Nurse Practitioner Program year 2025 Reported 2022–2025 Source: CMS Open Payments, 2026 publication

Shelley Sexton

Nurse Practitioner Carmichael, CA Nurse Practitioner

NPI 1275271496 CMS profile 11348414

6555 Coyle Ave Ste 301, Carmichael, CA 95608

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General payments

$10,574

516 records reported · program years 2022–2025

Research payments

$0

Paid to them · None reported · program years 2022–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Shelley Sexton of Carmichael, CA is reported in the CMS Open Payments database as having received $10,574 across 516 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 97th percentile of Nurse Practitioner profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

4 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $3,104 132
2024 General $3,243 158
2023 General $3,386 190
2022 General $842 36

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Shelley Sexton
  • Nurse Practitioner median
  • Middle half of Nurse Practitioner
  • National median

In program year 2025, general payments to Shelley Sexton were reported at $3,104. Among 41,044 Nurse Practitioner profiles paid that year, the median was $174 and the middle half received between $55 and $557.

Show as a table
Year Shelley Sexton Nurse Practitioner median Middle half National median
2019 $0 $50 $22–$97 $163
2020 $0 $40 $16–$108 $114
2021 $0 $135 $40–$426 $132
2022 $842 $152 $48–$470 $149
2023 $3,386 $166 $54–$529 $160
2024 $3,243 $173 $55–$556 $164
2025 $3,104 $174 $55–$557 $169

Breakdown

Who paid General payments · program years 2022–2025
  1. AstraZeneca Pharmaceuticals LP $1,921 58 payments
  2. Janssen Biotech, Inc. $1,055 59 payments
  3. Pfizer Inc. $779 52 payments
  4. Lilly USA, LLC $588 34 payments
  5. Daiichi Sankyo Inc. $505 29 payments
  6. Merck Sharp & Dohme Corporation $456 19 payments
  7. Astellas Pharma US Inc $455 18 payments
  8. Takeda Pharmaceuticals U.S.A., Inc. $451 15 payments
  9. Incyte Corporation $435 26 payments
  10. Novartis Pharmaceuticals Corporation $334 18 payments
  11. Other $3,597 188 payments

Every payment, record by record

What the payments were for General payments · program years 2022–2025
  1. Food and Beverage $10,134 509 payments
  2. Education $440 7 payments
Products named General payments · program years 2022–2025
  1. ENHERTU $1,099 24 payments
  2. LYNPARZA $928 14 payments
  3. ERLEADA $627 34 payments
  4. VERZENIO $480 28 payments
  5. KEYTRUDA $456 19 payments
  6. XTANDI $400 24 payments
  7. JAKAFI $349 20 payments
  8. BALVERSA $312 13 payments
  9. REBLOZYL $286 26 payments
  10. AKEEGA $283 12 payments
  11. Other $7,742 410 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 · 19 drugs

Part D claims

377

Median for Nurse Practitioner: 389

Drug cost

$200,700

Median for Nurse Practitioner: $21,885

Branded share of claims

46.2%

Median for Nurse Practitioner: 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
Verzenio Abemaciclib Brand 11 $171,233
Eliquis Apixaban Brand 37 $22,858
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 42 $1,424
Anastrozole Generic 41 $893
Ondansetron Hcl Generic 13 $633
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 16 $600
Morphine Sulfate Er Morphine Sulfate Brand 17 $556
Dexamethasone Generic 18 $420
Oxycodone Hcl Generic 14 $345
Ondansetron Odt Ondansetron Brand 25 $332

The 10 drugs with the highest cost, of 19 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 229,976 Part D prescribers listed as Nurse Practitioner; they describe a distribution and say nothing about conduct.

Payments and prescribing

First 5 of 56 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
ENHERTU
  • AstraZeneca Pharmaceuticals LP $364
  • Daiichi Sankyo Inc. $90
$454 — —
LYNPARZA
  • AstraZeneca Pharmaceuticals LP $198
  • Merck Sharp & Dohme Corporation $8
$206 — —
Lenvima
  • Eisai Inc. $159
$159 — —
ERLEADA
  • Janssen Biotech, Inc. $133
$133 — —
VERZENIO
  • Lilly USA, LLC $131
$131 11 —

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 56 with Patron

Records

516 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 Nurse Practitioner in California

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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