Debra Lyne, APRN
Primary Care · Salina, KSNPI 1558760074
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.4% of the total across 234 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 19 manufacturers, the largest accounting for just 18.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $1,155 and has fallen 57.1% since, to $495 in 2025. Among primary care clinicians in KS 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 234 payments — averaging $15.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$672
- Merck$622
- Novartis$615
- Medtronic$429
- Johnson & Johnson$401
- AstraZeneca$271
- plus $619 from 13 others
What the payments were for
- Food & beverage$3,53697%
- Education$943%
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 | 37 | $672 |
| Merck | 40 | $622 |
| Novartis | 48 | $615 |
| Medtronic | 36 | $429 |
| Johnson & Johnson | 26 | $401 |
| AstraZeneca | 16 | $271 |
| Abbott | 4 | $115 |
| Pfizer | 6 | $81 |
| Cvrx, Inc. | 2 | $75 |
| Boehringer Ingelheim | 3 | $68 |
| E.r. Squibb & Sons, L.L.C. | 4 | $55 |
| Amarin Pharma, Inc. | 2 | $44 |
| Actelion Pharmaceuticals US, Inc. | 2 | $37 |
| Boston Scientific | 2 | $33 |
| Bayer | 1 | $33 |
| Alnylam Pharmaceuticals Inc. | 2 | $30 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $19 |
| Novo Nordisk | 1 | $14 |
| Regeneron Healthcare Solutions, Inc. | 1 | $13 |
How this compares
$3,630 in reported general payments places this provider in the 90th percentile of 56 primary care providers in Kansas.
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 |
|---|---|---|
| EntrestoSacubitril/Valsartan | 285 | $217,283 |
| EliquisApixaban | 221 | $172,857 |
| FarxigaDapagliflozin Propanediol | 94 | $62,238 |
| JardianceEmpagliflozin | 81 | $58,655 |
| Repatha SureclickEvolocumab | 46 | $57,677 |
| XareltoRivaroxaban | 73 | $54,497 |
| Praluent PenAlirocumab | 13 | $17,634 |
| Ezetimibe | 62 | $1,771 |
| Rosuvastatin Calcium | 249 | $1,717 |
| Metoprolol Succinate | 166 | $1,676 |
| Metoprolol Tartrate | 412 | $1,493 |
| Digoxin | 76 | $1,492 |
| Carvedilol | 321 | $1,273 |
| Losartan Potassium | 123 | $1,188 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 26 | $1,053 |
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 |
|---|---|---|
| NovartisEntresto | $615 | $217,283285 claims |
| PfizerEliquis | $81 | $172,857221 claims |
| AstraZenecaFarxiga | $271 | $62,23894 claims |
| Boehringer IngelheimJardiance | $68 | $58,65581 claims |
| Johnson & JohnsonXarelto | $401 | $54,49773 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 primary care providers in Kansas.
Other primary care in Salina
- Michelle PragerTopeka$39K
- Kerry SanderStilwell$9K
- Kristina GroveOverland Park$9K
- Amy BakerLawrence$7K
- Thuy NguyenJetmore$4K
- Phuong DuongWichita$3K
- Danielle CarmitchelOverland Park$2K
- Erika DickChanute$2K
- Jennifer ErkerGoddard$2K
- Mayra BrooksConcordia$1K
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.