Debra Brent
Acute Care · Little Rock, ARNPI 1518923903
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.6% of the total across 478 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 27 manufacturers reported payments, led by AbbVie at 30.1% of the total. Reporting peaked in 2022 at $2,494 and has fallen 57.1% since, to $1,070 in 2025. Among acute care clinicians in AR 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 478 payments — averaging $18.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Amgen$2K
- UCB, Inc.$904
- Johnson & Johnson$749
- Mallinckrodt Hospital Products Inc.$334
- Pfizer$301
- plus $2K from 21 others
What the payments were for
- Food & beverage$8,64299%
- Education$1211%
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 | 159 | $2,638 |
| Amgen | 111 | $1,677 |
| UCB, Inc. | 38 | $904 |
| Johnson & Johnson | 41 | $749 |
| Mallinckrodt Hospital Products Inc. | 12 | $334 |
| Pfizer | 16 | $301 |
| Aurinia Pharma U.S., Inc. | 11 | $244 |
| Boehringer Ingelheim | 11 | $227 |
| Genentech USA, Inc. | 13 | $222 |
| AstraZeneca(2 entities) | 12 | $210 |
| Organon | 8 | $187 |
| GSK | 9 | $183 |
| Novartis | 8 | $178 |
| Lilly USA, LLC | 7 | $136 |
| Janssen Scientific Affairs, LLC | 1 | $124 |
| Kedrion Biopharma, Inc. | 3 | $121 |
| Fresenius Kabi USA, LLC | 5 | $91 |
| Jazz Pharmaceuticals Inc. | 4 | $68 |
| United Therapeutics Corporation | 1 | $24 |
| Vertex | 1 | $24 |
| E.r. Squibb & Sons, L.L.C. | 1 | $24 |
| Lundbeck LLC | 1 | $22 |
| Hikma Pharmaceuticals USA | 1 | $20 |
| Bioventus LLC | 1 | $15 |
| Collegium Pharmaceutical, Inc. | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
| Sanofi | 1 | $12 |
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
$8,763 in reported general payments places this provider in the 95th percentile of 321 acute care providers in Arkansas.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 40 | $295,853 |
| RinvoqUpadacitinib | 35 | $223,815 |
| OtezlaApremilast | 29 | $125,512 |
| Xeljanz XrTofacitinib Citrate | 18 | $102,301 |
| Enbrel SureclickEtanercept | 11 | $77,823 |
| Orencia ClickjectAbatacept | 12 | $67,665 |
| KevzaraSarilumab | 13 | $55,553 |
| Hydroxychloroquine Sulfate | 1,083 | $47,566 |
| Colchicine | 217 | $21,651 |
| Leflunomide | 247 | $14,675 |
| MethotrexateMethotrexate Sodium | 438 | $8,960 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 382 | $8,259 |
| Pregabalin | 139 | $6,828 |
| Gabapentin | 376 | $6,812 |
| Diclofenac Sodium | 335 | $6,129 |
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 |
|---|---|---|
| AbbVieRinvoq | $2,638 | $223,81535 claims |
| AmgenOtezla | $1,677 | $125,51229 claims |
| SanofiKevzara | $12 | $55,55313 claims |
| Hikma Pharmaceuticals USABuprenorphine | $20 | $3,60714 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 95th percentile of 321 acute care providers in Arkansas.
Other acute care in Little Rock
- Jill AveryLittle Rock$117K
- Lynn FrazierLittle Rock$106K
- Beverly BaxterLittle Rock$95K
- Diane GlendinningLittle Rock$26K
- Beth CrowderLittle Rock$25K
- Carmen Paniagua TorresLittle Rock$21K
- Shana KloskeLittle Rock$14K
- Ginger HartLittle Rock$9K
- Holly TrottaLittle Rock$7K
- Katelyn LomaxLittle Rock$6K
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.