Ashley Wach, PA
Medical · Great Falls, MTNPI 1497057384
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 54 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 16 manufacturers, the largest accounting for just 15.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $387 and has fallen 71.2% since, to $111 in 2025.
Across 54 payments — averaging $18.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$157
- AstraZeneca$121
- GSK$104
- Lilly USA, LLC$79
- Exact Sciences$69
- AbbVie$66
- plus $414 from 10 others
What the payments were for
- Food & beverage$1,009100%
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 | 9 | $157 |
| AstraZeneca | 8 | $121 |
| GSK | 5 | $104 |
| Lilly USA, LLC | 5 | $79 |
| Exact Sciences | 3 | $69 |
| AbbVie | 2 | $66 |
| Amgen | 3 | $59 |
| Corium, LLC | 2 | $52 |
| Bayer | 3 | $51 |
| Novartis | 3 | $51 |
| Boehringer Ingelheim | 2 | $50 |
| Pfizer | 3 | $49 |
| Merck | 3 | $44 |
| Sanofi Pasteur Inc. | 1 | $22 |
| Hologic Sales And Service, LLC | 1 | $20 |
| Teva Pharmaceuticals USA, Inc. | 1 | $18 |
How this compares
$1,009 in reported general payments places this provider in the 75th percentile of 134 medical providers in Montana.
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 |
|---|---|---|
| Cephalexin | 132 | $742 |
| Doxycycline Monohydrate | 79 | $683 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 21 | $570 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 64 | $429 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 29 | $383 |
| Fluticasone Propionate | 23 | $222 |
| Prednisone | 110 | $176 |
| Triamcinolone Acetonide | 28 | $144 |
| Cyclobenzaprine Hcl | 29 | $61 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 15 | $45 |
Paid to pharmacies, not to this prescriber.
Other medical in Great Falls
- David BrostGreat Falls$7K
- Nash HallfrischGreat Falls$4K
- Timothy StreetGreat Falls$3K
- Emily ComstockGreat Falls$2K
- Chesney MartinGreat Falls$2K
- Jamie BarnesGreat Falls$1K
- Jamie AlebaGreat Falls$687
- Erika BryanGreat Falls$501
- Lorianne StulcGreat Falls$483
- Joseph JoslynGreat Falls$360
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.