Genevieve Grzywacz-Laughter, CRNA
Nurse Anesthetist, Certified Registered · Winston Salem, NCNPI 1437435344
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 132 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Takeda Pharmaceuticals U.S.A., Inc. at 30.4% of the total. 2025 is the largest year on record at $1,010, more than ten times the $33 reported in 2021. Among nurse anesthetist, certified registered clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 132 payments — averaging $19.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$774
- QOL Medical, LLC$344
- AbbVie$336
- Intercept Pharmaceuticals, Inc.$274
- Madrigal Pharmaceuticals$272
- Regeneron Healthcare Solutions, Inc.$179
- plus $367 from 6 others
What the payments were for
- Food & beverage$2,546100%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 40 | $774 |
| QOL Medical, LLC | 13 | $344 |
| AbbVie | 20 | $336 |
| Intercept Pharmaceuticals, Inc. | 13 | $274 |
| Madrigal Pharmaceuticals | 17 | $272 |
| Regeneron Healthcare Solutions, Inc. | 10 | $179 |
| Johnson & Johnson | 6 | $138 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $89 |
| Ardelyx, Inc. | 3 | $56 |
| Braintree Laboratories, Inc. | 2 | $47 |
| Micro-tech Endoscopy USA, Inc. | 1 | $18 |
| Stryker | 1 | $18 |
How this compares
$2,546 in reported general payments places this provider in the 95th percentile of 2,608 nurse anesthetist, certified registered providers in North Carolina.
See all nurse anesthetist, certified registered providers in North Carolina →
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.
Other nurse anesthetist, certified registered in Winston Salem
- Jennifer HumphreysWinston Salem$2K
- Anna Plummer-RobertsWinston Salem$2K
- Betty RocchioCharlotte$15K
- Joseph KeckAsheville$10K
- Katelyn PowellWilmington$8K
- Mark NolesBurlington$8K
- Joseph ChapmanChapel Hill$6K
- Brad TurnerGreenville$4K
- Alyssa SarchettHickory$3K
- Peter HonerkampConcord$3K
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.