Anastasia Ralston
Family · Vincennes, INNPI 1376889071
Payments from drug & device makers
Across 121 payments — averaging $16.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$199
- Lilly USA, LLC$171
- Indivior Inc.$167
- AbbVie$159
- Takeda Pharmaceuticals U.S.A., Inc.$130
- Novo Nordisk$129
- plus $1K from 22 others
What the payments were for
- Food & beverage$1,969100%
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 |
|---|---|---|
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 10 | $199 |
| Lilly USA, LLC | 12 | $171 |
| Indivior Inc. | 11 | $167 |
| AbbVie | 10 | $159 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $130 |
| Novo Nordisk | 9 | $129 |
| Otsuka America Pharmaceutical, Inc. | 8 | $127 |
| AstraZeneca | 8 | $127 |
| Amgen | 5 | $95 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $92 |
| Vanda Pharmaceuticals Inc. | 3 | $81 |
| Pfizer | 5 | $74 |
| Avanir Pharmaceuticals, Inc. | 4 | $63 |
| Axsome Therapeutics, Inc. | 2 | $56 |
| Bayer | 3 | $46 |
| Nestle Healthcare Nutrition Inc. | 2 | $32 |
| Novartis | 2 | $32 |
| Organon | 2 | $31 |
| Verona Pharma, Inc. | 1 | $22 |
| Aimmune Therapeutics, Inc. | 1 | $20 |
| Lundbeck LLC | 1 | $19 |
| Alkermes, Inc. | 1 | $16 |
| Boehringer Ingelheim | 1 | $16 |
| GSK | 1 | $15 |
| Johnson & Johnson | 1 | $14 |
| Ardelyx, Inc. | 1 | $14 |
| Exact Sciences | 1 | $13 |
| Sanofi-aventis U.S. LLC | 1 | $12 |
How this compares
$1,969 in reported general payments places this provider in the 75th percentile of 4,392 family providers in Indiana.
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 |
|---|---|---|
| MounjaroTirzepatide | 50 | $68,792 |
| FarxigaDapagliflozin Propanediol | 45 | $41,914 |
| OzempicSemaglutide | 27 | $27,010 |
| JardianceEmpagliflozin | 31 | $25,516 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 28 | $21,080 |
| XareltoRivaroxaban | 24 | $19,420 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 26 | $17,148 |
| Spiriva RespimatTiotropium Bromide | 23 | $12,474 |
| LinzessLinaclotide | 14 | $9,500 |
| Tresiba Flextouch U-200Insulin Degludec | 12 | $7,963 |
| EliquisApixaban | 13 | $7,506 |
| Repatha SureclickEvolocumab | 13 | $7,504 |
| MovantikNaloxegol Oxalate | 12 | $5,567 |
| SymbicortBudesonide/Formoterol Fumarate | 19 | $4,230 |
| Arnuity ElliptaFluticasone Furoate | 11 | $2,180 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro | $171 | $68,79250 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $127 | $63,29290 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $16 | $37,99054 claims |
| Novo NordiskOzempic | $129 | $27,01027 claims |
| GSKTrelegy Ellipta, Arnuity Ellipta | $15 | $23,26039 claims |
| Johnson & JohnsonXarelto | $14 | $19,42024 claims |
| AbbVieLinzess | $159 | $9,50014 claims |
| PfizerEliquis | $74 | $7,50613 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 4,392 family providers in Indiana.
Other family in Vincennes
- Tina SizemoreIndianapolis$888K
- Kathalene Keller RineyEvansville$383K
- Robin AndersonPortage$333K
- Marla MosesIndianapolis$142K
- Justin BrownFort Wayne$142K
- Lacey MatheisEvansville$139K
- Myra SikwataHobart$131K
- Elizabeth JohnsonEvansville$108K
- Beverly MaugerFt Wayne$94K
- Nancy ArndtPortage$91K
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.