Carmen Petsch
Acute Care · Cheyenne, WYNPI 1134809759
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.9% of the total across 111 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by AstraZeneca at 24.3% of the total. 2025 is the largest year on record at $1,900, more than ten times the $129 reported in 2023.
Across 111 payments — averaging $23.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$623
- Sanofi$320
- Grifols USA, LLC$260
- Regeneron Healthcare Solutions, Inc.$259
- GSK$186
- Viatris Specialty LLC$165
- plus $754 from 11 others
What the payments were for
- Food & beverage$2,38693%
- Education$1817%
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 | 18 | $623 |
| Sanofi | 14 | $320 |
| Grifols USA, LLC | 14 | $260 |
| Regeneron Healthcare Solutions, Inc. | 11 | $259 |
| GSK | 11 | $186 |
| Viatris Specialty LLC | 12 | $165 |
| Boehringer Ingelheim | 4 | $165 |
| Insmed, Inc. | 13 | $146 |
| Verona Pharma, Inc. | 4 | $103 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| Mylan Specialty L.p. | 3 | $71 |
| UCB, Inc. | 1 | $44 |
| Pulmonx Corporation | 1 | $35 |
| ANI Pharmaceuticals, Inc. | 1 | $24 |
| Merck | 1 | $23 |
| Amgen | 1 | $23 |
| Tactile Systems Technology Inc | 1 | $20 |
How this compares
Too few acute care providers in Wyomingto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| OfevNintedanib Esylate | 21 | $264,726 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 333 | $238,332 |
| Fasenra PenBenralizumab | 13 | $80,315 |
| Ambrisentan | 12 | $52,533 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 56 | $32,689 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 63 | $32,420 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 36 | $28,833 |
| Pirfenidone | 13 | $27,289 |
| Spiriva RespimatTiotropium Bromide | 21 | $15,354 |
| Spiriva HandihalerTiotropium Bromide | 26 | $15,216 |
| Breo ElliptaFluticasone/Vilanterol | 34 | $14,449 |
| Advair HfaFluticasone Propion/Salmeterol | 26 | $12,968 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 61 | $9,088 |
| Roflumilast | 130 | $7,093 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 216 | $7,081 |
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 |
|---|---|---|
| Boehringer IngelheimOfev, Stiolto Respimat, Spiriva Respimat, Combivent Respimat | $165 | $318,855111 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Incruse Ellipta | $186 | $290,135445 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $623 | $33,96249 claims |
| MerckDulera | $23 | $5,41716 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. There are too few acute care providers in Wyomingon file to place this against a meaningful peer group, so we don't.
Other acute care in Cheyenne
- Kristen DobbinCheyenne$40
- Shannon CorcueraCheyenne$27
- Brittany JonesJackson$523
- Donald CoulterGlenrock$518
- Christopher McDonaldGillette$395
- Nuttiraporn HansonCasper$61
- John JacobsLaramie$58
- Nichola PattonSheridan$28
- Sharon BaileyJackson$15
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.