Heather Fitch, APRN
Family · Buena Vista, VANPI 1972383669
Payments from drug & device makers
Across 23 payments — averaging $17.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$91
- Exact Sciences$73
- Lilly USA, LLC$71
- AbbVie$59
- AstraZeneca$31
- Astellas Pharma US Inc$31
- plus $57 from 3 others
What the payments were for
- Food & beverage$412100%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 6 | $91 |
| Exact Sciences | 4 | $73 |
| Lilly USA, LLC | 4 | $71 |
| AbbVie | 3 | $59 |
| AstraZeneca | 2 | $31 |
| Astellas Pharma US Inc | 1 | $31 |
| Lundbeck LLC | 1 | $26 |
| Sumitomo Pharma America, Inc. | 1 | $17 |
| GSK | 1 | $13 |
How this compares
$412 in reported general payments places this provider in the 50th percentile of 4,332 family providers in Virginia.
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 |
|---|---|---|
| Lidocaine | 11 | $407 |
| Gabapentin | 26 | $357 |
| Tramadol Hcl | 28 | $281 |
| Omeprazole | 21 | $237 |
| Fluticasone Propionate | 26 | $237 |
| Atorvastatin Calcium | 28 | $200 |
| Duloxetine Hcl | 12 | $198 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 13 | $180 |
| Bupropion XlBupropion Hcl | 20 | $160 |
| Pantoprazole Sodium | 14 | $155 |
| Potassium Chloride | 14 | $133 |
| Amlodipine Besylate | 27 | $124 |
| Levothyroxine Sodium | 23 | $120 |
| Metformin Hcl | 13 | $98 |
| Rosuvastatin Calcium | 14 | $83 |
Paid to pharmacies, not to this prescriber.
Other family in Buena Vista
- Andrea CottonVirginia Beach$696K
- Susan MooreWytheville$438K
- Ellen WermterCharlottesville$251K
- Dana StallingsFranklin$225K
- Jocelyn BrackettHerndon$199K
- Hochong Smith GillesRichmond$131K
- Sean OlaughlinMidlothian$110K
- Adam MedlinHampton$67K
- Casey SharpDanville$63K
- Norman JacobowitzManassas$55K
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.