Duska Bethel
Nurse Practitioner · Madisonville, KYNPI 1720437882
Payments from drug & device makers
Across 73 payments — averaging $19.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$453
- Johnson & Johnson$324
- AbbVie$134
- Pfizer$96
- Tolmar Pharmaceuticals, Inc.$81
- Novartis$79
- plus $272 from 8 others
What the payments were for
- Food & beverage$1,14079%
- Education$30021%
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 |
|---|---|---|
| Astellas Pharma US Inc | 19 | $453 |
| Johnson & Johnson | 15 | $324 |
| AbbVie | 8 | $134 |
| Pfizer | 6 | $96 |
| Tolmar Pharmaceuticals, Inc. | 5 | $81 |
| Novartis | 3 | $79 |
| Sumitomo Pharma America, Inc. | 3 | $57 |
| Coloplast | 3 | $53 |
| 180 Medical, Inc. | 3 | $41 |
| Urovant Sciences Inc | 3 | $39 |
| Axonics, Inc. | 2 | $34 |
| Immunitybio, Inc. | 1 | $21 |
| Endo Pharmaceuticals Inc. | 1 | $14 |
| Teleflex LLC | 1 | $13 |
How this compares
$1,440 in reported general payments places this provider in the 70th percentile of 1,918 nurse practitioner providers in Kentucky.
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 |
|---|---|---|
| Tamsulosin Hcl | 118 | $1,416 |
| NitrofurantoinNitrofurantoin Macrocrystal | 46 | $1,308 |
| Doxycycline Hyclate | 73 | $1,048 |
| Tolterodine Tartrate ErTolterodine Tartrate | 15 | $861 |
| Dutasteride | 34 | $779 |
| Oxybutynin Chloride ErOxybutynin Chloride | 32 | $721 |
| Finasteride | 17 | $247 |
| Cefdinir | 23 | $239 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 17 | $175 |
| Ciprofloxacin Hcl | 39 | $172 |
| Fluconazole | 19 | $106 |
| Levofloxacin | 16 | $47 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Madisonville
- Leigh FoxMadisonville$12K
- Rachael BradfordLexington$447K
- Tara MuddLouisville$243K
- Lee HaasLouisville$95K
- Ashley KnableLouisville$86K
- Christina BenningerLouisville$81K
- Courtney BowlingCampbellsville$47K
- Rebecca BraunerLouisville$40K
- Scott SeitzWinchester$34K
- Kristen KreinestEdgewood$34K
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.