Audra Mihalic
Family · Lorain, OHNPI 1235618372
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 106 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 21 manufacturers, the largest accounting for just 14.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $871 and has fallen 82.6% since, to $151 in 2023.
Across 106 payments — averaging $16.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$243
- AstraZeneca$220
- AbbVie$219
- Novo Nordisk$213
- Otsuka America Pharmaceutical, Inc.$112
- Lilly USA, LLC$95
- plus $607 from 15 others
What the payments were for
- Food & beverage$1,710100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 16 | $243 |
| AstraZeneca | 15 | $220 |
| AbbVie | 13 | $219 |
| Novo Nordisk | 15 | $213 |
| Otsuka America Pharmaceutical, Inc. | 7 | $112 |
| Lilly USA, LLC | 6 | $95 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $77 |
| Boehringer Ingelheim | 5 | $74 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $67 |
| Biohaven Pharmaceuticals, Inc. | 3 | $65 |
| Exact Sciences | 3 | $63 |
| Pfizer | 3 | $55 |
| Bayer | 2 | $47 |
| Novartis | 2 | $38 |
| Dexcom, Inc. | 1 | $24 |
| Phadia US Inc. | 1 | $20 |
| Dynavax Technologies Corporation | 1 | $18 |
| Neos Therapeutics, LP | 1 | $15 |
| Evoke Pharma, Inc. | 1 | $15 |
| Supernus Pharmaceuticals, Inc. | 1 | $14 |
| Astellas Pharma US Inc | 1 | $14 |
How this compares
$1,710 in reported general payments places this provider in the 80th percentile of 6,812 family providers in Ohio.
Other family in Lorain
- Leigh Ann PanschDayton$670K
- Natalie BelliniMayfield Heights$582K
- Kaitlyn LovettMontgomery$286K
- Amy RossDayton$281K
- Renee OttSandusky$179K
- Megan MillerSpringfield$156K
- George KnightCincinnati$130K
- Jillian HuntCincinnati$116K
- Florence StewartNew Albany$113K
- Kirt MunsonToledo$108K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.