Joan Tobar
Nurse Practitioner · Grand Rapids, MINPI 1366057671
Payments from drug & device makers
Across 94 payments — averaging $23.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$338
- Calliditas Therapeutics US Inc.$237
- Akebia Therapeutics Inc$162
- Medtronic$148
- Amgen$138
- Novartis$134
- plus $1K from 19 others
What the payments were for
- Food & beverage$2,14899%
- Education$191%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 11 | $338 |
| Calliditas Therapeutics US Inc. | 6 | $237 |
| Akebia Therapeutics Inc | 11 | $162 |
| Medtronic | 1 | $148 |
| Amgen | 8 | $138 |
| Novartis | 3 | $134 |
| Aurinia Pharma U.S., Inc. | 6 | $128 |
| Bayer | 7 | $118 |
| AstraZeneca | 5 | $94 |
| Sanofi | 3 | $75 |
| Fresenius USA Marketing, Inc. | 4 | $73 |
| Novo Nordisk | 4 | $73 |
| Daiichi Sankyo Inc. | 4 | $71 |
| Mallinckrodt Hospital Products Inc. | 4 | $61 |
| Vifor Pharma, Inc. | 3 | $45 |
| Alnylam Pharmaceuticals Inc. | 2 | $41 |
| ANI Pharmaceuticals, Inc. | 2 | $41 |
| Scpharmaceuticals Inc. | 2 | $38 |
| OPKO Pharmaceuticals, LLC | 2 | $35 |
| Xeris Pharmaceuticals, Inc. | 1 | $25 |
| Chiesi USA, Inc. | 1 | $22 |
| Apellis Pharmaceuticals, Inc. | 1 | $21 |
| Boehringer Ingelheim | 1 | $19 |
| Cormedix Inc. | 1 | $19 |
| Travere Therapeutics, Inc. | 1 | $13 |
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.
- SYMPLICITY G3$148
- JYNARQUE$120
- TARPEYO$113
- Vanrafia$102
How this compares
$2,167 in reported general payments places this provider in the 85th percentile of 3,351 nurse practitioner providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 32 | $27,284 |
| Sevelamer Carbonate | 86 | $26,513 |
| Lanthanum Carbonate | 16 | $15,857 |
| FarxigaDapagliflozin Propanediol | 20 | $14,064 |
| AuryxiaFerric Citrate | 13 | $13,596 |
| LokelmaSodium Zirconium Cyclosilicate | 28 | $10,659 |
| Calcium Acetate | 57 | $6,134 |
| Calcitriol | 142 | $2,390 |
| ProsolParenteral Amino Acid 20% No.1 | 15 | $2,362 |
| Ondansetron OdtOndansetron | 19 | $2,209 |
| Midodrine Hcl | 62 | $2,004 |
| Torsemide | 77 | $1,955 |
| Amlodipine Besylate | 161 | $1,205 |
| Lisinopril | 107 | $1,017 |
| Hydralazine Hcl | 53 | $875 |
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 | $19 | $27,28432 claims |
| AstraZenecaFarxiga, Lokelma | $94 | $24,72348 claims |
| Akebia Therapeutics IncAuryxia | $162 | $13,59613 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 85th percentile of 3,351 nurse practitioner providers in Michigan.
Other nurse practitioner in Grand Rapids
- Debra DegraffGrand Rapids$80K
- Aaron EmmonsGrand Rapids$29K
- Natasha PeoplesGrand Rapids$12K
- Davida KrugerDetroit$1.8M
- Kari HillSpring Lake$426K
- Kyle FarrPlymouth$243K
- Linda SpencerTroy$217K
- Ellen DillardDetroit$168K
- Golbon AghamohammadiDetroit$157K
- Abubakir BabanDearborn$143K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.