Apryl Butler, APRN
Nurse Practitioner · Frankfort, KYNPI 1962007922
Payments from drug & device makers
Across 148 payments — averaging $17.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$971
- Lilly USA, LLC$250
- Novo Nordisk$234
- Teva Pharmaceuticals USA, Inc.$186
- Vanda Pharmaceuticals Inc.$151
- Johnson & Johnson$132
- plus $644 from 14 others
What the payments were for
- Food & beverage$2,53699%
- Education$321%
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 |
|---|---|---|
| AbbVie | 61 | $971 |
| Lilly USA, LLC | 15 | $250 |
| Novo Nordisk | 13 | $234 |
| Teva Pharmaceuticals USA, Inc. | 7 | $186 |
| Vanda Pharmaceuticals Inc. | 11 | $151 |
| Johnson & Johnson | 6 | $132 |
| Axsome Therapeutics, Inc. | 6 | $132 |
| GSK | 4 | $83 |
| Pfizer | 5 | $78 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $70 |
| Amgen | 4 | $62 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $41 |
| Astellas Pharma US Inc | 2 | $35 |
| Exact Sciences | 2 | $31 |
| Kowa Pharmaceuticals America, Inc. | 1 | $25 |
| Almatica Pharma LLC | 1 | $21 |
| Lundbeck LLC | 1 | $20 |
| Dexcom, Inc. | 1 | $17 |
| AstraZeneca | 1 | $16 |
| Boehringer Ingelheim | 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
$2,569 in reported general payments places this provider in the 80th percentile of 1,918 nurse practitioner 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 |
|---|---|---|
| OzempicSemaglutide | 78 | $82,750 |
| OtezlaApremilast | 13 | $59,725 |
| JardianceEmpagliflozin | 26 | $43,738 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 54 | $41,473 |
| MounjaroTirzepatide | 41 | $39,329 |
| VraylarCariprazine Hcl | 23 | $35,230 |
| TrulicityDulaglutide | 17 | $29,810 |
| EliquisApixaban | 22 | $23,636 |
| JanuviaSitagliptin Phosphate | 19 | $21,160 |
| Spiriva HandihalerTiotropium Bromide | 18 | $15,915 |
| FarxigaDapagliflozin Propanediol | 12 | $14,552 |
| TradjentaLinagliptin | 19 | $13,391 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 12 | $12,098 |
| JanumetSitagliptin Phos/Metformin Hcl | 14 | $7,020 |
| SavellaMilnacipran Hcl | 11 | $5,132 |
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 |
|---|---|---|
| Novo NordiskOzempic | $234 | $82,75078 claims |
| Lilly USA, LLCMounjaro, Trulicity, Olanzapine | $250 | $69,77579 claims |
| Boehringer IngelheimJardiance, Tradjenta, Stiolto Respimat | $14 | $69,22657 claims |
| AmgenOtezla | $62 | $59,72513 claims |
| GSKTrelegy Ellipta | $83 | $41,47354 claims |
| AbbVieVraylar, Savella, Synthroid | $971 | $41,31750 claims |
| PfizerEliquis | $78 | $23,63622 claims |
| AstraZenecaFarxiga | $16 | $14,55212 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 80th percentile of 1,918 nurse practitioner providers in Kentucky.
Other nurse practitioner in Frankfort
- Rachael BradfordLexington$447K
- Tara MuddLouisville$243K
- Lee HaasLouisville$95K
- Ashley KnableLouisville$86K
- Christina BenningerLouisville$81K
- Courtney BowlingCampbellsville$47K
- Rebecca BraunerLouisville$40K
- Scott SeitzWinchester$34K
- Kristen KreinestEdgewood$34K
- Lillian ArgentEdgewood$33K
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.