Caroline Hutto, CNM
Nurse Practitioner · Fairbanks, AKNPI 1346754207
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 72 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by AbbVie at 49.9% of the total. Reporting peaked in 2021 at $868 and has fallen 78.6% since, to $186 in 2025. Among nurse practitioner clinicians in AK 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 72 payments — averaging $31.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- AstraZeneca$310
- GSK$201
- Lilly USA, LLC$154
- Biohaven Pharmaceutical Holding Company Ltd.$104
- Biohaven Pharmaceuticals, Inc.$68
- plus $303 from 7 others
What the payments were for
- Food & beverage$2,274100%
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 | 26 | $1,134 |
| AstraZeneca | 11 | $310 |
| GSK | 5 | $201 |
| Lilly USA, LLC | 4 | $154 |
| Biohaven Pharmaceutical Holding Company Ltd. | 5 | $104 |
| Biohaven Pharmaceuticals, Inc. | 4 | $68 |
| Pfizer | 3 | $68 |
| Novo Nordisk | 4 | $68 |
| Merck | 4 | $58 |
| Neurocrine Biosciences, Inc. | 2 | $38 |
| Teva Pharmaceuticals USA, Inc. | 2 | $36 |
| Clarus Therapeutics Inc. | 1 | $20 |
| Alkermes, Inc. | 1 | $16 |
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
$2,274 in reported general payments places this provider in the 90th percentile of 212 nurse practitioner providers in Alaska.
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 |
|---|---|---|
| Nurtec OdtRimegepant Sulfate | 12 | $24,774 |
| MounjaroTirzepatide | 12 | $13,811 |
| Armour ThyroidThyroid,pork | 27 | $1,938 |
| Estradiol | 13 | $1,310 |
| ProgesteroneProgesterone, Micronized | 11 | $645 |
| Telmisartan | 20 | $550 |
| Levothyroxine Sodium | 13 | $80 |
| Metformin Hcl | 11 | $40 |
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 |
|---|---|---|
| PfizerNurtec Odt | $68 | $24,77412 claims |
| Lilly USA, LLCMounjaro | $154 | $13,81112 claims |
| AbbVieArmour Thyroid | $1,134 | $1,93827 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 90th percentile of 212 nurse practitioner providers in Alaska.
Other nurse practitioner in Fairbanks
- Melinda TurcotteFairbanks$2K
- Kari GondeckFairbanks$768
- Vanessa MillerFairbanks$582
- Delys CooksFairbanks$294
- Tamara SimpsonWasilla$18K
- Charlotte NelsonWasilla$6K
- Jessica BrayPalmer$5K
- Amanda EnosPalmer$5K
- Ellen LentzWasilla$5K
- Wezzie MunthaliAnchorage$4K
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.