| Lilly USA, LLC | 14 | $274 |
| Johnson & Johnson | 10 | $247 |
| Neurocrine Biosciences, Inc. | 3 | $228 |
| Pfizer | 12 | $213 |
| Boehringer Ingelheim | 10 | $211 |
| Biohaven Pharmaceuticals, Inc. | 9 | $188 |
| Amgen | 11 | $184 |
| Abbott | 2 | $149 |
| Daiichi Sankyo Inc. | 2 | $109 |
| Otsuka America Pharmaceutical, Inc. | 4 | $97 |
| Exact Sciences | 6 | $93 |
| Corcept Therapeutics | 4 | $91 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $70 |
| Esperion Therapeutics, Inc. | 1 | $70 |
| Amarin Pharma, Inc. | 4 | $53 |
| Novartis | 3 | $53 |
| Sanofi Pasteur Inc. | 1 | $38 |
| Alnylam Pharmaceuticals Inc. | 2 | $35 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $35 |
| Merck | 2 | $35 |
| Mylan Specialty L.p. | 2 | $33 |
| E.r. Squibb & Sons, L.L.C. | 2 | $30 |
| Eisai Inc. | 2 | $28 |
| Organon | 1 | $21 |
| Dexcom, Inc. | 1 | $18 |
| Phathom Pharmaceuticals, Inc. | 1 | $17 |
| Hologic Sales And Service, LLC | 1 | $15 |
| Phadia US Inc. | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
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
$10,694 in reported general payments places this provider in the 95th percentile of 1,706 family providers in Washington.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 36 | $45,512 |
| JardianceEmpagliflozin | 25 | $39,029 |
| TrulicityDulaglutide | 30 | $34,538 |
| EliquisApixaban | 12 | $20,733 |
| SynthroidLevothyroxine Sodium | 13 | $1,437 |
| Estradiol | 17 | $987 |
| Levothyroxine Sodium | 63 | $844 |
| Atorvastatin Calcium | 59 | $784 |
| Metformin Hcl | 28 | $728 |
| ValacyclovirValacyclovir Hcl | 16 | $634 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 23 | $609 |
| Gabapentin | 27 | $540 |
| Rosuvastatin Calcium | 18 | $526 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 24 | $440 |
| Lisinopril | 35 | $437 |
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 |
|---|---|---|
| AstraZenecaFarxiga | $2,539 | $45,51236 claims |
| Boehringer IngelheimJardiance | $211 | $39,02925 claims |
| Lilly USA, LLCTrulicity | $274 | $34,53830 claims |
| PfizerEliquis | $213 | $20,73312 claims |
| AbbVieSynthroid | $1,898 | $1,43713 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 1,706 family providers in Washington.
Other family in Richland
- Christina RodriguezRichland$9K
- Shawna PennyRichland$6K
- Sharla PetersonKenmore$192K
- Zelda SwainSpokane$83K
- Savannah MorganRenton$76K
- Kevan PettersonSeattle$56K
- Kelly McFeeSunnyside$42K
- Cheryl SomersSpokane$31K
- Hye-Jin GehringBellevue$30K
- Kaitlin BrasierSeattle$29K
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.