Anna Livingston
Nurse Practitioner · Monroe, LANPI 1205496361
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.9% of the total across 407 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 28 manufacturers, the largest accounting for just 16.2% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,394, 2.6 times the $928 reported in 2021. Among nurse practitioner clinicians in LA 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 407 payments — averaging $21.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- UCB, Inc.$802
- Lilly USA, LLC$630
- Sanofi$553
- Incyte Corporation$543
- AbbVie$474
- plus $4K from 22 others
What the payments were for
- Food & beverage$8,20096%
- Education$3504%
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 |
|---|---|---|
| Johnson & Johnson | 55 | $1,382 |
| UCB, Inc. | 45 | $802 |
| Lilly USA, LLC | 27 | $630 |
| Sanofi | 20 | $553 |
| Incyte Corporation | 34 | $543 |
| AbbVie | 27 | $474 |
| Sun Pharmaceutical Industries Inc. | 27 | $443 |
| Pfizer | 21 | $398 |
| Novartis | 19 | $338 |
| Regeneron Healthcare Solutions, Inc. | 14 | $335 |
| Galderma Laboratories, L.p. | 15 | $334 |
| LEO Pharma Inc. | 17 | $317 |
| E.r. Squibb & Sons, L.L.C. | 18 | $275 |
| Almirall LLC | 13 | $270 |
| Revance Therapeutics, Inc. | 3 | $235 |
| Amgen | 9 | $211 |
| Arcutis Biotherapeutics, Inc. | 11 | $188 |
| Merz North America, Inc. | 6 | $142 |
| Kerecis Limited | 2 | $134 |
| Organon | 7 | $118 |
| Medimetriks Pharmaceuticals, Inc. | 2 | $91 |
| Sanofi-aventis U.S. LLC | 1 | $90 |
| Dermavant Sciences, Inc. | 3 | $70 |
| Biofrontera Inc. | 4 | $58 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $47 |
| Conmed Corporation | 2 | $33 |
| ANI Pharmaceuticals, Inc. | 1 | $25 |
| Convatec Inc. | 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.
How this compares
$8,550 in reported general payments places this provider in the 95th percentile of 969 nurse practitioner providers in Louisiana.
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 |
|---|---|---|
| Cosentyx Unoready PenSecukinumab | 11 | $106,859 |
| Fluocinolone Acetonide | 21 | $1,286 |
| Clobetasol Propionate | 19 | $1,227 |
| Doxycycline Hyclate | 49 | $984 |
| Fluorouracil | 11 | $658 |
| Desonide | 17 | $647 |
| Imiquimod | 15 | $460 |
| Triamcinolone Acetonide | 37 | $411 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 19 | $376 |
| MethotrexateMethotrexate Sodium | 12 | $154 |
| Mupirocin | 14 | $138 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Monroe
- Karen DeshotelLafayette$264K
- Christopher ManuelKaplan$145K
- Tammy BennettShreveport$99K
- Jessica BordelonHammond$78K
- Matt LandryLafayette$50K
- Cynthia CobbLafayette$48K
- Ellen GentileWest Monroe$31K
- Reghan LittlepageAlexandria$24K
- April WoodrowOpelousas$24K
- Amanda EstapaHammond$21K
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.