Audrey Kramer
Nurse Practitioner · Grand Junction, CONPI 1497098065
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,958 of the $3,512 with a category attached, or 84.2%. 15 manufacturers reported payments, led by Shockwave Medical, Inc at 30.4% of the total. Reporting peaked in 2024 at $2,378 and has fallen 62.4% since, to $893 in 2025. Among nurse practitioner clinicians in CO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 41 payments — averaging $85.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shockwave Medical, Inc$1K
- Medtronic$1K
- Lemaitre Vascular, Inc.$248
- Tactile Systems Technology Inc$176
- W. L. Gore & Associates, Inc.$175
- Bolton Medical Inc$143
- plus $645 from 9 others
What the payments were for
- Travel & lodging$55416%
- Food & beverage$2,95884%
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 |
|---|---|---|
| Shockwave Medical, Inc | 10 | $1,068 |
| Medtronic | 10 | $1,057 |
| Lemaitre Vascular, Inc. | 2 | $248 |
| Tactile Systems Technology Inc | 3 | $176 |
| W. L. Gore & Associates, Inc. | 2 | $175 |
| Bolton Medical Inc | 1 | $143 |
| Organogenesis Inc. | 1 | $133 |
| Bard Peripheral Vascular, Inc. | 1 | $130 |
| Smith+Nephew | 1 | $99 |
| Merit Medical Systems Inc | 1 | $80 |
| Pacira Pharmaceuticals Incorporated | 3 | $76 |
| Integra Lifesciences Corporation | 3 | $70 |
| Boston Scientific | 1 | $21 |
| Abiomed | 1 | $20 |
| BD | 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.
How this compares
$3,512 in reported general payments places this provider in the 90th percentile of 1,384 nurse practitioner providers in Colorado.
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 |
|---|---|---|
| Cilostazol | 85 | $1,415 |
| Pentoxifylline | 19 | $559 |
| ClopidogrelClopidogrel Bisulfate | 59 | $485 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 40 | $429 |
| Cephalexin | 11 | $63 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Grand Junction
- Lori WenzGrand Junction$54K
- Beverly JucknathGrand Junction$10K
- Heather WinfieldGrand Junction$8K
- Katrina MetcalfGrand Junction$5K
- Deborah HinnenColorado Springs$388K
- Christina HansonLone Tree$381K
- Kara HartPueblo$142K
- Amy SidorskiAurora$97K
- Lisa KeithColorado Springs$52K
- Victoria SegroEnglewood$29K
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.