Amber Garbe, CNM
Advanced Practice Midwife · Wilmington, DENPI 1053868224
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 86 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 19 manufacturers, the largest accounting for just 15.1% — the pattern of someone who eats at a lot of different presentations. Among advanced practice midwife clinicians in DE with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 86 payments — averaging $19.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$248
- AbbVie$210
- Sage Therapeutics, LLC$169
- Bayer$146
- Mayne Pharma Commercial LLC$126
- Evofem Biosciences, Inc.$108
- plus $637 from 13 others
What the payments were for
- Food & beverage$1,63199%
- Education$131%
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 |
|---|---|---|
| Astellas Pharma US Inc | 10 | $248 |
| AbbVie | 14 | $210 |
| Sage Therapeutics, LLC | 9 | $169 |
| Bayer | 7 | $146 |
| Mayne Pharma Commercial LLC | 5 | $126 |
| Evofem Biosciences, Inc. | 7 | $108 |
| Organon | 5 | $92 |
| Mylan Pharmaceuticals Inc. | 4 | $88 |
| Pfizer | 4 | $80 |
| Exeltis, USA Inc. | 4 | $77 |
| Coopersurgical, Inc. | 4 | $66 |
| Millicent US Inc | 3 | $45 |
| Therapeuticsmd, Inc. | 2 | $42 |
| Myovant Sciences Inc. | 2 | $36 |
| Daiichi Sankyo Inc. | 2 | $34 |
| Sumitomo Pharma America, Inc. | 1 | $23 |
| Agile Therapeutics, Inc. | 1 | $20 |
| Amgen | 1 | $18 |
| Hologic Sales And Service, LLC | 1 | $16 |
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.
- Veozah$114
How this compares
$1,644 in reported general payments places this provider in the 90th percentile of 39 advanced practice midwife providers in Delaware.
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.
Other advanced practice midwife in Wilmington
- Trina HaywoodWilmington$774
- Patricia HeinemannWilmington$476
- Katie MansurWilmington$340
- Hannah BarteeWilmington$185
- Dorinda DoveWilmington$153
- Alexandra KownurkoWilmington$146
- Kathleen McCarthyWilmington$117
- Melissa BucherWilmington$60
- Dawn MooreWilmington$58
- Sarah UpdegraftWilmington$26
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.