Hydra Jagwire
Payments companies reported to CMS as associated with Hydra Jagwire. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Hydra Jagwire, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Hydra Jagwire
These are the largest totals companies reported as associated with Hydra Jagwire. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Abhinav Sankineni | Philadelphia, PA | Gastroenterology (Internal Medicine) | $91.54 |
| Casey Lambert | Metairie, LA | Family | $27.50 |
| Diane Fox | Georgetown, SC | Nurse Anesthetist, Certified Registered | $18.57 |
| Judd Adelman | North Charleston, SC | Gastroenterology (Internal Medicine) | $18.57 |
| Justin Smith | Katy, TX | Nurse Practitioner | $15.03 |
| Jenna Tran | Houston, TX | Physician Assistant | $15.03 |
| Malcolm Andry | Slidell, LA | Gastroenterology (Internal Medicine) | $14.78 |
| Steven Guarisco | Slidell, LA | Gastroenterology (Internal Medicine) | $14.78 |
| Clint Howell | Norman, OK | Medical | $14.43 |
| Meade Edmunds | Knoxville, TN | Gastroenterology (Internal Medicine) | $10.04 |
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.