Brooke Causland
Nurse Practitioner · Opelika, ALNPI 1457951303
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 358 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by AstraZeneca at 24.4% of the total. 2025 is the largest year on record at $2,910, 6.3 times the $462 reported in 2021. Among nurse practitioner clinicians in AL 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 358 payments — averaging $21.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- GSK$2K
- Grifols USA, LLC$964
- Boehringer Ingelheim$453
- Regeneron Healthcare Solutions, Inc.$437
- Actelion Pharmaceuticals US, Inc.$343
- plus $2K from 15 others
What the payments were for
- Food & beverage$7,805100%
- Education$340%
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 |
|---|---|---|
| AstraZeneca | 78 | $1,909 |
| GSK | 101 | $1,735 |
| Grifols USA, LLC | 41 | $964 |
| Boehringer Ingelheim | 21 | $453 |
| Regeneron Healthcare Solutions, Inc. | 19 | $437 |
| Actelion Pharmaceuticals US, Inc. | 8 | $343 |
| United Therapeutics Corporation | 14 | $321 |
| Mallinckrodt Hospital Products Inc. | 10 | $314 |
| Sanofi | 16 | $303 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $264 |
| Philips North America LLC | 9 | $181 |
| Amgen | 5 | $116 |
| Baxter Healthcare | 5 | $106 |
| Mylan Specialty L.p. | 6 | $103 |
| Viatris Specialty LLC | 5 | $96 |
| Verona Pharma, Inc. | 4 | $82 |
| Merck | 2 | $40 |
| Inogen, Inc. | 2 | $24 |
| Electromed, Inc. | 1 | $18 |
| Hikma Pharmaceuticals USA | 1 | $16 |
| Hologic Sales And Service, LLC | 1 | $14 |
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
$7,839 in reported general payments places this provider in the 95th percentile of 1,505 nurse practitioner providers in Alabama.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 819 | $610,014 |
| TezspireTezepelumab-Ekko | 35 | $152,478 |
| OfevNintedanib Esylate | 11 | $139,131 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 199 | $132,091 |
| NucalaMepolizumab | 23 | $79,759 |
| Fasenra PenBenralizumab | 11 | $61,792 |
| Dupixent PenDupilumab | 12 | $43,795 |
| Breo ElliptaFluticasone/Vilanterol | 83 | $34,641 |
| Spiriva RespimatTiotropium Bromide | 37 | $30,609 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 49 | $20,910 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 31 | $16,578 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 34 | $10,455 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 411 | $9,896 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 39 | $9,629 |
| SymbicortBudesonide/Formoterol Fumarate | 33 | $9,195 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKTrelegy Ellipta, Nucala, Breo Ellipta, Anoro Ellipta | $1,735 | $745,324974 claims |
| AstraZenecaTezspire, Breztri Aerosphere, Symbicort | $1,909 | $293,764267 claims |
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat | $453 | $186,31879 claims |
| MerckDulera | $40 | $3,71311 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 1,505 nurse practitioner providers in Alabama.
Other nurse practitioner in Opelika
- Donald UptonOpelika$14K
- Carla HudsonOpelika$9K
- Erin TannerAlabaster$141K
- Ardie Pack MabienMobile$29K
- Ginger McDanielBirmingham$27K
- Audrey MorganMontgomery$24K
- Hollie CrutchfieldDothan$22K
- Leah GravesBirmingham$21K
- Lauren DowneyBirmingham$19K
- Ashley HodgensMontgomery$19K
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.