Heidi Frembling
Nurse Practitioner · Bakersfield, CANPI 1538744156
Payments from drug & device makers
Across 176 payments — averaging $17.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$488
- Biogen$379
- Biohaven Pharmaceuticals, Inc.$292
- EMD Serono, Inc.$234
- Novartis$214
- AstraZeneca$177
- plus $1K from 23 others
What the payments were for
- Speaking & faculty fees$462%
- Food & beverage$2,97198%
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 |
|---|---|---|
| AbbVie | 42 | $488 |
| Biogen | 26 | $379 |
| Biohaven Pharmaceuticals, Inc. | 10 | $292 |
| EMD Serono, Inc. | 9 | $234 |
| Novartis | 17 | $214 |
| AstraZeneca(2 entities) | 9 | $177 |
| Amgen(2 entities) | 4 | $118 |
| Neurocrine Biosciences, Inc. | 4 | $94 |
| Acadia Pharmaceuticals Inc | 5 | $91 |
| UCB, Inc. | 3 | $87 |
| MDD US Operations, LLC | 4 | $83 |
| Banner Life Sciences, LLC | 5 | $72 |
| Lilly USA, LLC | 5 | $72 |
| Kyowa Kirin, Inc. | 3 | $65 |
| Amneal Pharmaceuticals LLC | 4 | $65 |
| Arbor Pharmaceuticals, Inc. | 4 | $54 |
| Eisai Inc. | 3 | $51 |
| Acorda Therapeutics, Inc | 2 | $46 |
| Teva Pharmaceuticals USA, Inc. | 2 | $43 |
| Sunovion Pharmaceuticals Inc. | 2 | $41 |
| Alnylam Pharmaceuticals Inc. | 2 | $40 |
| Greenwich Biosciences, Inc. | 2 | $40 |
| Livanova USA, Inc. | 2 | $40 |
| Neurelis, Inc. | 2 | $36 |
| Merz Pharmaceuticals, LLC | 1 | $22 |
| Sanofi | 1 | $21 |
| Novo Nordisk | 1 | $21 |
| Dexcom, Inc. | 1 | $18 |
| Exact Sciences | 1 | $15 |
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.
- Mavenclad$112
How this compares
$3,017 in reported general payments places this provider in the 90th percentile of 6,779 nurse practitioner providers in California.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 11 | $9,956 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 13 | $440 |
| Atorvastatin Calcium | 28 | $319 |
| Metformin Hcl | 23 | $198 |
| Losartan Potassium | 21 | $185 |
| Amlodipine Besylate | 13 | $145 |
| Furosemide | 16 | $128 |
| Naproxen | 12 | $20 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Bakersfield
- Rhonda HewittStanford$917K
- Linda TrinhIrvine$899K
- Denise SinagaNorthridge$728K
- Debbie TaySanta Monica$642K
- Joe GorelickCampbell$638K
- Lynsey LakinArcadia$540K
- Kelly ChoiRancho Cucamonga$483K
- Hamta ZareStanford$428K
- Shawna ChrismanRoseville$425K
- Angelina CollinsSan Diego$356K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.