Janis Rule
Nurse Practitioner · Huntington, WVNPI 1518274760
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 246 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by AbbVie at 28.8% of the total. Reporting peaked in 2023 at $1,585 and has fallen 77.4% since, to $359 in 2025. Among nurse practitioner clinicians in WV 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 246 payments — averaging $15.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Alkermes, Inc.$515
- Otsuka America Pharmaceutical, Inc.$499
- Johnson & Johnson$467
- Neurocrine Biosciences, Inc.$439
- Teva Pharmaceuticals USA, Inc.$341
- plus $506 from 4 others
What the payments were for
- Food & beverage$3,868100%
- Education$170%
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 | 75 | $1,118 |
| Alkermes, Inc. | 28 | $515 |
| Otsuka America Pharmaceutical, Inc. | 35 | $499 |
| Johnson & Johnson | 35 | $467 |
| Neurocrine Biosciences, Inc. | 20 | $439 |
| Teva Pharmaceuticals USA, Inc. | 23 | $341 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 12 | $176 |
| Lundbeck LLC | 9 | $166 |
| Indivior Inc. | 6 | $110 |
| Vanda Pharmaceuticals Inc. | 3 | $54 |
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
$3,885 in reported general payments places this provider in the 95th percentile of 649 nurse practitioner providers in West 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 |
|---|---|---|
| TrulicityDulaglutide | 11 | $12,150 |
| Breo ElliptaFluticasone/Vilanterol | 17 | $7,410 |
| Omeprazole | 142 | $1,576 |
| Ventolin HfaAlbuterol Sulfate | 24 | $1,504 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 23 | $1,012 |
| Fluticasone Propionate | 55 | $977 |
| Levothyroxine Sodium | 67 | $799 |
| Atorvastatin Calcium | 72 | $762 |
| Famotidine | 33 | $588 |
| Montelukast Sodium | 35 | $400 |
| Lisinopril | 70 | $368 |
| Metoprolol Succinate | 14 | $337 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 45 | $281 |
| Amlodipine Besylate | 61 | $266 |
| Tamsulosin Hcl | 13 | $218 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Huntington
- Sherry PerryHuntington$9K
- Vanessa MathieuHuntington$2K
- Leigh BrooksPrinceton$75K
- Destiny HowardBeckley$35K
- Rachael RigginsBeckley$19K
- Lacy HowardWheeling$18K
- Robin BlumeBeckley$18K
- Kellie VaughtBeckley$17K
- Lisa WalkerBeckley$17K
- Rachel BrillSouth Charleston$16K
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.