Alexandra Schmerge, PA
Physician Assistant · Bloomington, INNPI 1679299911
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,571 of the $12,396 with a category attached, or 61.1%. 29 manufacturers reported payments, led by Arcutis Biotherapeutics, Inc. at 41.0% of the total. 2025 is the largest year on record at $7,829, more than ten times the $274 reported in 2022. Among physician assistant clinicians in IN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 413 payments — averaging $30.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arcutis Biotherapeutics, Inc.$5K
- Sun Pharmaceutical Industries Inc.$2K
- AbbVie$1K
- Johnson & Johnson$803
- E.r. Squibb & Sons, L.L.C.$452
- Amgen$402
- plus $3K from 23 others
What the payments were for
- Consulting fees$1,80015%
- Travel & lodging$2,56521%
- Food & beverage$7,57161%
- Education$4614%
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 |
|---|---|---|
| Arcutis Biotherapeutics, Inc. | 28 | $5,079 |
| Sun Pharmaceutical Industries Inc. | 75 | $1,500 |
| AbbVie | 72 | $1,061 |
| Johnson & Johnson | 37 | $803 |
| E.r. Squibb & Sons, L.L.C. | 21 | $452 |
| Amgen | 15 | $402 |
| Galderma Laboratories, L.p. | 22 | $387 |
| Sanofi | 21 | $374 |
| Regeneron Healthcare Solutions, Inc. | 23 | $332 |
| LEO Pharma Inc. | 12 | $307 |
| Pfizer | 20 | $297 |
| UCB, Inc. | 13 | $232 |
| Novartis | 11 | $224 |
| Lilly USA, LLC | 15 | $172 |
| Dermavant Sciences, Inc. | 3 | $171 |
| Merz North America, Inc. | 3 | $100 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 5 | $99 |
| Sanofi-aventis U.S. LLC | 1 | $72 |
| Verrica Pharmaceuticals Inc. | 2 | $50 |
| Incyte Corporation | 2 | $47 |
| Biofrontera Inc. | 2 | $41 |
| Sandoz | 2 | $40 |
| Botanix SB Inc | 2 | $35 |
| Boehringer Ingelheim | 1 | $24 |
| Mayne Pharma Commercial LLC | 1 | $23 |
| Medtronic | 1 | $20 |
| Organon | 1 | $20 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| Organogenesis Inc. | 1 | $14 |
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.
How this compares
$12,396 in reported general payments places this provider in the 95th percentile of 1,955 physician assistant providers in Indiana.
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 |
|---|---|---|
| Clobetasol Propionate | 100 | $4,478 |
| Ketoconazole | 161 | $2,498 |
| Doxycycline Hyclate | 43 | $1,099 |
| Clindamycin Phosphate | 23 | $726 |
| Triamcinolone Acetonide | 68 | $611 |
| Fluconazole | 34 | $596 |
| Mupirocin | 44 | $312 |
| Hydrocortisone | 13 | $95 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Bloomington
- Audrey HewittBloomington$17K
- Anisha KothariBloomington$12K
- Jennifer KeithBloomington$7K
- Kristen GumpfCarmel$142K
- Andrew NordIndianapolis$47K
- Qun Ming ZhangIndianapolis$28K
- Lauren HoweMunster$28K
- A FergusonFort Wayne$22K
- Jacquelyn BeemerFort Wayne$21K
- Lindsay YoderIndianapolis$21K
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.