Adam Twickler, APRN
Adult Health · New London, CTNPI 1447847348
Payments from drug & device makers
What this record shows
17 manufacturers reported payments, led by Angiodynamics, Inc. at 57.5% of the total. Reporting peaked in 2023 at $5,056 and has fallen 82.5% since, to $887 in 2025. Among adult health clinicians in CT 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 191 payments — averaging $41.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$5K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$683
- Johnson & Johnson$604
- Indivior Inc.$421
- Collegium Pharmaceutical, Inc.$295
- Azurity Pharmaceuticals, Inc.$275
- plus $1K from 11 others
What the payments were for
- Food & beverage$3,50444%
- Other$4,50056%
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 |
|---|---|---|
| Angiodynamics, Inc. | 4 | $4,605 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 55 | $683 |
| Johnson & Johnson | 23 | $604 |
| Indivior Inc. | 18 | $421 |
| Collegium Pharmaceutical, Inc. | 20 | $295 |
| Azurity Pharmaceuticals, Inc. | 19 | $275 |
| Tactile Systems Technology Inc | 11 | $219 |
| Ardelyx, Inc. | 11 | $184 |
| Endologix LLC | 4 | $158 |
| E.r. Squibb & Sons, L.L.C. | 9 | $152 |
| Medtronic | 5 | $139 |
| Boston Scientific | 3 | $94 |
| AbbVie | 3 | $55 |
| Vertex | 2 | $41 |
| Smith+Nephew | 2 | $38 |
| Cordis US CORP. | 1 | $23 |
| Shockwave Medical, Inc | 1 | $18 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Auryon Laser System 100-120 Vac$4,500
- XARELTO$225
How this compares
$8,004 in reported general payments places this provider in the 90th percentile of 418 adult health providers in Connecticut.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| BelbucaBuprenorphine Hcl | 321 | $286,495 |
| RelistorMethylnaltrexone Bromide | 54 | $128,232 |
| ZtlidoLidocaine | 63 | $65,129 |
| Buprenorphine | 213 | $52,333 |
| OxycontinOxycodone Hcl | 68 | $31,245 |
| LinzessLinaclotide | 39 | $27,113 |
| MovantikNaloxegol Oxalate | 63 | $26,096 |
| Xtampza ErOxycodone Myristate | 35 | $22,633 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 120 | $20,806 |
| HorizantGabapentin Enacarbil | 19 | $19,854 |
| Oxycodone Hcl | 754 | $11,329 |
| SymproicNaldemedine Tosylate | 16 | $7,472 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 261 | $6,309 |
| Hysingla ErHydrocodone Bitartrate | 18 | $5,895 |
| Lidocaine | 49 | $4,798 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Collegium Pharmaceutical, Inc.Belbuca, Xtampza Er | $295 | $309,128356 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCRelistor | $683 | $128,23254 claims |
| AbbVieLinzess | $55 | $27,11339 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 418 adult health providers in Connecticut.
Other adult health in New London
- Andrea LauterNew London$32K
- Leah EhleManchester$418K
- Laura MulkaWethersfield$306K
- Gretchen MichaelsonSouth Windsor$169K
- Kimberly RyanWethersfield$74K
- Kathryn JackMeriden$67K
- Lynn RapsilberTorrington$52K
- Genice NelsonFarmington$36K
- Megan CarlucciManchester$28K
- Kellie HaleNew Haven$27K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.