Elle Porteous, NP
Acute Care · Wyoming, MINPI 1861089500
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 122 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 17.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,597 and has fallen 92.3% since, to $122 in 2025. Among acute care clinicians in MI 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 122 payments — averaging $23.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$494
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$372
- Boston Scientific$276
- E.r. Squibb & Sons, L.L.C.$250
- Edwards Lifesciences$216
- Kestra Medical Technology Services, Inc.$175
- plus $1K from 18 others
What the payments were for
- Food & beverage$2,884100%
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 |
|---|---|---|
| Novartis | 28 | $494 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 15 | $372 |
| Boston Scientific | 4 | $276 |
| E.r. Squibb & Sons, L.L.C. | 11 | $250 |
| Edwards Lifesciences | 3 | $216 |
| Kestra Medical Technology Services, Inc. | 3 | $175 |
| Johnson & Johnson | 12 | $170 |
| Kiniksa Pharmaceuticals, Ltd. | 6 | $148 |
| Amgen | 10 | $128 |
| Abbott | 6 | $115 |
| Shockwave Medical, Inc | 1 | $105 |
| Actelion Pharmaceuticals US, Inc. | 3 | $84 |
| Kiniksa Pharmaceuticals International, PLC | 3 | $61 |
| Pfizer | 4 | $61 |
| Scpharmaceuticals Inc. | 2 | $35 |
| Angiodynamics, Inc. | 2 | $33 |
| Irhythm Technologies, Inc. | 2 | $31 |
| Cardiva Medical, Inc. | 1 | $24 |
| Novo Nordisk | 1 | $23 |
| Philips North America LLC | 1 | $19 |
| Daiichi Sankyo Inc. | 1 | $19 |
| Merck | 1 | $17 |
| Bardy Diagnostics, Inc. | 1 | $15 |
| Baxter Healthcare | 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.
How this compares
$2,884 in reported general payments places this provider in the 90th percentile of 567 acute care providers in Michigan.
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 |
|---|---|---|
| Metoprolol Succinate | 11 | $215 |
Paid to pharmacies, not to this prescriber.
Other acute care in Wyoming
- Janet WymanDetroit$103K
- Stephanie Mellon ReppenDetroit$57K
- Ashley WozniakLivonia$26K
- Julia BriggsBirch Run$16K
- Candise LovePort Huron$14K
- Janette GuertinPort Huron$14K
- Gregory AliNovi$13K
- Andrew PalmerLansing$9K
- Angela BrennanDearborn Heights$7K
- Jennifer RutzenLansing$7K
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.