Ashley Flener, APRN
Family · Leitchfield, KYNPI 1598311045
Payments from drug & device makers
Across 89 payments — averaging $16.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$374
- AbbVie$211
- Lilly USA, LLC$191
- Amgen$149
- AstraZeneca$82
- GSK$72
- plus $372 from 16 others
What the payments were for
- Food & beverage$1,450100%
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 |
|---|---|---|
| Novo Nordisk | 27 | $374 |
| AbbVie | 11 | $211 |
| Lilly USA, LLC | 11 | $191 |
| Amgen | 7 | $149 |
| AstraZeneca | 6 | $82 |
| GSK | 5 | $72 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $60 |
| Novartis | 3 | $40 |
| Johnson & Johnson | 2 | $35 |
| Verona Pharma, Inc. | 2 | $30 |
| Inspire Medical Systems, Inc. | 1 | $27 |
| Phathom Pharmaceuticals, Inc. | 1 | $20 |
| Supernus Pharmaceuticals, Inc. | 1 | $19 |
| Axsome Therapeutics, Inc. | 1 | $18 |
| Ardelyx, Inc. | 1 | $18 |
| Impel Pharmaceuticals Inc. | 1 | $17 |
| Bayer | 1 | $16 |
| Dexcom, Inc. | 1 | $16 |
| Scpharmaceuticals Inc. | 1 | $15 |
| Exact Sciences | 1 | $15 |
| Astellas Pharma US Inc | 1 | $15 |
| E.r. Squibb & Sons, L.L.C. | 1 | $11 |
How this compares
$1,450 in reported general payments places this provider in the 70th percentile of 4,374 family 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 144 | $122,831 |
| TrulicityDulaglutide | 101 | $120,874 |
| OzempicSemaglutide | 73 | $118,667 |
| EliquisApixaban | 104 | $102,123 |
| JardianceEmpagliflozin | 78 | $77,986 |
| FarxigaDapagliflozin Propanediol | 56 | $59,097 |
| MounjaroTirzepatide | 32 | $54,930 |
| JanuviaSitagliptin Phosphate | 23 | $33,835 |
| XareltoRivaroxaban | 29 | $28,050 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 15 | $14,133 |
| Tresiba Flextouch U-100Insulin Degludec | 25 | $12,037 |
| LinzessLinaclotide | 13 | $8,900 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 50 | $7,885 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 203 | $5,787 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 11 | $5,293 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $191 | $175,805133 claims |
| GSKTrelegy Ellipta | $72 | $122,831144 claims |
| Novo NordiskOzempic | $374 | $118,66773 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $82 | $76,77187 claims |
| Johnson & JohnsonXarelto | $35 | $28,05029 claims |
| AbbVieLinzess, Synthroid | $211 | $11,03445 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 4,374 family providers in Kentucky.
Other family in Leitchfield
- Bonnie HillLouisa$372K
- Ashley SnellenElizabethtown$190K
- Smita RanjanLouisville$92K
- Elizabeth SaltLexington$89K
- Tracey GaslinLouisville$79K
- Kassandra GreenLouisville$69K
- Danielle RevertLouisville$65K
- Lora BrownMonticellow$61K
- Shelley WaldmanLouisville$59K
- Vicki ChapmanMount Vernon$57K
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.