Janene Nalivaiko
Family · Blue Springs, MONPI 1366853673
Payments from drug & device makers
Across 210 payments — averaging $18.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$715
- Lilly USA, LLC$596
- AstraZeneca$575
- Novo Nordisk$473
- Otsuka America Pharmaceutical, Inc.$243
- Mylan Specialty L.p.$222
- plus $1K from 24 others
What the payments were for
- Food & beverage$3,905100%
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.
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.
- RYBELSUS$100
How this compares
$3,905 in reported general payments places this provider in the 90th percentile of 3,812 family providers in Missouri.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RybelsusSemaglutide | 23 | $26,842 |
| JardianceEmpagliflozin | 38 | $25,520 |
| FarxigaDapagliflozin Propanediol | 26 | $24,622 |
| MounjaroTirzepatide | 25 | $23,818 |
| OzempicSemaglutide | 13 | $13,251 |
| EliquisApixaban | 15 | $10,864 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 14 | $9,439 |
| Novolog FlexpenInsulin Aspart | 12 | $7,012 |
| MyrbetriqMirabegron | 12 | $5,823 |
| Gabapentin | 102 | $4,550 |
| Omeprazole | 95 | $1,425 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 45 | $1,330 |
| Tramadol Hcl | 147 | $1,288 |
| Atorvastatin Calcium | 126 | $1,197 |
| Alprazolam | 116 | $696 |
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 |
|---|---|---|
| Novo NordiskRybelsus, Ozempic | $473 | $40,09236 claims |
| Boehringer IngelheimJardiance | $99 | $25,52038 claims |
| AstraZenecaFarxiga | $575 | $24,62226 claims |
| Lilly USA, LLCMounjaro | $596 | $23,81825 claims |
| PfizerEliquis | $67 | $10,86415 claims |
| GSKTrelegy Ellipta | $75 | $9,43914 claims |
| Astellas Pharma US IncMyrbetriq | $23 | $5,82312 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 90th percentile of 3,812 family providers in Missouri.
Other family in Blue Springs
- Erica GormanBlue Springs$14K
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.