Ann Harp, APRN
Adult Health · Fort Smith, ARNPI 1265910749
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 72 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 21 manufacturers, the largest accounting for just 16.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $492, 2.3 times the $210 reported in 2021.
Across 72 payments — averaging $21.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$260
- Bayer$208
- Myriad Genetic Laboratories, Inc.$182
- Johnson & Johnson$130
- AbbVie$124
- Rochester Medical Corporation$102
- plus $564 from 15 others
What the payments were for
- Food & beverage$1,569100%
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 |
|---|---|---|
| Medtronic | 11 | $260 |
| Bayer | 9 | $208 |
| Myriad Genetic Laboratories, Inc. | 8 | $182 |
| Johnson & Johnson | 6 | $130 |
| AbbVie | 7 | $124 |
| Rochester Medical Corporation | 4 | $102 |
| Urogen Pharma, Inc. | 1 | $91 |
| Endo Pharmaceuticals Inc. | 4 | $63 |
| Sumitomo Pharma America, Inc. | 3 | $60 |
| Pfizer | 3 | $56 |
| Axonics, Inc. | 3 | $47 |
| Antares Pharma, Inc. | 2 | $45 |
| Procept Biorobotics Corporation | 2 | $41 |
| AstraZeneca | 2 | $27 |
| Boston Scientific | 1 | $26 |
| Innovation Technologies Inc | 1 | $23 |
| Angiodynamics, Inc. | 1 | $20 |
| Novo Nordisk | 1 | $18 |
| Urovant Sciences Inc | 1 | $16 |
| Coloplast | 1 | $16 |
| Merck | 1 | $14 |
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.
- INTERSTIM$109
How this compares
$1,569 in reported general payments places this provider in the 70th percentile of 154 adult health providers in Arkansas.
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 |
|---|---|---|
| MyrbetriqMirabegron | 36 | $20,831 |
| GemtesaVibegron | 17 | $9,271 |
| Oxybutynin Chloride | 49 | $878 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 38 | $500 |
| Cefdinir | 15 | $199 |
| Cephalexin | 20 | $93 |
| Tamsulosin Hcl | 32 | $93 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $75 |
| Ciprofloxacin Hcl | 15 | $72 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $60 | $9,27117 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 70th percentile of 154 adult health providers in Arkansas.
Other adult health in Fort Smith
- Gina NullFort Smith$8K
- Connie WardFort Smith$5K
- Mandy FluittFort Smith$4K
- Chasidy McAllisterFort Smith$3K
- Courtney GueyeFort Smith$2K
- Elizabeth CharlesFort Smith$2K
- Melanie GramlingFort Smith$1K
- Paula BrosnanFort Smith$1K
- Holly MooreLittle Rock$59K
- Deborah ShipmanJonesboro$41K
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.