Elizabeth Franks, CNM
Advanced Practice Midwife · Altoona, PANPI 1154094381
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 21 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 11 manufacturers, the largest accounting for just 20.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $232 and has fallen 55.5% since, to $103 in 2025. Among advanced practice midwife clinicians in PA 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 21 payments — averaging $20.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$89
- Intuitive Surgical$85
- Sage Therapeutics, LLC$61
- Astellas Pharma US Inc$46
- Si-bone, Inc.$36
- Bayer$28
- plus $91 from 5 others
What the payments were for
- Food & beverage$435100%
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 |
|---|---|---|
| Pfizer | 6 | $89 |
| Intuitive Surgical | 1 | $85 |
| Sage Therapeutics, LLC | 4 | $61 |
| Astellas Pharma US Inc | 2 | $46 |
| Si-bone, Inc. | 1 | $36 |
| Bayer | 2 | $28 |
| Hologic Sales And Service, LLC | 1 | $22 |
| Exact Sciences | 1 | $19 |
| Shield Therapeutics Inc | 1 | $18 |
| Organon | 1 | $18 |
| Sumitomo Pharma America, Inc. | 1 | $14 |
How this compares
$435 in reported general payments places this provider in the 90th percentile of 254 advanced practice midwife providers in Pennsylvania.
See all advanced practice midwife providers in Pennsylvania →
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 |
|---|---|---|
| Estradiol | 14 | $661 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Altoona
- Christina FeltenAllentown$1K
- Meredith SteinPhiladelphia$1K
- Patricia RagoneUpper Darby$1K
- Jill LintonEverett$1K
- Stefanie YoungErie$877
- Rose Marie KunaszukConshohocken$863
- Victoria ClarkPhiladelphia$835
- Gerri EvansScranton$710
- Julianna ChoiAbington$671
- Kimberly BoehmlerPhiladelphia$613
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.