Amanda Pybus
Nurse Practitioner · Dothan, ALNPI 1164869954
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.3% of the total across 630 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 33 manufacturers, the largest accounting for just 19.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,275, 2.0 times the $1,612 reported in 2021. Among nurse practitioner clinicians in AL 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 630 payments — averaging $20.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$2K
- AstraZeneca$2K
- Boehringer Ingelheim$2K
- Takeda Pharmaceuticals U.S.A., Inc.$755
- Regeneron Healthcare Solutions, Inc.$754
- Amgen$666
- plus $4K from 27 others
What the payments were for
- Food & beverage$12,82199%
- Education$951%
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 |
|---|---|---|
| GSK | 137 | $2,489 |
| AstraZeneca(2 entities) | 97 | $2,186 |
| Boehringer Ingelheim | 86 | $2,063 |
| Takeda Pharmaceuticals U.S.A., Inc. | 39 | $755 |
| Regeneron Healthcare Solutions, Inc. | 38 | $754 |
| Amgen | 35 | $666 |
| Grifols USA, LLC | 25 | $528 |
| Sanofi | 22 | $501 |
| Mylan Specialty L.p. | 22 | $416 |
| United Therapeutics Corporation | 16 | $415 |
| Insmed, Inc. | 17 | $337 |
| Jazz Pharmaceuticals Inc. | 12 | $276 |
| Actelion Pharmaceuticals US, Inc. | 10 | $204 |
| Axsome Therapeutics, Inc. | 8 | $164 |
| Electromed, Inc. | 13 | $156 |
| Verona Pharma, Inc. | 8 | $146 |
| Gilead | 7 | $140 |
| Merck | 6 | $109 |
| Sanofi-aventis U.S. LLC | 1 | $95 |
| Harmony Biosciences LLC | 3 | $58 |
| 3b Medical, Inc. | 4 | $57 |
| Johnson & Johnson | 2 | $51 |
| Philips North America LLC | 3 | $45 |
| Fisher & Paykel Healthcare Inc | 1 | $43 |
| Inogen, Inc. | 6 | $42 |
| Vifor Pharma, Inc. | 2 | $42 |
| Viatris Specialty LLC | 2 | $40 |
| AbbVie | 2 | $35 |
| Tactile Systems Technology Inc | 2 | $34 |
| Genentech USA, Inc. | 1 | $21 |
| Advanced Respiratory, Inc | 1 | $18 |
| Novartis | 1 | $15 |
| Baxter Healthcare | 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
$12,916 in reported general payments places this provider in the 95th percentile of 1,505 nurse practitioner providers in Alabama.
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 |
|---|---|---|
| OfevNintedanib Esylate | 44 | $562,772 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 684 | $515,602 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 207 | $154,330 |
| EsbrietPirfenidone | 13 | $132,880 |
| Breo ElliptaFluticasone/Vilanterol | 230 | $113,955 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 75 | $35,083 |
| Spiriva RespimatTiotropium Bromide | 46 | $26,572 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 45 | $22,939 |
| SymbicortBudesonide/Formoterol Fumarate | 83 | $20,020 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 107 | $15,892 |
| Arnuity ElliptaFluticasone Furoate | 59 | $15,463 |
| Incruse ElliptaUmeclidinium Bromide | 38 | $12,828 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 18 | $12,596 |
| DuleraMometasone/Formoterol | 36 | $12,345 |
| Spiriva HandihalerTiotropium Bromide | 24 | $11,824 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta, Incruse Ellipta | $2,489 | $692,9321,086 claims |
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat | $2,063 | $624,878153 claims |
| AstraZenecaBreztri Aerosphere, Symbicort, Airsupra, Bevespi Aerosphere | $2,186 | $184,680316 claims |
| Genentech USA, Inc.Esbriet | $21 | $132,88013 claims |
| MerckDulera | $109 | $12,34536 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 95th percentile of 1,505 nurse practitioner providers in Alabama.
Other nurse practitioner in Dothan
- Hollie CrutchfieldDothan$22K
- Christina BellDothan$14K
- Shea CalhounDothan$14K
- Tami CaldwellDothan$13K
- Alison HallDothan$12K
- Jennifer ParrishDothan$12K
- Amanda SewellDothan$11K
- Amy EthridgeDothan$11K
- Allison McAllisterDothan$10K
- Carol WilliamsDothan$10K
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.