Physician Assistant Program year 2025 Reported 2023–2025 Source: CMS Open Payments, 2026 publication

Isabel Gutierrez

Physician Assistant Nokomis, FL Physician Assistant

NPI 1922716778 CMS profile 11418207

5504 Pinebrook Road, Suite 106, Nokomis, FL 34275

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General payments

$6,180

310 records reported · program years 2023–2025

Research payments

$0

Paid to them · None reported · program years 2023–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Isabel Gutierrez of Nokomis, FL is reported in the CMS Open Payments database as having received $6,180 across 310 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 94th percentile of Physician Assistant profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

3 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $2,125 108
2024 General $2,904 137
2023 General $1,150 65

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Isabel Gutierrez
  • Physician Assistant median
  • Middle half of Physician Assistant
  • National median

In program year 2025, general payments to Isabel Gutierrez were reported at $2,125. Among 68,903 Physician Assistant profiles paid that year, the median was $184 and the middle half received between $57 and $620.

Show as a table
Year Isabel Gutierrez Physician Assistant median Middle half National median
2019 $0 $34 $17–$122 $163
2020 $0 $33 $16–$78 $114
2021 $0 $132 $37–$438 $132
2022 $0 $155 $48–$522 $149
2023 $1,150 $167 $52–$557 $160
2024 $2,904 $178 $55–$600 $164
2025 $2,125 $184 $57–$620 $169

Breakdown

Who paid General payments · program years 2023–2025
  1. Lilly USA, LLC $1,325 63 payments
  2. AbbVie, Inc. $1,103 55 payments
  3. Pfizer Inc. $813 40 payments
  4. Amgen Inc. $500 36 payments
  5. AstraZeneca Pharmaceuticals LP $393 12 payments
  6. Exact Sciences Corporation $382 14 payments
  7. GlaxoSmithKline, LLC. $351 27 payments
  8. Salix Pharmaceuticals, a division of Bausch Health US, LLC $296 16 payments
  9. Astellas Pharma US Inc $230 6 payments
  10. Novo Nordisk Inc $199 11 payments
  11. Other $587 30 payments

Every payment, record by record

What the payments were for General payments · program years 2023–2025
  1. Food and Beverage $6,180 310 payments
Products named General payments · program years 2023–2025
  1. NURTEC ODT $686 32 payments
  2. MOUNJARO $627 31 payments
  3. ZAVZPRET $571 25 payments
  4. ZEPBOUND $526 17 payments
  5. QULIPTA $438 23 payments
  6. JARDIANCE $435 29 payments
  7. UBRELVY $401 20 payments
  8. Otezla $378 29 payments
  9. TRELEGY ELLIPTA $351 27 payments
  10. AIRSUPRA $330 9 payments
  11. Other $3,768 181 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 64 drugs

Part D claims

1,988

Median for Physician Assistant: 241

Drug cost

$202,579

Median for Physician Assistant: $4,110

Branded share of claims

21.7%

Median for Physician Assistant: 19.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Mounjaro Tirzepatide Brand 48 $59,668
Jardiance Empagliflozin Brand 32 $32,955
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 40 $26,725
Ozempic Semaglutide Brand 19 $24,502
Januvia Sitagliptin Phosphate Brand 11 $15,403
Farxiga Dapagliflozin Propanediol Brand 14 $13,031
Myrbetriq Mirabegron Brand 24 $10,827
Breztri Aerosphere Budesonide/Glycopyr/Formoterol Brand 11 $6,711
Atorvastatin Calcium Generic 107 $1,039
Metoprolol Succinate Generic 67 $939

The 10 drugs with the highest cost, of 64 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 114,276 Part D prescribers listed as Physician Assistant; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 81 billing codes

Paid by Medicare

$75,886

Of which drugs: $4,537

Medicare patients

351

Average age 75

Services billed

2,552

253 women, 98 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 73%
Arthritis 57%
Ischemic heart disease 30%
Depression 25%
Osteoporosis 24%
Chronic kidney disease 23%
Atrial fibrillation 19%
COPD 18%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 31 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
ZEPBOUND
  • Lilly USA, LLC $332
$332 — —
JARDIANCE
  • Lilly USA, LLC $237
  • Boehringer Ingelheim Pharmaceuticals, Inc. $12
$248 32 —
VRAYLAR
  • AbbVie, Inc. $212
$212 — —
MOUNJARO
  • Lilly USA, LLC $210
$211 48 —
NURTEC ODT
  • PFIZER INC. $170
$170 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 31 with Patron

Records

310 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Physician Assistant in Florida

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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