Ashley Guy
Physician Assistant · Fairhope, ALNPI 1619924180
Payments from drug & device makers
Across 112 payments — averaging $23.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$362
- Endo Pharmaceuticals Inc.$302
- Coloplast$298
- Antares Pharma, Inc.$283
- Johnson & Johnson$201
- Axonics, Inc.$181
- plus $1K from 19 others
What the payments were for
- Food & beverage$2,34389%
- Education$30011%
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 |
|---|---|---|
| Astellas Pharma US Inc | 7 | $362 |
| Endo Pharmaceuticals Inc. | 10 | $302 |
| Coloplast | 10 | $298 |
| Antares Pharma, Inc. | 20 | $283 |
| Johnson & Johnson(2 entities) | 12 | $201 |
| Axonics, Inc. | 2 | $181 |
| Baxter Healthcare | 4 | $180 |
| AbbVie(2 entities) | 8 | $114 |
| Myovant Sciences Inc. | 7 | $96 |
| Boston Scientific | 4 | $95 |
| Pfizer | 4 | $85 |
| Urovant Sciences Inc | 4 | $73 |
| Convatec Inc. | 2 | $62 |
| Sumitomo Pharma America, Inc. | 3 | $56 |
| Clarus Therapeutics Inc. | 2 | $47 |
| Urogen Pharma, Inc. | 3 | $39 |
| Photocure Inc | 2 | $33 |
| Accord Healthcare, Inc. | 1 | $25 |
| Alnylam Pharmaceuticals Inc. | 1 | $19 |
| Blue Earth Diagnostics | 1 | $17 |
| ABC Home Medical Supply, Inc. | 1 | $17 |
| Merck | 1 | $17 |
| Teleflex LLC | 1 | $16 |
| Bayer | 1 | $14 |
| Hollister Incorporated | 1 | $12 |
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.
- SPEEDICATH$118
- Axonics r-SNM System$116
- XIAFLEX$114
How this compares
$2,643 in reported general payments places this provider in the 80th percentile of 846 physician assistant providers in Alabama.
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 |
|---|---|---|
| MyrbetriqMirabegron | 14 | $7,080 |
| Cefdinir | 34 | $837 |
| Doxycycline Hyclate | 47 | $484 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 36 | $410 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 17 | $354 |
| Azithromycin | 40 | $173 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 11 | $159 |
| Ciprofloxacin Hcl | 14 | $120 |
| Cephalexin | 18 | $88 |
| Prednisone | 25 | $21 |
| PaxlovidNirmatrelvir/Ritonavir | 24 | $0 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $362 | $7,08014 claims |
| PfizerPaxlovid | $85 | $024 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 846 physician assistant providers in Alabama.
Other physician assistant in Fairhope
- Christin RoweFairhope$16K
- Erin ArmstrongFairhope$15K
- Natalie GeorgeBirmingham$540K
- Lauren MillerAnniston$487K
- Valerie GoodwinBirmingham$33K
- Brianna BarryEnterprise$29K
- Ashley PeaceMobile$27K
- Andrea WombleHuntsville$22K
- Marlee BrunoDecatur$19K
- Mary TemplinBirmingham$19K
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.