Carey Smith, NP
Nurse Practitioner · Joplin, MONPI 1891068540
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (59.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Arthrex accounts for 73.0% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $3,642 and has fallen 94.5% since, to $202 in 2025. Among nurse practitioner clinicians in MO 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 28 payments — averaging $144.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Titan Surgical Group, LLC$654
- Acumed LLC$204
- Regeneron Healthcare Solutions, Inc.$77
- Philips North America LLC$58
- Endo Pharmaceuticals Inc.$35
- plus $65 from 4 others
What the payments were for
- Travel & lodging$1,07727%
- Food & beverage$57114%
- Education$2,40059%
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 |
|---|---|---|
| Arthrex | 11 | $2,956 |
| Titan Surgical Group, LLC | 1 | $654 |
| Acumed LLC | 4 | $204 |
| Regeneron Healthcare Solutions, Inc. | 3 | $77 |
| Philips North America LLC | 3 | $58 |
| Endo Pharmaceuticals Inc. | 2 | $35 |
| Alk-abello, Inc | 1 | $19 |
| Vertex | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Bioventus LLC | 1 | $15 |
How this compares
$4,048 in reported general payments places this provider in the 90th percentile of 1,898 nurse practitioner providers in Missouri.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $138 |
| Methylprednisolone | 13 | $87 |
| Levocetirizine Dihydrochloride | 22 | $53 |
| Tramadol Hcl | 14 | $30 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Joplin
- Benjamin LongJoplin$9K
- Vanessa JarrettJoplin$9K
- Aeron SheffieldChesterfield$269K
- Rachel ImperatoOsage Beach$260K
- Matthew BrunsBridgeton$126K
- Michelle DickensSpringfield$59K
- Robert HafnerKansas City$47K
- Tracey CarpenterChesterfield$47K
- Laura GrantSaint Charles$34K
- Courtney JefferyKansas City$24K
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.