Janet Streepey
General Practice · Palmyra, INNPI 1598960999
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.0% of the total across 243 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 17.8% — the pattern of someone who eats at a lot of different presentations. Among general practice clinicians in IN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 243 payments — averaging $17.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$771
- AbbVie$626
- Pfizer$543
- GSK$514
- Novartis$351
- Amgen$336
- plus $1K from 18 others
What the payments were for
- Food & beverage$4,23798%
- Education$852%
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 |
|---|---|---|
| AstraZeneca | 25 | $771 |
| AbbVie | 36 | $626 |
| Pfizer | 38 | $543 |
| GSK | 33 | $514 |
| Novartis | 25 | $351 |
| Amgen | 21 | $336 |
| Exact Sciences | 9 | $175 |
| Lilly USA, LLC | 9 | $161 |
| Novo Nordisk | 9 | $144 |
| Boehringer Ingelheim | 6 | $112 |
| Lundbeck LLC | 6 | $110 |
| Bayer | 4 | $79 |
| Axsome Therapeutics, Inc. | 4 | $65 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $62 |
| Mylan Specialty L.p. | 2 | $51 |
| Insulet Corporation | 2 | $39 |
| Merck | 2 | $31 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $30 |
| Viatris Specialty LLC | 1 | $29 |
| Abbott | 1 | $23 |
| Vertex | 1 | $21 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Vanda Pharmaceuticals Inc. | 1 | $16 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 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.
How this compares
$4,322 in reported general payments places this provider in the 95th percentile of 1,558 general practice providers in Indiana.
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 |
|---|---|---|
| JardianceEmpagliflozin | 134 | $134,006 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 105 | $125,120 |
| FarxigaDapagliflozin Propanediol | 129 | $120,338 |
| OzempicSemaglutide | 57 | $66,324 |
| MounjaroTirzepatide | 38 | $41,686 |
| ProliaDenosumab | 21 | $36,220 |
| JanuviaSitagliptin Phosphate | 25 | $35,812 |
| EliquisApixaban | 41 | $34,634 |
| TrulicityDulaglutide | 21 | $30,621 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 41 | $29,995 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 21 | $21,468 |
| Praluent PenAlirocumab | 34 | $20,247 |
| XareltoRivaroxaban | 19 | $12,530 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 12 | $12,080 |
| DapagliflozinDapagliflozin Propanediol | 13 | $9,024 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Breztri Aerosphere, Brilinta, Airsupra | $771 | $166,643193 claims |
| Boehringer IngelheimJardiance, Combivent Respimat | $112 | $155,473155 claims |
| GSKTrelegy Ellipta, Anoro Ellipta | $514 | $137,200117 claims |
| Lilly USA, LLCMounjaro, Trulicity | $161 | $72,30859 claims |
| Novo NordiskOzempic | $144 | $66,32457 claims |
| AmgenProlia | $336 | $36,22021 claims |
| MerckJanuvia | $31 | $35,81225 claims |
| PfizerEliquis | $543 | $34,63441 claims |
| AbbVieSynthroid | $626 | $1,72432 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 95th percentile of 1,558 general practice providers in Indiana.
Other general practice in Palmyra
- Tina GermanWarsaw$260K
- Kenneth TroutmanHuntingburg$124K
- Roger JonesClinton$78K
- Daniel KlauerGranger$45K
- William FloraElkhart$39K
- Ryan HolmesFort Wayne$33K
- Samuel CoreyFort Wayne$27K
- Kara WulffMuncie$23K
- Gary WalkerFishers$19K
- Adam HubertEvansville$15K
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.