Amy Metzger, CNM
Advanced Practice Midwife · Westfield, MANPI 1447297197
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $360 of the $425 with a category attached, or 84.7%. It is spread thinly across 9 manufacturers, the largest accounting for just 20.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $212 and has fallen 57.6% since, to $90 in 2024.
Across 18 payments — averaging $23.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$86
- Organon$71
- Amgen$59
- AbbVie$50
- Exeltis, USA Inc.$46
- Shield Therapeutics Inc$39
- plus $74 from 3 others
What the payments were for
- Food & beverage$36085%
- Education$6515%
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 | 2 | $86 |
| Organon | 3 | $71 |
| Amgen | 3 | $59 |
| AbbVie | 3 | $50 |
| Exeltis, USA Inc. | 2 | $46 |
| Shield Therapeutics Inc | 2 | $39 |
| Pfizer | 1 | $27 |
| E.r. Squibb & Sons, L.L.C. | 1 | $24 |
| Exact Sciences | 1 | $22 |
How this compares
$425 in reported general payments places this provider in the 85th percentile of 159 advanced practice midwife providers in Massachusetts.
See all advanced practice midwife providers in Massachusetts →
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 |
|---|---|---|
| YuvafemEstradiol | 12 | $2,511 |
| Estradiol | 13 | $1,496 |
| Alendronate Sodium | 33 | $374 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 15 | $268 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Westfield
- Mary BarberWestfield$366
- Evelyn ReshPittsfield$26K
- Jo Anna RorieBoston$11K
- Emily Swisher-RosaBoston$8K
- Julie McDonaldFall River$5K
- Phyllis CorreiaFall River$3K
- Lara SimondiBoston$3K
- Kathleen London-LopesFall River$2K
- Nancy DavidsonBoston$1K
- Sherriann PerivolotisConcord$1K
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.