Alexandra Kashmanian, CRNA
Nurse Anesthetist, Certified Registered · Wakefield, RINPI 1437613403
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 29 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Merz North America, Inc. at 43.0% of the total. Reporting peaked in 2024 at $704 and has fallen 82.7% since, to $122 in 2025. Among nurse anesthetist, certified registered clinicians in RI 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 29 payments — averaging $30.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$378
- Johnson & Johnson$168
- Intercept Pharmaceuticals, Inc.$129
- Takeda Pharmaceuticals U.S.A., Inc.$125
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$31
- Merck$27
- plus $21 from 1 others
What the payments were for
- Food & beverage$878100%
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 |
|---|---|---|
| Merz North America, Inc. | 7 | $378 |
| Johnson & Johnson | 7 | $168 |
| Intercept Pharmaceuticals, Inc. | 6 | $129 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $125 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $31 |
| Merck | 1 | $27 |
| Vertex | 1 | $21 |
How this compares
$878 in reported general payments places this provider in the 90th percentile of 85 nurse anesthetist, certified registered providers in Rhode Island.
See all nurse anesthetist, certified registered providers in Rhode Island →
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.
Other nurse anesthetist, certified registered in Wakefield
- Tara PhelpsProvidence$7K
- Richard MatteCumberland$2K
- Michaela HubbardProvidence$1K
- Sheryl DibernardoProvidence$1K
- Kami GirolimonProvidence$982
- Steven CreamerProvidence$883
- Cynthia BaileyWarwick$773
- Terri ChalkerProvidence$666
- Julia LabossiereProvidence$659
- Edward WirthWesterly$513
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.