Amber Bresnahan
Nurse Practitioner · Chester, PANPI 1598532517
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.6% of the total across 238 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 30 manufacturers, the largest accounting for just 18.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,441, more than ten times the $86 reported in 2023. Among nurse practitioner clinicians in PA 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 238 payments — averaging $25.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- GSK$848
- Sanofi$488
- Harmony Biosciences LLC$359
- United Therapeutics Corporation$356
- Axsome Therapeutics, Inc.$325
- plus $3K from 24 others
What the payments were for
- Food & beverage$6,07899%
- Education$851%
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 |
|---|---|---|
| AstraZeneca | 30 | $1,133 |
| GSK | 39 | $848 |
| Sanofi | 23 | $488 |
| Harmony Biosciences LLC | 16 | $359 |
| United Therapeutics Corporation | 10 | $356 |
| Axsome Therapeutics, Inc. | 10 | $325 |
| Verona Pharma, Inc. | 10 | $312 |
| Takeda Pharmaceuticals U.S.A., Inc. | 12 | $305 |
| Mallinckrodt Hospital Products Inc. | 8 | $251 |
| Jazz Pharmaceuticals Inc. | 9 | $214 |
| Actelion Pharmaceuticals US, Inc. | 8 | $163 |
| Pulmonx Corporation | 5 | $157 |
| Regeneron Healthcare Solutions, Inc. | 10 | $156 |
| ANI Pharmaceuticals, Inc. | 7 | $138 |
| Bayer | 4 | $87 |
| Sanofi-aventis U.S. LLC | 1 | $85 |
| Viatris Specialty LLC | 4 | $80 |
| Grifols USA, LLC | 3 | $79 |
| Electromed, Inc. | 5 | $78 |
| Johnson & Johnson | 3 | $76 |
| Inspire Medical Systems, Inc. | 3 | $75 |
| Philips North America LLC | 4 | $64 |
| Inogen, Inc. | 2 | $62 |
| Avadel CNS Pharmaceuticals, LLC | 2 | $50 |
| Vifor Pharma, Inc. | 3 | $50 |
| Boehringer Ingelheim | 2 | $46 |
| Insmed, Inc. | 1 | $34 |
| Tactile Systems Technology Inc | 1 | $34 |
| Merck | 2 | $31 |
| Lilly USA, LLC | 1 | $30 |
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
$6,163 in reported general payments places this provider in the 95th percentile of 4,059 nurse practitioner providers in Pennsylvania.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Prednisone | 15 | $32 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Chester
- Patricia ManganPhiladelphia$360K
- Lisa CocoPhiladelphia$230K
- Elisabeth BaidalPhiladelphia$151K
- Suzanne McGettiganPhiladelphia$108K
- Tracey WileyChambersburg$101K
- Pamela LorditchJohnstown$81K
- Nana BernaskoHershey$81K
- Dawn JeanneratClarion$78K
- Carolyn GrandePhiladelphia$71K
- Nicole WaetzmanStrafford$66K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.