April Smith
Gerontology · Lincoln, NENPI 1346605557
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 299 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 25 manufacturers, the largest accounting for just 22.9% — the pattern of someone who eats at a lot of different presentations. Among gerontology clinicians in NE 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 299 payments — averaging $12.65 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.)$866
- Alkermes, Inc.$825
- Otsuka America Pharmaceutical, Inc.$404
- Corium, LLC$318
- Axsome Therapeutics, Inc.$254
- Jazz Pharmaceuticals Inc.$228
- plus $886 from 19 others
What the payments were for
- Food & beverage$3,765100%
- Education$160%
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.
How this compares
$3,781 in reported general payments places this provider in the 95th percentile of 21 gerontology providers in Nebraska.
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 |
|---|---|---|
| AristadaAripiprazole Lauroxil | 11 | $40,054 |
| VraylarCariprazine Hcl | 23 | $33,344 |
| EliquisApixaban | 37 | $17,877 |
| FarxigaDapagliflozin Propanediol | 12 | $17,508 |
| XareltoRivaroxaban | 34 | $13,968 |
| JardianceEmpagliflozin | 32 | $13,257 |
| Aripiprazole | 66 | $11,791 |
| VascepaIcosapent Ethyl | 23 | $4,108 |
| Gabapentin | 108 | $3,437 |
| Divalproex Sodium ErDivalproex Sodium | 39 | $2,452 |
| Quetiapine Fumarate ErQuetiapine Fumarate | 13 | $2,138 |
| Atorvastatin Calcium | 129 | $2,067 |
| Quetiapine Fumarate | 79 | $1,769 |
| Levothyroxine Sodium | 224 | $1,706 |
| Duloxetine Hcl | 61 | $1,591 |
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 |
|---|---|---|
| Alkermes, Inc.Aristada | $825 | $40,05411 claims |
| AbbVieVraylar | $24 | $33,34423 claims |
| PfizerEliquis | $41 | $17,87737 claims |
| Johnson & JohnsonXarelto | $39 | $13,96834 claims |
| Almatica Pharma LLCSertraline Hcl | $21 | $98470 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 95th percentile of 21 gerontology providers in Nebraska.
Other gerontology in Lincoln
- Marie BissellLincoln$510
- Melissa BowenLincoln$338
- Mary ChristensenLincoln$195
- Jean SuehlNorfolk$3K
- Jenny DankertOmaha$3K
- Tara PetersonOmaha$2K
- Deborah SheldonKearney$2K
- Amy StumpKearney$990
- Irish MillsOmaha$670
- Michelle SchielGrand Island$663
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.