Holly Gaines
Adult Health · Conway, ARNPI 1376979799
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,461 of the $2,319 with a category attached, or 63.0%. Inspire Medical Systems, Inc. accounts for 93.7% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2024 at $1,066 and has fallen 50.0% since, to $533 in 2025.
Across 33 payments — averaging $70.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$2K
- Harmony Biosciences LLC$87
- Idorsia Pharmaceuticals US Inc$22
- Lilly USA, LLC$19
- Jazz Pharmaceuticals Inc.$18
What the payments were for
- Travel & lodging$85837%
- Food & beverage$1,46163%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 27 | $2,173 |
| Harmony Biosciences LLC | 3 | $87 |
| Idorsia Pharmaceuticals US Inc | 1 | $22 |
| Lilly USA, LLC | 1 | $19 |
| Jazz Pharmaceuticals Inc. | 1 | $18 |
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.
How this compares
$2,319 in reported general payments places this provider in the 75th percentile of 154 adult health 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 |
|---|---|---|
| Armodafinil | 17 | $1,723 |
| Modafinil | 30 | $911 |
| Temazepam | 17 | $634 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 56 | $358 |
| Clonazepam | 31 | $74 |
| Zolpidem Tartrate | 28 | $52 |
| Trazodone Hcl | 12 | $45 |
Paid to pharmacies, not to this prescriber.
Other adult health in Conway
- Casey BrockConway$5K
- Lane WagnonConway$4K
- Felicia JohnsonConway$3K
- Holly MooreLittle Rock$59K
- Deborah ShipmanJonesboro$41K
- Lisa HurdJonesboro$12K
- Kari SchrankFayetteville$9K
- Amanda McClureFayetteville$9K
- Gina NullFort Smith$8K
- Darren CompasBentonville$8K
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.