Heather Alder
Nurse Practitioner · Greenfield, INNPI 1578936530
Payments from drug & device makers
Across 38 payments — averaging $17.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$149
- Lilly USA, LLC$95
- Exact Sciences$76
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$58
- Corium, LLC$54
- AstraZeneca$45
- plus $171 from 7 others
What the payments were for
- Food & beverage$649100%
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 |
|---|---|---|
| Alkermes, Inc. | 8 | $149 |
| Lilly USA, LLC | 6 | $95 |
| Exact Sciences | 4 | $76 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $58 |
| Corium, LLC | 5 | $54 |
| AstraZeneca | 3 | $45 |
| Sanofi Pasteur Inc. | 2 | $39 |
| Axsome Therapeutics, Inc. | 2 | $31 |
| Otsuka America Pharmaceutical, Inc. | 1 | $24 |
| Organon | 1 | $20 |
| Neurocrine Biosciences, Inc. | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $19 |
| GSK | 1 | $17 |
How this compares
$649 in reported general payments places this provider in the 65th percentile of 2,724 nurse practitioner providers in Indiana.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 49 | $45,406 |
| OzempicSemaglutide | 35 | $35,169 |
| JardianceEmpagliflozin | 35 | $30,904 |
| JanuviaSitagliptin Phosphate | 21 | $25,250 |
| EliquisApixaban | 32 | $21,116 |
| RybelsusSemaglutide | 15 | $19,559 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 16 | $12,815 |
| Breo ElliptaFluticasone/Vilanterol | 24 | $12,811 |
| TrulicityDulaglutide | 13 | $12,719 |
| Spiriva HandihalerTiotropium Bromide | 18 | $10,541 |
| Spiriva RespimatTiotropium Bromide | 12 | $9,447 |
| SymbicortBudesonide/Formoterol Fumarate | 23 | $7,603 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 170 | $4,236 |
| Duloxetine Hcl | 66 | $4,026 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 30 | $2,815 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Symbicort | $45 | $53,00972 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $17 | $25,62640 claims |
| Lilly USA, LLCTrulicity | $95 | $12,71913 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 65th percentile of 2,724 nurse practitioner providers in Indiana.
Other nurse practitioner in Greenfield
- Kristi OrbaughIndianapolis$1.3M
- Kimberly EadsPlainfield$302K
- Sean GoddardFort Wayne$180K
- Kacy RogersIndianapolis$77K
- Kristine TaylorFort Wayne$69K
- Brittany SavageIndianapolis$51K
- Monica HaugerTrafalgar$47K
- Rhonda HettingerClarksville$38K
- Jennifer MaahsIndianapolis$36K
- Amber MillerLawrenceburg$32K
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.