Alyssa Doyle
Nurse Practitioner · Flint, MINPI 1215528310
Payments from drug & device makers
What this record shows
23 manufacturers reported payments, led by Saluda Medical Americas, Inc. at 36.8% of the total. 2025 is the largest year on record at $7,849, more than ten times the $30 reported in 2021. Among nurse practitioner clinicians in MI 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 152 payments — averaging $73.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Saluda Medical Americas, Inc.$4K
- Boston Scientific$4K
- Globus Medical$1K
- Nevro Corp.$531
- AbbVie$270
- Amgen$269
- plus $950 from 17 others
What the payments were for
- Travel & lodging$4,78143%
- Food & beverage$6,38357%
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 |
|---|---|---|
| Saluda Medical Americas, Inc. | 10 | $4,108 |
| Boston Scientific | 31 | $3,811 |
| Globus Medical | 12 | $1,225 |
| Nevro Corp. | 7 | $531 |
| AbbVie | 37 | $270 |
| Amgen | 28 | $269 |
| Nalu Medical, Inc. | 2 | $190 |
| Painteq LLC | 2 | $156 |
| Novo Nordisk | 1 | $124 |
| Neurelis, Inc. | 3 | $64 |
| Alnylam Pharmaceuticals Inc. | 3 | $62 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $57 |
| UCB, Inc. | 2 | $42 |
| Spinal Simplicity, LLC | 2 | $36 |
| Pfizer | 2 | $34 |
| Orthofix Medical, Inc. | 1 | $33 |
| Forte Bio-pharma LLC | 1 | $31 |
| Octapharma USA, Inc. | 1 | $29 |
| Averitas Pharma Inc. | 1 | $28 |
| Valinor Pharma, LLC | 1 | $21 |
| Biodelivery Sciences International, Inc. | 1 | $15 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $15 |
| Johnson & Johnson | 1 | $15 |
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.
- Evoke$3,878
- WaveWriter Alpha Prime 16$1,578
- Senza$1,115
- SPECTRA WAVEWRITER$1,017
- GENERAL PAIN MANAGEMENT$574
- Vyrsa V1$257
- PAINTEQ$133
- Nalu Neurostimulation System$129
- Intracept RF Probe$127
- Wegovy$124
- PENNSAID$118
How this compares
$11,164 in reported general payments places this provider in the 95th percentile of 3,351 nurse practitioner providers in Michigan.
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 | 27 | $27,403 |
| Buprenorphine | 84 | $22,226 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 1,415 | $21,750 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 793 | $21,300 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 852 | $14,233 |
| Gabapentin | 998 | $12,709 |
| Pregabalin | 685 | $11,632 |
| Tizanidine Hcl | 324 | $5,163 |
| Diclofenac Sodium | 251 | $4,269 |
| Cyclobenzaprine Hcl | 640 | $3,240 |
| Duloxetine Hcl | 227 | $3,156 |
| Methocarbamol | 148 | $1,947 |
| Ibuprofen | 193 | $1,574 |
| Lidocaine | 13 | $1,297 |
| Tramadol Hcl | 253 | $1,270 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Flint
- 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).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.