Carey Welsh, MD
Family Medicine · Great Falls, MTNPI 1063413912
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 260 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 25 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,395 and has fallen 52.9% since, to $658 in 2025. Among family medicine clinicians in MT 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 260 payments — averaging $17.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$909
- GSK$621
- Novo Nordisk$586
- Lilly USA, LLC$320
- Amgen$316
- AbbVie$292
- plus $2K from 19 others
What the payments were for
- Food & beverage$4,592100%
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 | 38 | $909 |
| GSK | 37 | $621 |
| Novo Nordisk | 39 | $586 |
| Lilly USA, LLC | 26 | $320 |
| Amgen | 19 | $316 |
| AbbVie | 18 | $292 |
| Bayer | 17 | $269 |
| Sanofi Pasteur Inc. | 11 | $250 |
| Boehringer Ingelheim | 9 | $173 |
| Merck | 10 | $161 |
| Exact Sciences | 6 | $147 |
| Pfizer | 5 | $83 |
| Novartis | 4 | $65 |
| Teva Pharmaceuticals USA, Inc. | 3 | $58 |
| Verona Pharma, Inc. | 2 | $57 |
| Corium, LLC | 2 | $52 |
| Sanofi-aventis U.S. LLC | 3 | $49 |
| Abbott | 1 | $33 |
| Johnson & Johnson | 2 | $30 |
| Astellas Pharma US Inc | 2 | $27 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $26 |
| Sanofi | 1 | $25 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Chiesi USA, Inc. | 1 | $15 |
| Corcept Therapeutics | 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
$4,592 in reported general payments places this provider in the 95th percentile of 426 family medicine providers in Montana.
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 |
|---|---|---|
| EliquisApixaban | 114 | $124,174 |
| OzempicSemaglutide | 86 | $95,850 |
| JardianceEmpagliflozin | 48 | $62,563 |
| MounjaroTirzepatide | 55 | $59,893 |
| XareltoRivaroxaban | 49 | $59,233 |
| FarxigaDapagliflozin Propanediol | 47 | $46,232 |
| JanuviaSitagliptin Phosphate | 25 | $24,319 |
| Spiriva RespimatTiotropium Bromide | 12 | $16,354 |
| TrulicityDulaglutide | 16 | $15,860 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 14 | $11,478 |
| Breo ElliptaFluticasone/Vilanterol | 13 | $10,639 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 13 | $10,582 |
| Repatha SureclickEvolocumab | 12 | $6,392 |
| Tamsulosin Hcl | 340 | $6,146 |
| Metoprolol Succinate | 363 | $5,852 |
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 |
|---|---|---|
| PfizerEliquis | $83 | $124,174114 claims |
| Novo NordiskOzempic | $586 | $95,85086 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat, Stiolto Respimat | $173 | $89,49973 claims |
| Lilly USA, LLCMounjaro, Trulicity | $320 | $75,75271 claims |
| Johnson & JohnsonXarelto | $30 | $59,23349 claims |
| AstraZenecaFarxiga | $909 | $46,23247 claims |
| MerckJanuvia | $161 | $24,31925 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $621 | $22,11727 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 426 family medicine providers in Montana.
Other family medicine in Great Falls
- Lyle OnstadGreat Falls$5K
- Libby LakeGreat Falls$4K
- Ryan BoerGreat Falls$3K
- Megan BrinkaGreat Falls$3K
- Craig TreptowGreat Falls$3K
- Joseph LeeGreat Falls$2K
- Kevin McCreaGreat Falls$2K
- Jodi Weisser ViolettGreat Falls$1K
- Venkatesh JairamGreat Falls$949
- David EngbrechtGreat Falls$786
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.