Cassandra Fields
Advanced Practice Midwife · Lexington, KYNPI 1760857163
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,022 of the $4,494 with a category attached, or 67.3%. 22 manufacturers reported payments, led by Axonics, Inc. at 39.1% of the total. Reporting peaked in 2024 at $2,180 and has fallen 63.4% since, to $798 in 2025. Among advanced practice midwife clinicians in KY 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 108 payments — averaging $41.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axonics, Inc.$2K
- Boston Scientific$483
- AbbVie$390
- Aspira Women's Health Inc$333
- Exeltis, USA Inc.$231
- Astellas Pharma US Inc$216
- plus $1K from 16 others
What the payments were for
- Travel & lodging$1,47133%
- Food & beverage$3,02267%
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 |
|---|---|---|
| Axonics, Inc. | 19 | $1,759 |
| Boston Scientific | 3 | $483 |
| AbbVie | 18 | $390 |
| Aspira Women's Health Inc | 8 | $333 |
| Exeltis, USA Inc. | 10 | $231 |
| Astellas Pharma US Inc | 2 | $216 |
| Sage Therapeutics, LLC | 8 | $213 |
| Sumitomo Pharma America, Inc. | 2 | $150 |
| Agile Therapeutics, Inc. | 6 | $115 |
| Bayer | 5 | $102 |
| Evofem Biosciences, Inc. | 5 | $90 |
| Pfizer | 5 | $88 |
| Hologic Sales And Service, LLC | 3 | $51 |
| Medtronic | 1 | $46 |
| Channel Medsystems, Inc. | 1 | $45 |
| Mayne Pharma Commercial LLC | 4 | $39 |
| Mylan Pharmaceuticals Inc. | 2 | $39 |
| Myovant Sciences Inc. | 2 | $35 |
| Cosette Pharmaceuticals Inc. | 1 | $21 |
| Millicent US Inc | 1 | $18 |
| Avion Pharmaceuticals | 1 | $17 |
| Therapeuticsmd, Inc. | 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.
How this compares
$4,494 in reported general payments places this provider in the 95th percentile of 96 advanced practice midwife providers in Kentucky.
Other advanced practice midwife in Lexington
- Dolores PolitoLexington$4K
- Hannah LloydLexington$3K
- Iniko SalleeLexington$3K
- Amy MaynardLexington$2K
- Kathleen IsaacLexington$2K
- Tyler HalvakszLexington$2K
- Nancy ShireyLexington$1K
- Shelley ChenaultLexington$1K
- Courtney EllisLexington$1K
- Alisha MorganLexington$785
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.