Jennifer Kouromihelakis, APRN
Nurse Practitioner · Lakeland, FLNPI 1235552969
Payments from drug & device makers
Across 56 payments — averaging $17.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$227
- AstraZeneca$116
- Merck$88
- Bayer$85
- Lilly USA, LLC$77
- Amgen$68
- plus $345 from 12 others
What the payments were for
- Food & beverage$1,005100%
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 | 11 | $227 |
| AstraZeneca | 8 | $116 |
| Merck | 5 | $88 |
| Bayer | 4 | $85 |
| Lilly USA, LLC | 5 | $77 |
| Amgen | 3 | $68 |
| Scilex Pharmaceuticals Inc. | 4 | $68 |
| Exact Sciences | 2 | $44 |
| Sanofi-aventis U.S. LLC | 2 | $35 |
| GSK | 2 | $35 |
| Dexcom, Inc. | 2 | $33 |
| Boehringer Ingelheim | 2 | $33 |
| Biohaven Pharmaceuticals, Inc. | 1 | $23 |
| Teva Pharmaceuticals USA, Inc. | 1 | $17 |
| Novartis | 1 | $17 |
| Evoke Pharma, Inc. | 1 | $14 |
| Nevro Corp. | 1 | $14 |
| Xeris Pharmaceuticals, Inc. | 1 | $12 |
How this compares
$1,005 in reported general payments places this provider in the 70th percentile of 8,290 nurse practitioner providers in Florida.
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 |
|---|---|---|
| BiktarvyBictegrav/Emtricit/Tenofov Ala | 25 | $96,464 |
| JardianceEmpagliflozin | 37 | $42,092 |
| EliquisApixaban | 31 | $32,905 |
| JanuviaSitagliptin Phosphate | 25 | $20,387 |
| TrulicityDulaglutide | 14 | $14,336 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 27 | $12,297 |
| LinzessLinaclotide | 17 | $11,092 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 17 | $9,863 |
| LantusInsulin Glargine,hum.Rec.Anlog | 86 | $8,347 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 59 | $7,584 |
| Tresiba Flextouch U-100Insulin Degludec | 17 | $7,103 |
| SymbicortBudesonide/Formoterol Fumarate | 14 | $6,434 |
| Advair HfaFluticasone Propion/Salmeterol | 19 | $5,921 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 44 | $5,869 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $5,700 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Stiolto Respimat, Spiriva Respimat | $33 | $57,55165 claims |
| MerckJanuvia | $88 | $20,38725 claims |
| Lilly USA, LLCTrulicity | $77 | $14,33614 claims |
| GSKAnoro Ellipta | $35 | $12,29727 claims |
| AbbVieLinzess | $227 | $11,09217 claims |
| Sanofi-aventis U.S. LLCLantus | $35 | $8,34786 claims |
| AstraZenecaSymbicort | $116 | $6,43414 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 70th percentile of 8,290 nurse practitioner providers in Florida.
Other nurse practitioner in Lakeland
- Susan WoodwardLakeland$22K
- Jolanta BaginskiClearwater$494K
- Adissa PerezWinter Park$370K
- April WessonTampa$342K
- Margarita FernandezMiami$311K
- Stephanie SimmermanNaples$283K
- Claudette WalkerPonte Vedra Beach$271K
- Lisa NodzonTampa$246K
- Ashima BahlTampa$226K
- Maya BloombergMiami$202K
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.