Anna Stewart, APRN
Adult Health · Paducah, KYNPI 1942535497
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.5% of the total across 66 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 14 manufacturers, the largest accounting for just 23.2% — the pattern of someone who eats at a lot of different presentations.
Across 66 payments — averaging $20.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Fresenius USA Marketing, Inc.$319
- Vifor Pharma, Inc.$244
- Bayer$162
- AstraZeneca$145
- Akebia Therapeutics Inc$107
- Ardelyx, Inc.$78
- plus $321 from 8 others
What the payments were for
- Food & beverage$1,25991%
- Education$1179%
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 |
|---|---|---|
| Fresenius USA Marketing, Inc. | 16 | $319 |
| Vifor Pharma, Inc. | 12 | $244 |
| Bayer | 7 | $162 |
| AstraZeneca | 8 | $145 |
| Akebia Therapeutics Inc | 5 | $107 |
| Ardelyx, Inc. | 4 | $78 |
| Mallinckrodt Hospital Products Inc. | 2 | $75 |
| OPKO Pharmaceuticals, LLC | 3 | $57 |
| Novartis | 2 | $46 |
| Calliditas Therapeutics US Inc. | 2 | $44 |
| Otsuka America Pharmaceutical, Inc. | 2 | $33 |
| Travere Therapeutics, Inc. | 1 | $31 |
| Amgen | 1 | $22 |
| Xeris Pharmaceuticals, Inc. | 1 | $12 |
How this compares
$1,377 in reported general payments places this provider in the 70th percentile of 170 adult health providers in Kentucky.
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 |
|---|---|---|
| AuryxiaFerric Citrate | 184 | $508,254 |
| XphozahTenapanor Hcl | 63 | $285,323 |
| VelphoroSucroferric Oxyhydroxide | 51 | $224,325 |
| Sevelamer Carbonate | 178 | $45,305 |
| RenvelaSevelamer Carbonate | 26 | $41,768 |
| VeltassaPatiromer Calcium Sorbitex | 19 | $13,754 |
| Midodrine Hcl | 77 | $10,826 |
| EliquisApixaban | 12 | $7,016 |
| Calcium Acetate | 24 | $3,039 |
| Bumetanide | 58 | $1,914 |
| Ondansetron OdtOndansetron | 38 | $856 |
| Nifedipine ErNifedipine | 31 | $802 |
| Losartan Potassium | 70 | $336 |
| Megestrol Acetate | 27 | $311 |
| Clonidine Hcl | 26 | $268 |
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 |
|---|---|---|
| Akebia Therapeutics IncAuryxia | $107 | $508,254184 claims |
| Fresenius USA Marketing, Inc.Velphoro | $319 | $224,32551 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 170 adult health providers in Kentucky.
Other adult health in Paducah
- Amy BakerPaducah$14K
- Jennifer ThomasPaducah$7K
- Deborah WelshPaducah$7K
- Tara LykinsPaducah$4K
- Linda DallPaducah$4K
- Carrie Clifford-BennettGeorgetown$730K
- Stephanie FlaspoehlerLouisville$174K
- Kimberly VesselsBrandenburg$58K
- Heidi GalloLouisville$15K
- Joyce JohnsonElizabethtown$12K
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.