Amber Giese, APRN
Family · The Villages, FLNPI 1790322873
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.9% of the total across 80 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 22 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,155, more than ten times the $21 reported in 2021.
Across 80 payments — averaging $20.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$320
- Novo Nordisk$254
- Lilly USA, LLC$167
- GSK$131
- Exact Sciences$129
- Pfizer$93
- plus $539 from 16 others
What the payments were for
- Food & beverage$1,61699%
- Education$191%
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 | 17 | $320 |
| Novo Nordisk | 13 | $254 |
| Lilly USA, LLC | 8 | $167 |
| GSK | 6 | $131 |
| Exact Sciences | 6 | $129 |
| Pfizer | 5 | $93 |
| Eisai Inc. | 3 | $80 |
| Bayer | 3 | $71 |
| Novartis | 3 | $57 |
| AbbVie | 2 | $54 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $40 |
| Otsuka America Pharmaceutical, Inc. | 2 | $34 |
| Merck | 1 | $31 |
| Boehringer Ingelheim | 1 | $25 |
| Sumitomo Pharma America, Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $21 |
| Boston Scientific | 1 | $20 |
| Lundbeck LLC | 1 | $19 |
| C2n Diagnostics, LLC | 1 | $19 |
| OPKO Pharmaceuticals, LLC | 1 | $19 |
| Amneal Pharmaceuticals LLC | 1 | $16 |
| Phathom Pharmaceuticals, Inc. | 1 | $11 |
How this compares
$1,634 in reported general payments places this provider in the 75th percentile of 14,618 family providers in Florida.
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 |
|---|---|---|
| Doxycycline Hyclate | 65 | $546 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 47 | $401 |
| Etodolac | 30 | $392 |
| Prednisone | 201 | $309 |
| Azithromycin | 77 | $293 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 13 | $252 |
| Clindamycin Hcl | 26 | $214 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 13 | $195 |
| Cephalexin | 37 | $137 |
| Cyclobenzaprine Hcl | 13 | $75 |
| Ciprofloxacin Hcl | 14 | $58 |
Paid to pharmacies, not to this prescriber.
Other family in The Villages
- Lewis HarringtonTampa$954K
- Danielle PharesFt Lauderdale$713K
- Donna OrtizOrlando$417K
- Patrick SzarazMiami$327K
- Deena RodneyMaitland$323K
- Yamila MelendezMiami$212K
- Holly BoydLand O Lakes$200K
- Rachael BuschLoxahatchee$189K
- Victor Tatis de la NuezMiramar$161K
- Ronda CrewsJax Bch$155K
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.