Desiree Heim, NP
Nurse Practitioner · Fort Wayne, INNPI 1558769687
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,042 of the $4,846 with a category attached, or 83.4%. Inspire Medical Systems, Inc. accounts for 65.8% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2024 at $2,014 and has fallen 52.6% since, to $955 in 2025. Among nurse practitioner clinicians in IN 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 249 payments — averaging $19.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$3K
- Novo Nordisk$564
- Jazz Pharmaceuticals Inc.$472
- Harmony Biosciences LLC$170
- Axsome Therapeutics, Inc.$96
- Abbott$61
- plus $295 from 8 others
What the payments were for
- Travel & lodging$73415%
- Food & beverage$4,04283%
- Education$701%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 139 | $3,190 |
| Novo Nordisk | 61 | $564 |
| Jazz Pharmaceuticals Inc. | 15 | $472 |
| Harmony Biosciences LLC | 8 | $170 |
| Axsome Therapeutics, Inc. | 5 | $96 |
| Abbott | 4 | $61 |
| AbbVie | 3 | $61 |
| Antares Pharma, Inc. | 4 | $56 |
| Lilly USA, LLC | 3 | $47 |
| Avadel CNS Pharmaceuticals, LLC | 2 | $44 |
| AstraZeneca | 2 | $37 |
| Tandem Diabetes Care, Inc. | 1 | $19 |
| Resmed Corp | 1 | $18 |
| IBSA Pharma Inc. | 1 | $13 |
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
$4,846 in reported general payments places this provider in the 90th percentile of 2,724 nurse practitioner providers in Indiana.
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.
Other nurse practitioner in Fort Wayne
- Sean GoddardFort Wayne$180K
- Kristine TaylorFort Wayne$69K
- Mary BullisFort Wayne$27K
- Nathan MinerFort Wayne$21K
- Joel NagelFort Wayne$20K
- Gabriela NorthFort Wayne$18K
- Karen LothamerFort Wayne$12K
- Pamela ShodaFort Wayne$11K
- Sara CoburnFort Wayne$9K
- Marlise FletterFort Wayne$9K
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.