Brenda Hughes, CNM
Advanced Practice Midwife · Baytown, TXNPI 1245406826
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 94 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 24 manufacturers, the largest accounting for just 23.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $530 and has fallen 58.6% since, to $220 in 2025. Among advanced practice midwife clinicians in TX 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.
Across 94 payments — averaging $20.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$448
- AbbVie$361
- Evofem Biosciences, Inc.$182
- Exeltis, USA Inc.$122
- Organon$110
- Sumitomo Pharma America, Inc.$100
- plus $625 from 18 others
What the payments were for
- Food & beverage$1,948100%
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 |
|---|---|---|
| Astellas Pharma US Inc | 18 | $448 |
| AbbVie | 21 | $361 |
| Evofem Biosciences, Inc. | 9 | $182 |
| Exeltis, USA Inc. | 6 | $122 |
| Organon | 5 | $110 |
| Sumitomo Pharma America, Inc. | 4 | $100 |
| Myovant Sciences Inc. | 4 | $83 |
| Exact Sciences | 3 | $73 |
| Biogen | 3 | $70 |
| Therapeuticsmd, Inc. | 3 | $53 |
| Mission Pharmacal Company | 3 | $44 |
| Optumhealth Care Solutions, LLC | 2 | $38 |
| Merck | 2 | $32 |
| Daiichi Sankyo Inc. | 1 | $27 |
| BD | 1 | $26 |
| Bayer | 1 | $25 |
| Bolton Medical Inc | 1 | $25 |
| Mayne Pharma Commercial LLC | 1 | $24 |
| Agile Therapeutics, Inc. | 1 | $22 |
| Johnson & Johnson | 1 | $21 |
| Pfizer | 1 | $19 |
| Mylan Pharmaceuticals Inc. | 1 | $16 |
| Aspira Women's Health Inc | 1 | $15 |
| Lupin Inc. | 1 | $14 |
How this compares
$1,948 in reported general payments places this provider in the 95th percentile of 356 advanced practice midwife providers in Texas.
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 |
|---|---|---|
| ProgesteroneProgesterone, Micronized | 65 | $1,231 |
| Terconazole | 17 | $454 |
| Estradiol | 14 | $413 |
| Metronidazole | 12 | $218 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 12 | $91 |
| Fluconazole | 22 | $57 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Baytown
- Jessica McNeilCarrollton$75K
- Patricia KuehlDallas$21K
- Wendi RiceAbilene$20K
- Amy BibleSan Antonio$7K
- Belinda LopezSan Antonio$6K
- Jennifer HensleyAustin$3K
- Angela JudsonMcKinney$3K
- Maria BarnesSan Antonio$3K
- Antay WatersFort Worth$3K
- Robin EvensonMcKinney$3K
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.