RxDoctor Payments Data

Cheryl West, APRN

Clinical Nurse Specialist · Oklahoma City, OKNPI 1649824228

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $3,307 of the $4,104 with a category attached, or 80.6%. It is spread thinly across 23 manufacturers, the largest accounting for just 20.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $2,322 and has fallen 96.6% since, to $79 in 2025. Among clinical nurse specialist clinicians in OK 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.

$4,104in general payments, 2019–2025

Across 138 payments — averaging $29.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Tandem Diabetes Care, Inc.$841
  • Corcept Therapeutics$527
  • Lilly USA, LLC$410
  • AbbVie$347
  • Novo Nordisk$343
  • Dexcom, Inc.$339
  • plus $1K from 17 others

What the payments were for

  • Speaking & faculty fees$77519%
  • Travel & lodging$30%
  • Food & beverage$3,30781%
  • Education$200%

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

21
22
23
24
25

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.

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

$4,104 in reported general payments places this provider in the 90th percentile of 56 clinical nurse specialist providers in Oklahoma.

See all clinical nurse specialist providers in Oklahoma

Medicare billing

Part B allowed, 2024
$20,421
Medicare patients
71
Services billed
490

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

DrugClaimsCost to plans & patients
OzempicSemaglutide121$168,479
MounjaroTirzepatide97$144,054
TrulicityDulaglutide58$81,424
FarxigaDapagliflozin Propanediol48$50,975
JardianceEmpagliflozin34$50,591
Tresiba Flextouch U-200Insulin Degludec31$50,324
Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/718$23,911
LyumjevInsulin Lispro-Aabc16$17,199
Fiasp FlextouchInsulin Aspart (Niacinamide)13$14,785
Tresiba Flextouch U-100Insulin Degludec17$11,193
Lantus SolostarInsulin Glargine,hum.Rec.Anlog28$4,588
Novolog FlexpenInsulin Aspart19$4,126
Insulin Lispro Kwikpen U-100Insulin Lispro19$3,920
Nano 2nd Gen Pen NeedlePen Needle, Diabetic24$2,988
Metformin Hcl ErMetformin Hcl93$1,589

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.

CompanyPaid to this providerPart D cost of their drugs
Lilly USA, LLCMounjaro, Trulicity, Lyumjev$410$242,677171 claims
Novo NordiskOzempic$343$168,479121 claims
AstraZenecaFarxiga$35$50,97548 claims
Boehringer IngelheimJardiance$46$50,59134 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$15$12319 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 56 clinical nurse specialist providers in Oklahoma.

Other clinical nurse specialist in Oklahoma City

See the full list for Oklahoma

Where these figures come from

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