Diane Holzum
Clinical Nurse Specialist · Cape Girardeau, MONPI 1831217496
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 59 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 24 manufacturers, the largest accounting for just 13.1% — the pattern of someone who eats at a lot of different presentations.
Across 59 payments — averaging $66.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$517
- AstraZeneca$435
- Johnson & Johnson$352
- Edwards Lifesciences$308
- Novo Nordisk$286
- AbbVie$280
- plus $2K from 18 others
What the payments were for
- Food & beverage$3,933100%
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 | 4 | $517 |
| AstraZeneca | 7 | $435 |
| Johnson & Johnson | 15 | $352 |
| Edwards Lifesciences | 2 | $308 |
| Novo Nordisk | 3 | $286 |
| AbbVie | 3 | $280 |
| Madrigal Pharmaceuticals | 1 | $138 |
| Dexcom, Inc. | 1 | $136 |
| Abbott | 1 | $128 |
| Pacira Pharmaceuticals Incorporated | 1 | $125 |
| Neurelis, Inc. | 1 | $122 |
| Grifols USA, LLC | 1 | $122 |
| Otsuka America Pharmaceutical, Inc. | 1 | $122 |
| Teva Pharmaceuticals USA, Inc. | 1 | $119 |
| Eisai Inc. | 1 | $110 |
| GSK | 1 | $109 |
| Lilly USA, LLC | 1 | $106 |
| Gilead | 1 | $100 |
| Boehringer Ingelheim | 1 | $91 |
| Novartis | 5 | $82 |
| E.r. Squibb & Sons, L.L.C. | 3 | $59 |
| Medtronic | 1 | $44 |
| Pfizer | 2 | $27 |
| Daiichi Sankyo Inc. | 1 | $15 |
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.
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$308
- EVENITY$247
- Wegovy$236
- FASENRA$233
- XARELTO$228
- VRAYLAR$226
- REZDIFFRA$138
- DEXCOM G7 GSS (161)$136
- DEXCOM STELO GLUCOSE BIOSENSOR$136
- FreeStyle Libre 2$128
- Iovera$125
- VALTOCO$122
- REXULTI$122
- Prolastin-C Liquid$122
- Otezla$121
- Austedo XR$119
- Dayvigo$110
- SHINGRIX$109
- MOUNJARO$106
- LOKELMA$102
How this compares
Too few clinical nurse specialist providers in Missourito place this figure against a meaningful peer group, so we don't.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| AmantadineAmantadine Hcl | 26 | $403 |
Paid to pharmacies, not to this prescriber.
Other clinical nurse specialist in Cape Girardeau
- Bonnie BlevinsBranson$4K
- Tiffany MellerColumbia$1K
- Susan AkinsSaint Louis$752
- Theresa WittSpringfield$490
- Melissa SchmidtSaint Louis$450
- Stephanie SukupBlue Springs$385
- Christine BrownSaint Louis$352
- Jodi MyersKansas City$316
- Kristin StarrKansas City$171
- Tara SiebenallerSaint Louis$129
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.