Amber Elling
Nurse Practitioner · Lake Orion, MINPI 1902459134
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,910 of the $4,052 with a category attached, or 71.8%. 19 manufacturers reported payments, led by Axonics, Inc. at 44.8% of the total. Reporting peaked in 2024 at $1,804 and has fallen 79.9% since, to $362 in 2025. 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 150 payments — averaging $27.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axonics, Inc.$2K
- Myovant Sciences Inc.$582
- Novo Nordisk$411
- Sumitomo Pharma America, Inc.$381
- Astellas Pharma US Inc$208
- Lilly USA, LLC$153
- plus $502 from 13 others
What the payments were for
- Travel & lodging$1,12328%
- Food & beverage$2,91072%
- Education$190%
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 |
|---|---|---|
| Axonics, Inc. | 19 | $1,814 |
| Myovant Sciences Inc. | 37 | $582 |
| Novo Nordisk | 38 | $411 |
| Sumitomo Pharma America, Inc. | 21 | $381 |
| Astellas Pharma US Inc | 7 | $208 |
| Lilly USA, LLC | 3 | $153 |
| Currax Pharmaceuticals LLC | 7 | $101 |
| AbbVie | 4 | $79 |
| Aspira Women's Health Inc | 1 | $75 |
| Biogen | 3 | $55 |
| Mayne Pharma Commercial LLC | 2 | $44 |
| Convatec Inc. | 1 | $33 |
| Evofem Biosciences, Inc. | 1 | $21 |
| Millicent US Inc | 1 | $19 |
| Bayer | 1 | $19 |
| Exact Sciences | 1 | $16 |
| Exeltis, USA Inc. | 1 | $15 |
| Vivus LLC | 1 | $14 |
| Sage Therapeutics, LLC | 1 | $12 |
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
$4,052 in reported general payments places this provider in the 95th percentile of 3,351 nurse practitioner providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Estradiol | 16 | $828 |
| ProgesteroneProgesterone, Micronized | 11 | $387 |
| Alendronate Sodium | 14 | $102 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Lake Orion
- 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).
- Identity: NPPES NPI Registry, July 2026.