Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $7,147 | 447 | 63.5% |
| Consulting Fee | $2,650 | 1 | 23.5% |
| Travel and Lodging | $1,042 | 3 | 9.3% |
| Education | $420.15 | 11 | 3.7% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| PFIZER INC. | $4,249 | 33 | $0 (2019) |
| E.R. Squibb & Sons, L.L.C. | $1,241 | 83 | $0 (2022) |
| Novartis Pharmaceuticals Corporation | $1,111 | 67 | $0 (2024) |
| Genentech USA, Inc. | $538.96 | 33 | $0 (2019) |
| Merck Sharp & Dohme Corporation | $510.85 | 38 | $0 (2020) |
| AstraZeneca Pharmaceuticals LP | $391.66 | 24 | $0 (2020) |
| Janssen Biotech, Inc. | $323.97 | 21 | $0 (2020) |
| Celgene Corporation | $254.03 | 16 | $0 (2024) |
| Lilly USA, LLC | $240.90 | 13 | $0 (2021) |
| Incyte Corporation | $193.71 | 11 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $196.85 | 9 | Bayer Healthcare Pharmaceuticals Inc. ($52.87) |
| 2022 | $178.90 | 3 | Seagen Inc. ($99.99) |
| 2021 | $285.15 | 12 | E.R. Squibb & Sons, L.L.C. ($180.68) |
| 2020 | $536.80 | 35 | E.R. Squibb & Sons, L.L.C. ($110.79) |
| 2019 | $2,227 | 146 | E.R. Squibb & Sons, L.L.C. ($533.18) |
| 2018 | $6,059 | 141 | PFIZER INC. ($3,963) |
| 2017 | $1,775 | 116 | Genentech USA, Inc. ($306.32) |
All Payment Transactions
462 individual payment records from CMS Open Payments — Page 17 of 19
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 06/06/2017 | Genentech USA, Inc. | TECENTRIQ (Biological) | Food and Beverage | In-kind items and services | $15.49 | General |
| Category: BioOncology | ||||||
| 06/05/2017 | Incyte Corporation | JAKAFI (Drug) | Food and Beverage | Cash or cash equivalent | $23.76 | General |
| Category: Hematology/Oncology | ||||||
| 06/02/2017 | E.R. Squibb & Sons, L.L.C. | OPDIVO (Biological) | Food and Beverage | Cash or cash equivalent | $13.85 | General |
| Category: Oncology | ||||||
| 06/01/2017 | Genentech USA, Inc. | GAZYVA (Biological) | Food and Beverage | In-kind items and services | $12.30 | General |
| Category: BioOncology | ||||||
| 05/23/2017 | Genentech USA, Inc. | TECENTRIQ (Biological) | Food and Beverage | In-kind items and services | $12.10 | General |
| Category: BioOncology | ||||||
| 05/22/2017 | Novartis Pharmaceuticals Corporation | TASIGNA (Drug) | Food and Beverage | In-kind items and services | $11.20 | General |
| Category: ONCOLOGY | ||||||
| 05/20/2017 | Celgene Corporation | Pomalyst (Drug) | Food and Beverage | In-kind items and services | $17.64 | General |
| Category: Hematology / Oncology | ||||||
| 05/16/2017 | Teva Pharmaceuticals USA, Inc. | BENDEKA (Drug) | Food and Beverage | In-kind items and services | $14.77 | General |
| Category: Oncology | ||||||
| 05/15/2017 | Alexion Pharmaceuticals, Inc. | SOLIRIS (Drug) | Food and Beverage | In-kind items and services | $11.55 | General |
| Category: Immunology | ||||||
| 05/10/2017 | Amgen Inc. | Neulasta (Biological), Vectibix | Food and Beverage | In-kind items and services | $14.30 | General |
| Category: Oncology | ||||||
| 05/09/2017 | CSL Behring | Multiple Products (Biological) | Food and Beverage | In-kind items and services | $15.55 | General |
| Category: Multiple | ||||||
| 05/08/2017 | Novartis Pharmaceuticals Corporation | JADENU (Drug), PROMACTA | Food and Beverage | In-kind items and services | $14.06 | General |
| Category: HEMATOLOGY | ||||||
| 05/04/2017 | Incyte Corporation | JAKAFI (Drug) | Food and Beverage | Cash or cash equivalent | $17.57 | General |
| Category: Hematology/Oncology | ||||||
| 05/03/2017 | Genentech USA, Inc. | TECENTRIQ (Biological) | Food and Beverage | In-kind items and services | $14.66 | General |
| Category: BioOncology | ||||||
| 05/02/2017 | PFIZER INC. | SUTENT (Drug), INLYTA, BAVENCIO | Food and Beverage | In-kind items and services | $12.05 | General |
| Category: ONCOLOGY;RESPIRATORY | ||||||
| 04/25/2017 | Novartis Pharmaceuticals Corporation | VOTRIENT (Drug) | Food and Beverage | In-kind items and services | $19.69 | General |
| Category: ONCOLOGY | ||||||
| 04/24/2017 | Lilly USA, LLC | CYRAMZA (Drug), LARTRUVO | Food and Beverage | In-kind items and services | $13.17 | General |
| Category: Oncology | ||||||
| 04/21/2017 | Celgene Corporation | Revlimid (Drug) | Food and Beverage | In-kind items and services | $16.51 | General |
| Category: Hematology / Oncology | ||||||
| 04/20/2017 | E.R. Squibb & Sons, L.L.C. | OPDIVO (Biological) | Food and Beverage | Cash or cash equivalent | $11.56 | General |
| Category: Oncology | ||||||
| 04/19/2017 | PFIZER INC. | ELIQUIS (Drug), CHANTIX | Food and Beverage | In-kind items and services | $9.78 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 04/18/2017 | Genentech USA, Inc. | VENCLEXTA (Biological) | Food and Beverage | In-kind items and services | $12.05 | General |
| Category: BioOncology | ||||||
| 04/14/2017 | PFIZER INC. | IBRANCE (Drug) | Food and Beverage | In-kind items and services | $21.87 | General |
| Category: ONCOLOGY | ||||||
| 04/12/2017 | Genentech USA, Inc. | Herceptin (Biological), Perjeta, Kadcyla | Food and Beverage | In-kind items and services | $15.16 | General |
| Category: BioOncology | ||||||
| 04/11/2017 | Kyowa Kirin, Inc. | SANCUSO (Drug), FARESTON, IXEMPRA | Food and Beverage | In-kind items and services | $14.15 | General |
| Category: ANTIEMETIC - 5HT3 INHIBITOR | ||||||
| 04/05/2017 | Novartis Pharmaceuticals Corporation | VOTRIENT (Drug) | Food and Beverage | In-kind items and services | $20.66 | General |
| Category: ONCOLOGY | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 115 | 150 | $34,228 | $11,270 |
| 2022 | 6 | 403 | 602 | $109,148 | $42,453 |
| 2021 | 6 | 552 | 917 | $172,475 | $74,376 |
| 2020 | 6 | 496 | 1,012 | $171,130 | $77,509 |
All Medicare Procedures & Services
25 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Facility | 2023 | 36 | 47 | $15,392 | $4,899 | 31.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 31 | 41 | $9,363 | $2,947 | 31.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 33 | 44 | $6,427 | $2,115 | 32.9% |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | Facility | 2023 | 15 | 18 | $3,046 | $1,309 | 43.0% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 131 | 263 | $47,485 | $18,412 | 38.8% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Facility | 2022 | 57 | 97 | $24,751 | $10,409 | 42.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 144 | 171 | $21,742 | $7,192 | 33.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2022 | 29 | 29 | $6,769 | $2,758 | 40.7% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Facility | 2022 | 15 | 15 | $4,350 | $2,159 | 49.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Facility | 2022 | 27 | 27 | $4,051 | $1,523 | 37.6% |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | Facility | 2021 | 139 | 311 | $71,547 | $31,298 | 43.7% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Facility | 2021 | 160 | 311 | $54,522 | $23,146 | 42.5% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Facility | 2021 | 153 | 195 | $23,924 | $9,403 | 39.3% |
| 99205 | New patient outpatient visit, total time 60-74 minutes | Facility | 2021 | 35 | 35 | $9,625 | $4,605 | 47.8% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Facility | 2021 | 40 | 40 | $9,174 | $4,306 | 46.9% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Facility | 2021 | 25 | 25 | $3,683 | $1,617 | 43.9% |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | Facility | 2020 | 179 | 584 | $108,810 | $48,074 | 44.2% |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | Office | 2020 | 43 | 61 | $11,529 | $6,901 | 59.9% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Facility | 2020 | 83 | 108 | $15,182 | $5,657 | 37.3% |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | Facility | 2020 | 37 | 37 | $9,971 | $4,748 | 47.6% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Facility | 2020 | 86 | 137 | $12,722 | $4,547 | 35.7% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 16 | 17 | $4,550 | $2,760 | 60.7% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 12 | 23 | $3,224 | $1,933 | 60.0% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 18 | 19 | $2,698 | $1,467 | 54.4% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 22 | 26 | $2,444 | $1,422 | 58.2% |
About Dr. Ayla Kessler, MD
Dr. Ayla Kessler, MD is a Internal Medicine healthcare provider based in Jefferson, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/18/2007. The National Provider Identifier (NPI) number assigned to this provider is 1437359585.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Ayla Kessler, MD has received a total of $11,259 in payments from pharmaceutical and medical device companies, with $196.85 received in 2024. These payments were reported across 462 transactions from 47 companies. The most common payment nature is "Food and Beverage" ($7,147).
As a Medicare-enrolled provider, Kessler has provided services to 1,566 Medicare beneficiaries, totaling 2,681 services with total Medicare billing of $205,608. Data is available for 4 years (2020–2023), covering 25 distinct procedure/service records.
Practice Information
- Specialty Internal Medicine
- Other Specialties Internal Medicine, Hematology
- Location Jefferson, NC
- Active Since 07/18/2007
- Last Updated 03/14/2024
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1437359585
Products in Payments
- IBRANCE (Drug) $4,053
- OPDIVO (Biological) $886.64
- KEYTRUDA (Biological) $481.85
- KISQALI (Drug) $392.25
- JAKAFI (Drug) $193.71
- EMPLICITI (Biological) $151.44
- DARZALEX (Biological) $143.81
- Perjeta (Biological) $137.56
- MEKINIST (Drug) $136.11
- XTANDI (Drug) $135.82
- Cabometyx (Drug) $124.78
- VOTRIENT (Drug) $116.04
- Lenvima (Drug) $112.37
- TECENTRIQ (Biological) $110.43
- Revlimid (Drug) $109.11
- JADENU (Drug) $106.50
- LYNPARZA (Drug) $102.98
- ZYTIGA (Drug) $99.43
- SPRYCEL (Drug) $97.72
- SANDOSTATIN LAR (Drug) $93.30
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
Internal Medicine Doctors in Jefferson
Daniel Karel, Do, DO
Internal Medicine — Payments: $3,231
Dr. Andrew Elagizi, M.d, M.D
Internal Medicine — Payments: $2,580
Nicholas Manuel
Internal Medicine — Payments: $2,532
Paula Cacioppo, Md, MD
Internal Medicine — Payments: $1,062
Mr. Shane Sanne
Internal Medicine — Payments: $550.94
Sharon Dilley, Md, MD
Internal Medicine — Payments: $476.11