Carol Holder
Nurse Practitioner · Union Springs, ALNPI 1184803066
Payments from drug & device makers
Across 104 payments — averaging $22.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$636
- AstraZeneca$635
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$158
- Otsuka America Pharmaceutical, Inc.$146
- Teva Pharmaceuticals USA, Inc.$129
- Medicure Pharma Inc.$100
- plus $573 from 14 others
What the payments were for
- Food & beverage$2,32798%
- Education$492%
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 |
|---|---|---|
| AbbVie | 45 | $636 |
| AstraZeneca | 27 | $635 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 4 | $158 |
| Otsuka America Pharmaceutical, Inc. | 7 | $146 |
| Teva Pharmaceuticals USA, Inc. | 3 | $129 |
| Medicure Pharma Inc. | 1 | $100 |
| Alkermes, Inc. | 1 | $100 |
| Axonics, Inc. | 1 | $95 |
| Amgen | 2 | $73 |
| Alnylam Pharmaceuticals Inc. | 1 | $56 |
| Bayer | 1 | $52 |
| Novo Nordisk | 2 | $41 |
| Phathom Pharmaceuticals, Inc. | 1 | $36 |
| Exact Sciences | 2 | $26 |
| Boehringer Ingelheim | 1 | $19 |
| Novartis | 1 | $18 |
| Pfizer | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Neurocrine Biosciences, Inc. | 1 | $14 |
| Lilly USA, LLC | 1 | $11 |
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.
- LOKELMA$116
How this compares
$2,376 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 234 | $251,766 |
| OzempicSemaglutide | 67 | $114,478 |
| MounjaroTirzepatide | 78 | $112,719 |
| VraylarCariprazine Hcl | 42 | $54,416 |
| EliquisApixaban | 79 | $54,006 |
| TrulicityDulaglutide | 23 | $52,731 |
| KerendiaFinerenone | 48 | $52,590 |
| TrintellixVortioxetine Hydrobromide | 64 | $50,356 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 71 | $45,454 |
| LinzessLinaclotide | 45 | $42,152 |
| JardianceEmpagliflozin | 31 | $35,989 |
| RybelsusSemaglutide | 15 | $31,145 |
| DapagliflozinDapagliflozin Propanediol | 38 | $15,338 |
| Tresiba Flextouch U-200Insulin Degludec | 16 | $14,311 |
| SymbicortBudesonide/Formoterol Fumarate | 56 | $14,027 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $635 | $311,247361 claims |
| Lilly USA, LLCMounjaro, Trulicity | $11 | $165,450101 claims |
| Novo NordiskOzempic, Rybelsus | $41 | $145,62382 claims |
| AbbVieVraylar, Linzess | $636 | $96,56887 claims |
| PfizerEliquis | $18 | $54,00679 claims |
| BayerKerendia | $52 | $52,59048 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $15 | $50,35664 claims |
| Boehringer IngelheimJardiance | $19 | $35,98931 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 80th percentile of 1,505 nurse practitioner providers in Alabama.
Other nurse practitioner in Union Springs
- Erin TannerAlabaster$141K
- Ardie Pack MabienMobile$126K
- Ginger McDanielBirmingham$27K
- Audrey MorganMontgomery$24K
- Hollie CrutchfieldDothan$22K
- Leah GravesBirmingham$21K
- Lauren DowneyBirmingham$19K
- Ashley HodgensMontgomery$19K
- Lisa PeoplesBirmingham$17K
- Samantha WeaverBirmingham$17K
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.