RxDoctor Payments Data

Ashley Messick-Hite, PA

Physician Assistant · Tullahoma, TNNPI 1366462087

Payments from drug & device makers

What this record shows

This record is dominated by other: $26,667 of the $29,152 with a category attached, or 91.5%. Angiodynamics, Inc. accounts for 91.6% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2023 at $15,471 and has fallen 88.9% since, to $1,717 in 2025. Among physician assistant clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$29,152in general payments, 2019–2025

Across 85 payments — averaging $342.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Angiodynamics, Inc.$27K
  • Johnson & Johnson$805
  • Regeneron Healthcare Solutions, Inc.$414
  • AbbVie$184
  • Pfizer$130
  • Almirall LLC$127
  • plus $798 from 15 others

What the payments were for

  • Food & beverage$1,7436%
  • Education$7433%
  • Other$26,66791%

General payments by program year

21
22
23
24
25

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.

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

$29,152 in reported general payments places this provider in the 95th percentile of 2,404 physician assistant providers in Tennessee.

See all physician assistant providers in Tennessee

Medicare billing

Part B allowed, 2024
$131,998
Medicare patients
615
Services billed
3,571

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

DrugClaimsCost to plans & patients
Dupixent PenDupilumab12$48,647
Clobetasol Propionate44$3,940
Ammonium Lactate154$2,982
Fluorouracil27$1,722
Clindamycin Phosphate42$1,654
Betamethasone Dipropionate61$1,578
Ketoconazole129$1,577
Triamcinolone Acetonide93$1,306
Mupirocin157$1,199
Imiquimod26$734
Doxycycline Hyclate43$509
CiclopiroxCiclopirox Olamine18$421
Hydrocortisone60$402
ValacyclovirValacyclovir Hcl13$323
Nystatin25$285

Paid to pharmacies, not to this prescriber.

Other physician assistant in Tullahoma

See the full list for Tennessee

Where these figures come from

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