Jessica Narrett
Primary Care · Livonia, MINPI 1053832790
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 199 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 28 manufacturers reported payments, led by Novo Nordisk at 26.9% of the total. Reporting peaked in 2024 at $1,050 and has fallen 58.7% since, to $433 in 2025. Among primary care clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 199 payments — averaging $17.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$919
- Lilly USA, LLC$532
- AstraZeneca$440
- AbbVie$351
- Pfizer$144
- Astellas Pharma US Inc$97
- plus $934 from 22 others
What the payments were for
- Food & beverage$3,416100%
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 |
|---|---|---|
| Novo Nordisk | 55 | $919 |
| Lilly USA, LLC | 35 | $532 |
| AstraZeneca | 20 | $440 |
| AbbVie | 20 | $351 |
| Pfizer | 8 | $144 |
| Astellas Pharma US Inc | 4 | $97 |
| GSK | 7 | $96 |
| Mylan Specialty L.p. | 4 | $84 |
| Axsome Therapeutics, Inc. | 4 | $78 |
| Amgen | 4 | $65 |
| Boehringer Ingelheim | 4 | $61 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $60 |
| Exact Sciences | 3 | $59 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $59 |
| Amarin Pharma, Inc. | 4 | $57 |
| Lundbeck LLC | 3 | $49 |
| Novartis | 2 | $31 |
| Bayer | 2 | $29 |
| Merck | 2 | $26 |
| Johnson & Johnson | 2 | $26 |
| Sanofi-aventis U.S. LLC | 2 | $25 |
| Abiomed | 1 | $23 |
| Vanda Pharmaceuticals Inc. | 1 | $21 |
| Pulmonx Corporation | 1 | $19 |
| Bausch Health US, LLC | 1 | $18 |
| Ultragenyx Pharmaceutical Inc. | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
| Medtronic | 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
$3,416 in reported general payments places this provider in the 90th percentile of 292 primary care providers in Michigan.
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 | 40 | $28,737 |
| XareltoRivaroxaban | 42 | $27,645 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 38 | $26,887 |
| EliquisApixaban | 36 | $24,930 |
| TrulicityDulaglutide | 18 | $17,146 |
| MounjaroTirzepatide | 14 | $12,411 |
| JanuviaSitagliptin Phosphate | 12 | $12,331 |
| Nurtec OdtRimegepant Sulfate | 11 | $11,400 |
| FarxigaDapagliflozin Propanediol | 15 | $11,240 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 71 | $1,994 |
| Atorvastatin Calcium | 194 | $1,985 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 15 | $1,210 |
| Rivastigmine | 14 | $1,165 |
| Metoprolol Succinate | 68 | $1,064 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 36 | $957 |
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 |
|---|---|---|
| PfizerEliquis, Nurtec Odt | $144 | $36,33047 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $532 | $29,55832 claims |
| Boehringer IngelheimJardiance | $61 | $28,73740 claims |
| Johnson & JohnsonXarelto | $26 | $27,64542 claims |
| GSKTrelegy Ellipta | $96 | $26,88738 claims |
| MerckJanuvia | $26 | $12,33112 claims |
| AstraZenecaFarxiga | $440 | $11,24015 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 292 primary care providers in Michigan.
Other primary care in Livonia
- Sarah VanceLivonia$5K
- Mireille ToumaLivonia$2K
- Donna HamillGrosse Pointe$17K
- Marie Sighe-NzokouLansing$16K
- Alexandria SchwabBay City$10K
- Amy HenryRochester Hills$10K
- Claire GebaraWaterford$9K
- Vanita RobinsonDetroit$9K
- Mary BoudreauMason$9K
- Kimberly FrazierLansing$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.