Bridget Heckler, CNM
Advanced Practice Midwife · Saint Marys, OHNPI 1497780233
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 77 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 19 manufacturers, the largest accounting for just 15.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $445, 2.2 times the $204 reported in 2021. Among advanced practice midwife clinicians in OH 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 77 payments — averaging $16.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exeltis, USA Inc.$207
- Biogen$200
- Astellas Pharma US Inc$183
- Therapeuticsmd, Inc.$88
- Hologic Sales And Service, LLC$82
- Agile Therapeutics, Inc.$79
- plus $466 from 13 others
What the payments were for
- Food & beverage$1,305100%
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 |
|---|---|---|
| Exeltis, USA Inc. | 11 | $207 |
| Biogen | 10 | $200 |
| Astellas Pharma US Inc | 11 | $183 |
| Therapeuticsmd, Inc. | 6 | $88 |
| Hologic Sales And Service, LLC | 4 | $82 |
| Agile Therapeutics, Inc. | 4 | $79 |
| AbbVie | 5 | $69 |
| Bayer | 3 | $59 |
| Sumitomo Pharma America, Inc. | 3 | $56 |
| Novo Nordisk | 3 | $50 |
| Amgen | 3 | $47 |
| Pfizer | 3 | $46 |
| Coopersurgical, Inc. | 2 | $38 |
| Organon | 3 | $24 |
| Avion Pharmaceuticals | 2 | $23 |
| Radius Health, Inc. | 1 | $16 |
| Shield Therapeutics Inc | 1 | $15 |
| Daiichi Sankyo Inc. | 1 | $14 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $12 |
How this compares
$1,305 in reported general payments places this provider in the 90th percentile of 300 advanced practice midwife providers in Ohio.
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 |
|---|---|---|
| Estradiol | 17 | $372 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Saint Marys
- Elizabeth NiedereggerCincinnati$76K
- Lucia JenkuskyColumbus$15K
- Hannah CackovicWorthington$12K
- Barbara FrancisPerrysburg$9K
- Rebecca Ulery TannerChillicothe$7K
- Sylvia SaikusCleveland$6K
- Chardina Murray-ManginoBoardman$3K
- Susan SommerOregon$3K
- Pamela MaddenEnglewood$3K
- Katherine BellomyWesterville$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.