Heather Butler, APRN
Nurse Practitioner · Fort Smith, ARNPI 1679824197
Payments from drug & device makers
Across 57 payments — averaging $57.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Abbott$272
- GRT US Holding, Inc.$246
- Averitas Pharma Inc.$82
- Amgen$34
- Pacira Pharmaceuticals Incorporated$19
- plus $16 from 1 others
What the payments were for
- Travel & lodging$1,64250%
- Food & beverage$1,60949%
- Education$542%
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 |
|---|---|---|
| Medtronic | 28 | $2,636 |
| Abbott | 10 | $272 |
| GRT US Holding, Inc. | 10 | $246 |
| Averitas Pharma Inc. | 5 | $82 |
| Amgen | 2 | $34 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
| AbbVie | 1 | $16 |
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.
- VANTA ADAPTIVESTIM$1,783
- Qutenza$114
How this compares
$3,305 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| BelbucaBuprenorphine Hcl | 46 | $38,700 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 1,113 | $36,478 |
| Buprenorphine | 117 | $26,992 |
| MovantikNaloxegol Oxalate | 25 | $10,691 |
| Gabapentin | 428 | $5,332 |
| Pregabalin | 304 | $4,339 |
| Buprenorphine Hcl | 181 | $3,827 |
| Duloxetine Hcl | 220 | $3,495 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 26 | $3,264 |
| Naloxone Hcl | 40 | $3,009 |
| Diclofenac Sodium | 63 | $2,895 |
| Lidocaine | 23 | $2,557 |
| Tizanidine Hcl | 209 | $2,276 |
| Methocarbamol | 144 | $1,855 |
| Cyclobenzaprine Hcl | 208 | $1,726 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Fort Smith
- Dakota YoungFort Smith$15K
- Kathleen MilamFort Smith$9K
- Lisa CokerFort Smith$8K
- Kathleen ToonFort Smith$7K
- Jenny HannaFort Smith$7K
- Jennifer JayFort Smith$6K
- Aida JonesFort Smith$5K
- Jacquelyn IsaacsFort Smith$4K
- Dana ReevesFort Smith$4K
- Merideth HanksRogers$157K
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.