Amy Smith, NP
Primary Care · Laramie, WYNPI 1841060852
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.8% of the total across 96 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 35 manufacturers, the largest accounting for just 15.7% — the pattern of someone who eats at a lot of different presentations. Among primary care clinicians in WY 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 96 payments — averaging $32.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Myriad Genetic Laboratories, Inc.$484
- Johnson & Johnson$340
- AstraZeneca$325
- Novartis$234
- Seagen Inc.$185
- Merck$179
- plus $1K from 29 others
What the payments were for
- Food & beverage$2,80191%
- Education$2849%
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 |
|---|---|---|
| Myriad Genetic Laboratories, Inc. | 4 | $484 |
| Johnson & Johnson | 10 | $340 |
| AstraZeneca | 8 | $325 |
| Novartis | 11 | $234 |
| Seagen Inc. | 2 | $185 |
| Merck | 8 | $179 |
| GSK | 2 | $144 |
| Amgen | 2 | $138 |
| Astellas Pharma US Inc | 3 | $134 |
| Pfizer | 7 | $125 |
| Sumitomo Pharma America, Inc. | 4 | $95 |
| Siemens Medical Solutions USA, Inc. | 2 | $53 |
| Pharmaessentia USA Corporation | 3 | $52 |
| Incyte Corporation | 3 | $50 |
| E.r. Squibb & Sons, L.L.C. | 2 | $49 |
| Eisai Inc. | 2 | $49 |
| Bayer | 2 | $48 |
| Pharmacosmos Therapeutics Inc. | 2 | $40 |
| Stemline Therapeutics Inc. | 2 | $32 |
| Novocure Inc. | 2 | $31 |
| Lilly USA, LLC | 1 | $27 |
| Ferring Pharmaceuticals Inc. | 1 | $25 |
| AbbVie | 1 | $25 |
| Progenics Pharmaceuticals, Inc. | 1 | $25 |
| Sobi, Inc | 1 | $24 |
| Jazz Pharmaceuticals Inc. | 1 | $20 |
| Genentech USA, Inc. | 1 | $19 |
| Coherus Oncology, Inc. | 1 | $18 |
| Genmab U.S., Inc. | 1 | $18 |
| Daiichi Sankyo Inc. | 1 | $17 |
| Immunocore Limited | 1 | $17 |
| Regeneron Healthcare Solutions, Inc. | 1 | $17 |
| Taiho Oncology, Inc. | 1 | $16 |
| Alnylam Pharmaceuticals Inc. | 1 | $16 |
| Morphosys, US Inc. | 1 | $15 |
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
$3,085 in reported general payments places this provider in the 95th percentile of 24 primary care providers in Wyoming.
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 |
|---|---|---|
| Fentanyl | 12 | $1,327 |
| Potassium Chloride | 19 | $181 |
| Lorazepam | 13 | $65 |
| Acyclovir | 11 | $65 |
Paid to pharmacies, not to this prescriber.
Other primary care in Laramie
- Chelsea RaymerLaramie$116
- Sara ThronburgDouglas$2K
- Nikole LawrenceGillette$587
- Jennifer WagyCasper$558
- Alexandra GebhardtCasper$539
- Ashley TupperNewcastle$423
- Venese GraunkeCasper$421
- Hope LyonGillette$370
- Loura HeuerCasper$364
- Jenae SchoenikeGillette$301
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.