Elizabeth Mirabile-Levens, MD
Critical Care Medicine · Waterbury, CTNPI 1437234622
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 185 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by GSK at 37.6% of the total.
Across 185 payments — averaging $18.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$1K
- AstraZeneca$478
- Novartis$285
- Mylan Specialty L.p.$182
- Takeda Pharmaceuticals U.S.A., Inc.$167
- Genentech USA, Inc.$145
- plus $910 from 17 others
What the payments were for
- Food & beverage$3,473100%
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 |
|---|---|---|
| GSK | 69 | $1,306 |
| AstraZeneca(2 entities) | 27 | $478 |
| Novartis | 14 | $285 |
| Mylan Specialty L.p. | 10 | $182 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $167 |
| Genentech USA, Inc. | 8 | $145 |
| Boehringer Ingelheim | 6 | $128 |
| Amgen | 6 | $104 |
| Inspire Medical Systems, Inc. | 1 | $101 |
| Sunovion Pharmaceuticals Inc. | 12 | $92 |
| Sanofi | 3 | $74 |
| Mallinckrodt Enterprises LLC | 4 | $74 |
| Johnson & Johnson(2 entities) | 3 | $70 |
| Regeneron Healthcare Solutions, Inc. | 3 | $50 |
| Electromed, Inc. | 3 | $49 |
| Pfizer | 1 | $32 |
| Philips North America LLC | 1 | $25 |
| Optinose US, Inc. | 1 | $24 |
| Verona Pharma, Inc. | 1 | $23 |
| Viatris Specialty LLC | 1 | $18 |
| Covis Pharma GmbH | 1 | $18 |
| Seqirus USA Inc | 1 | $17 |
| Pulmonx Corporation | 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.
- Inspire$101
How this compares
$3,473 in reported general payments places this provider in the 75th percentile of 51 critical care medicine providers in Connecticut.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 356 | $375,732 |
| Breo ElliptaFluticasone/Vilanterol | 287 | $200,676 |
| Dupixent PenDupilumab | 37 | $136,894 |
| Fasenra PenBenralizumab | 21 | $123,673 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 40 | $38,821 |
| SymbicortBudesonide/Formoterol Fumarate | 108 | $37,656 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 45 | $35,966 |
| DuleraMometasone/Formoterol | 36 | $24,222 |
| Spiriva RespimatTiotropium Bromide | 25 | $22,804 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 85 | $20,865 |
| Arnuity ElliptaFluticasone Furoate | 33 | $13,370 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 12 | $12,527 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 349 | $12,225 |
| Fluticasone-VilanterolFluticasone/Vilanterol | 17 | $11,809 |
| AlvescoCiclesonide | 12 | $9,465 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta | $1,306 | $625,743721 claims |
| AstraZenecaBreztri Aerosphere, Symbicort, Bevespi Aerosphere | $478 | $81,532160 claims |
| Boehringer IngelheimSpiriva Respimat, Stiolto Respimat | $128 | $35,33137 claims |
| Covis Pharma GmbHAlvesco | $18 | $9,46512 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 75th percentile of 51 critical care medicine providers in Connecticut.
Other critical care medicine in Waterbury
- Richard SilvermanWaterbury$560K
- David HillWaterbury$193K
- Robert McDonaldWaterbury$13K
- Ferdinando UrbanoWaterbury$4K
- Carl SherterWaterbury$1K
- Charis WipflerWaterbury$226
- Philip SimkovitzTrumbull$24K
- David KaufmanBridgeport$20K
- Roland El GhazalNew Haven$19K
- Akhil KhoslaNew Haven$12K
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.