Adam Maciver
Nurse Practitioner · Monroe, MINPI 1821439779
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 138 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 14 manufacturers, the largest accounting for just 19.5% — the pattern of someone who eats at a lot of different presentations. Among nurse practitioner clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 138 payments — averaging $19.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Jazz Pharmaceuticals Inc.$511
- Optinose US, Inc.$507
- Regeneron Healthcare Solutions, Inc.$382
- Sanofi$334
- Harmony Biosciences LLC$223
- Avadel CNS Pharmaceuticals, LLC$143
- plus $523 from 8 others
What the payments were for
- Food & beverage$2,623100%
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 |
|---|---|---|
| Jazz Pharmaceuticals Inc. | 30 | $511 |
| Optinose US, Inc. | 30 | $507 |
| Regeneron Healthcare Solutions, Inc. | 19 | $382 |
| Sanofi | 14 | $334 |
| Harmony Biosciences LLC | 11 | $223 |
| Avadel CNS Pharmaceuticals, LLC | 7 | $143 |
| Alk-abello, Inc | 7 | $124 |
| Inspire Medical Systems, Inc. | 6 | $110 |
| GSK | 5 | $108 |
| Aerin Medical Inc. | 2 | $68 |
| Phadia US Inc. | 3 | $44 |
| Stryker | 2 | $37 |
| Merck | 1 | $17 |
| Arbor Pharmaceuticals, Inc. | 1 | $16 |
How this compares
$2,623 in reported general payments places this provider in the 90th percentile of 3,351 nurse practitioner providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Fluticasone Propionate | 188 | $2,250 |
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 12 | $1,515 |
| Ipratropium Bromide | 44 | $1,086 |
| Omeprazole | 47 | $837 |
| Nystatin | 32 | $555 |
| Mupirocin | 91 | $498 |
| Azelastine Hcl | 24 | $455 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 60 | $370 |
| Famotidine | 17 | $177 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $129 |
| Methylprednisolone | 19 | $91 |
| Amoxicillin | 15 | $71 |
| Sodium ChlorideSodium Chloride Irrig Solution | 19 | $56 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Monroe
- Davida KrugerDetroit$739K
- Kari HillSpring Lake$426K
- Kyle FarrPlymouth$243K
- Linda SpencerTroy$217K
- Ellen DillardDetroit$168K
- Golbon AghamohammadiDetroit$157K
- Abubakir BabanDearborn$143K
- Lisa Astalos ChismWoodhaven$103K
- Martha GoetzPetoskey$101K
- Debra DegraffGrand Rapids$80K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.