Debra Andvik
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.4% of the total across 165 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 17.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,363 and has fallen 61.8% since, to $521 in 2023. Among medical clinicians in ND 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 165 payments — averaging $16.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$479
- AbbVie$403
- Merck$251
- AstraZeneca$241
- Astellas Pharma US Inc$222
- Boehringer Ingelheim$171
- plus $979 from 21 others
What the payments were for
- Food & beverage$2,64696%
- Education$994%
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 |
|---|---|---|
| Amgen | 31 | $479 |
| AbbVie | 24 | $403 |
| Merck | 16 | $251 |
| AstraZeneca | 12 | $241 |
| Astellas Pharma US Inc | 12 | $222 |
| Boehringer Ingelheim | 11 | $171 |
| Novartis | 7 | $141 |
| Lilly USA, LLC | 7 | $120 |
| Sanofi-aventis U.S. LLC | 7 | $103 |
| Kowa Pharmaceuticals America, Inc. | 5 | $66 |
| Pfizer | 4 | $65 |
| Nestle Healthcare Nutrition Inc. | 4 | $65 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $52 |
| Hologic Sales And Service, LLC | 2 | $51 |
| Amarin Pharma, Inc. | 3 | $51 |
| Bayer | 3 | $40 |
| Grifols USA, LLC | 2 | $31 |
| GSK | 2 | $29 |
| Exeltis, USA Inc. | 2 | $27 |
| Lundbeck LLC | 1 | $24 |
| E.r. Squibb & Sons, L.L.C. | 1 | $20 |
| Alkermes, Inc. | 1 | $19 |
| Medicure Pharma Inc. | 1 | $17 |
| Sanofi Pasteur Inc. | 1 | $15 |
| Mylan Specialty L.p. | 1 | $14 |
| Biohaven Pharmaceuticals, Inc. | 1 | $14 |
| Ultragenyx Pharmaceutical Inc. | 1 | $14 |
How this compares
$2,745 in reported general payments places this provider in the 90th percentile of 51 medical providers in North Dakota.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 12 | $15,092 |
| Levothyroxine Sodium | 67 | $649 |
| Atorvastatin Calcium | 60 | $460 |
| Rosuvastatin Calcium | 36 | $385 |
| Pantoprazole Sodium | 16 | $347 |
| Allopurinol | 15 | $294 |
| Metoprolol Succinate | 13 | $255 |
| Fluoxetine Hcl | 16 | $246 |
| Amlodipine Besylate | 41 | $240 |
| Losartan Potassium | 30 | $233 |
| Sertraline Hcl | 13 | $203 |
| Lisinopril | 33 | $197 |
| Metformin Hcl | 27 | $197 |
| Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid | 18 | $143 |
| Dutasteride | 11 | $138 |
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 |
|---|---|---|
| PfizerEliquis | $65 | $15,09212 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 51 medical providers in North Dakota.
Other medical in Fargo
- Gregory BjorklundFargo$47K
- Angela WagnerFargo$4K
- David TullarFargo$2K
- Catherine GarveyFargo$2K
- Melissa ChristensenFargo$2K
- Dacia EngbergFargo$1K
- Kathryn GrayFargo$1K
- Jamie BrownFargo$968
- Susan HansonFargo$709
- Yan TeschFargo$509
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.