Ashley McKosky, NP
Family · Richmond, VANPI 1912457235
Payments from drug & device makers
Across 38 payments — averaging $24.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endo USA, Inc.$213
- Akebia Therapeutics Inc$115
- Fresenius USA Marketing, Inc.$95
- Amgen$78
- Vifor Pharma, Inc.$78
- Bayer$64
- plus $306 from 10 others
What the payments were for
- Food & beverage$92197%
- Education$283%
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 |
|---|---|---|
| Endo USA, Inc. | 4 | $213 |
| Akebia Therapeutics Inc | 6 | $115 |
| Fresenius USA Marketing, Inc. | 5 | $95 |
| Amgen | 3 | $78 |
| Vifor Pharma, Inc. | 3 | $78 |
| Bayer | 2 | $64 |
| AstraZeneca | 3 | $44 |
| Sumitomo Pharma America, Inc. | 2 | $40 |
| Travere Therapeutics, Inc. | 2 | $39 |
| Calliditas Therapeutics US Inc. | 2 | $39 |
| Novartis | 1 | $32 |
| Otsuka America Pharmaceutical, Inc. | 1 | $25 |
| Urogen Pharma, Inc. | 1 | $25 |
| Johnson & Johnson | 1 | $23 |
| Blue Earth Diagnostics | 1 | $23 |
| Ardelyx, Inc. | 1 | $16 |
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.
- XIAFLEX$140
How this compares
$949 in reported general payments places this provider in the 70th percentile of 4,332 family providers in Virginia.
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 |
|---|---|---|
| Sevelamer Carbonate | 33 | $9,949 |
| VeltassaPatiromer Calcium Sorbitex | 14 | $9,404 |
| Bumetanide | 38 | $1,546 |
| Midodrine Hcl | 29 | $819 |
| Hydralazine Hcl | 52 | $690 |
| Losartan Potassium | 54 | $570 |
| Carvedilol | 34 | $531 |
| Nifedipine ErNifedipine | 30 | $407 |
| Amlodipine Besylate | 84 | $390 |
| Calcitriol | 23 | $385 |
| Potassium Chloride | 11 | $286 |
| Cephalexin | 14 | $153 |
| Pantoprazole Sodium | 16 | $140 |
| Clonidine Hcl | 17 | $123 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 12 | $34 |
Paid to pharmacies, not to this prescriber.
Other family in Richmond
- Hochong Smith GillesRichmond$131K
- Kasiah BanksRichmond$29K
- Johanna ChristensenRichmond$24K
- Megan ZoltyRichmond$11K
- Andrea CottonVirginia Beach$696K
- Susan MooreWytheville$438K
- Ellen WermterCharlottesville$251K
- Dana StallingsFranklin$225K
- Jocelyn BrackettHerndon$199K
- Sean OlaughlinMidlothian$110K
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.