Heather Bastel
Nurse Practitioner · Paragould, ARNPI 1396712287
Payments from drug & device makers
Across 132 payments — averaging $18.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$486
- Novo Nordisk$393
- Otsuka America Pharmaceutical, Inc.$379
- AbbVie$278
- Boehringer Ingelheim$191
- GSK$175
- plus $580 from 18 others
What the payments were for
- Food & beverage$2,482100%
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 |
|---|---|---|
| AstraZeneca | 19 | $486 |
| Novo Nordisk | 18 | $393 |
| Otsuka America Pharmaceutical, Inc. | 17 | $379 |
| AbbVie | 17 | $278 |
| Boehringer Ingelheim | 11 | $191 |
| GSK | 12 | $175 |
| Bayer | 9 | $151 |
| E.r. Squibb & Sons, L.L.C. | 3 | $50 |
| Biohaven Pharmaceuticals, Inc. | 3 | $45 |
| Lilly USA, LLC | 3 | $44 |
| Idorsia Pharmaceuticals US Inc | 3 | $42 |
| Axsome Therapeutics, Inc. | 1 | $38 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $31 |
| Amgen | 2 | $31 |
| Genentech USA, Inc. | 3 | $29 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $24 |
| Hologic Sales And Service, LLC | 1 | $16 |
| Xeris Pharmaceuticals, Inc. | 1 | $16 |
| Pfizer | 1 | $15 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| Merck | 1 | $15 |
| Esperion Therapeutics, Inc. | 1 | $12 |
| Phathom Pharmaceuticals, Inc. | 1 | $3 |
| Corium, LLC | 1 | $3 |
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.
- BREZTRI$124
How this compares
$2,482 in reported general payments places this provider in the 80th percentile of 697 nurse practitioner providers in Arkansas.
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 |
|---|---|---|
| JardianceEmpagliflozin | 92 | $80,170 |
| OzempicSemaglutide | 61 | $78,225 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 39 | $46,605 |
| Tresiba Flextouch U-200Insulin Degludec | 43 | $45,097 |
| MounjaroTirzepatide | 32 | $37,125 |
| RexultiBrexpiprazole | 22 | $36,567 |
| EliquisApixaban | 47 | $35,121 |
| JanuviaSitagliptin Phosphate | 25 | $34,279 |
| FarxigaDapagliflozin Propanediol | 24 | $18,728 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 17 | $15,710 |
| TrulicityDulaglutide | 15 | $14,502 |
| Rufinamide | 12 | $13,190 |
| Tresiba Flextouch U-100Insulin Degludec | 23 | $11,023 |
| LinzessLinaclotide | 16 | $10,690 |
| Dexlansoprazole DrDexlansoprazole | 48 | $10,034 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $191 | $80,17092 claims |
| Novo NordiskOzempic | $393 | $78,22561 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $175 | $52,52651 claims |
| Lilly USA, LLCMounjaro, Trulicity | $44 | $51,62747 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $486 | $38,84860 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $379 | $36,56722 claims |
| PfizerEliquis | $15 | $35,12147 claims |
| MerckJanuvia | $15 | $34,27925 claims |
| AbbVieLinzess | $278 | $10,69016 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 80th percentile of 697 nurse practitioner providers in Arkansas.
Other nurse practitioner in Paragould
- Merideth HanksRogers$157K
- Angela JonesJonesboro$90K
- Tiffany McConathyHot Springs$54K
- Brenna FitzgeraldNorth Little Rock$46K
- Iris KennedyLittle Rock$22K
- Virginia LaliberteHot Springs$21K
- Julia PonderLittle Rock$21K
- Rhonda HillJonesboro$20K
- Dakota YoungFort Smith$15K
- Olivia CoxLittle Rock$14K
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.