Cynthia Almarode
Family · Middlebrook, VANPI 1902806334
Payments from drug & device makers
Across 314 payments — averaging $15.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$980
- AbbVie$870
- Lilly USA, LLC$669
- Novo Nordisk$403
- Amgen$273
- Johnson & Johnson$190
- plus $1K from 19 others
What the payments were for
- Food & beverage$4,740100%
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 |
|---|---|---|
| Pfizer | 63 | $980 |
| AbbVie | 70 | $870 |
| Lilly USA, LLC | 49 | $669 |
| Novo Nordisk | 24 | $403 |
| Amgen | 16 | $273 |
| Johnson & Johnson | 14 | $190 |
| AstraZeneca | 10 | $158 |
| Biohaven Pharmaceutical Holding Company Ltd. | 11 | $148 |
| Boehringer Ingelheim | 7 | $144 |
| Astellas Pharma US Inc | 5 | $99 |
| Novartis | 6 | $95 |
| GSK | 5 | $94 |
| ANI Pharmaceuticals, Inc. | 3 | $90 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $86 |
| Abbott | 4 | $84 |
| Axsome Therapeutics, Inc. | 4 | $76 |
| Amarin Pharma, Inc. | 4 | $70 |
| Merck | 4 | $70 |
| Exact Sciences | 2 | $39 |
| E.r. Squibb & Sons, L.L.C. | 2 | $26 |
| IBSA Pharma Inc. | 1 | $20 |
| Sanofi-aventis U.S. LLC | 1 | $17 |
| Eisai Inc. | 1 | $14 |
| Otsuka America Pharmaceutical, Inc. | 1 | $13 |
| Mylan Specialty L.p. | 1 | $12 |
How this compares
$4,740 in reported general payments places this provider in the 90th percentile of 4,332 family providers in Virginia.
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 |
|---|---|---|
| EliquisApixaban | 62 | $44,505 |
| OzempicSemaglutide | 22 | $32,457 |
| FarxigaDapagliflozin Propanediol | 32 | $27,002 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 27 | $25,148 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 19 | $20,852 |
| JardianceEmpagliflozin | 17 | $19,660 |
| MounjaroTirzepatide | 12 | $12,624 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 26 | $11,987 |
| Breo ElliptaFluticasone/Vilanterol | 14 | $6,093 |
| AmitizaLubiprostone | 13 | $4,642 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 15 | $3,326 |
| Dexlansoprazole DrDexlansoprazole | 23 | $3,045 |
| Levothyroxine Sodium | 281 | $2,588 |
| Rosuvastatin Calcium | 193 | $2,515 |
| VascepaIcosapent Ethyl | 12 | $2,147 |
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 | $158 | $52,15059 claims |
| PfizerEliquis | $980 | $44,50562 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Shingrix | $94 | $42,25874 claims |
| Novo NordiskOzempic | $403 | $32,45722 claims |
| Boehringer IngelheimJardiance | $144 | $19,66017 claims |
| Lilly USA, LLCMounjaro | $669 | $12,62412 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Amitiza | $86 | $4,64213 claims |
| AbbVieSynthroid | $870 | $1,42428 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 4,332 family providers in Virginia.
Other family in Middlebrook
- Andrea CottonVirginia Beach$696K
- Susan MooreWytheville$438K
- Ellen WermterCharlottesville$251K
- Dana StallingsFranklin$225K
- Jocelyn BrackettHerndon$199K
- Hochong Smith GillesRichmond$131K
- Sean OlaughlinMidlothian$110K
- Adam MedlinHampton$67K
- Casey SharpDanville$63K
- Norman JacobowitzManassas$55K
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.