Ashley Altman
Nurse Practitioner · Saint Louis, MONPI 1457882417
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $3,680 of the $4,202 with a category attached, or 87.6%. GE HealthCare accounts for 87.6% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2024 at $3,788 and has fallen 92.1% since, to $300 in 2025. Among nurse practitioner clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 17 payments — averaging $247.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GE HealthCare$4K
- Revance Therapeutics, Inc.$327
- Galderma Laboratories, L.p.$114
- KCI USA, Inc.$29
- CSL Behring$23
- Pfizer$15
- plus $14 from 1 others
What the payments were for
- Consulting fees$3,68088%
- Food & beverage$52212%
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 |
|---|---|---|
| GE HealthCare | 1 | $3,680 |
| Revance Therapeutics, Inc. | 5 | $327 |
| Galderma Laboratories, L.p. | 7 | $114 |
| KCI USA, Inc. | 1 | $29 |
| CSL Behring | 1 | $23 |
| Pfizer | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., 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.
- DAXXIFY$247
How this compares
$4,202 in reported general payments places this provider in the 90th percentile of 1,898 nurse practitioner providers in Missouri.
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.
Other nurse practitioner in Saint Louis
- Carrie Roth BettlachSaint Louis$21K
- Lisa CampbellSaint Louis$16K
- Angela VickroySaint Louis$15K
- Isabel HartigSaint Louis$13K
- Kathryn LindsaySaint Louis$13K
- Leanna ScheidemantelSaint Louis$12K
- Samra FajicSaint Louis$12K
- Debra GaseSaint Louis$11K
- Kristin DalySaint Louis$11K
- Kimbra CardwellSaint Louis$11K
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.