Joy Coles, APRN
Acute Care · Lexington, KYNPI 1194380808
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 34 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Abbott at 33.5% of the total. Reporting peaked in 2023 at $661 and has fallen 67.5% since, to $215 in 2025.
Across 34 payments — averaging $58.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$663
- Amgen$230
- AstraZeneca$214
- Sanofi$122
- Scpharmaceuticals Inc.$121
- AbbVie$112
- plus $516 from 7 others
What the payments were for
- Food & beverage$1,977100%
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 |
|---|---|---|
| Abbott | 13 | $663 |
| Amgen | 2 | $230 |
| AstraZeneca | 3 | $214 |
| Sanofi | 1 | $122 |
| Scpharmaceuticals Inc. | 1 | $121 |
| AbbVie | 1 | $112 |
| Sanofi-aventis U.S. LLC | 1 | $106 |
| Paratek Pharmaceuticals, Inc. | 1 | $100 |
| Abiomed | 4 | $88 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 4 | $87 |
| E.r. Squibb & Sons, L.L.C. | 1 | $62 |
| Phathom Pharmaceuticals, Inc. | 1 | $40 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $34 |
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
$1,977 in reported general payments places this provider in the 80th percentile of 319 acute care providers in Kentucky.
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 |
|---|---|---|
| EntrestoSacubitril/Valsartan | 12 | $13,873 |
| Cefepime Hcl | 12 | $8,399 |
| Potassium Chloride | 21 | $1,241 |
| Amiodarone Hcl | 14 | $738 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 12 | $335 |
| Bumetanide | 13 | $209 |
| Pantoprazole Sodium | 19 | $62 |
| Spironolactone | 17 | $53 |
| Metoprolol Succinate | 12 | $44 |
| Warfarin Sodium | 16 | $39 |
| Carvedilol | 13 | $13 |
Paid to pharmacies, not to this prescriber.
Other acute care in Lexington
- Billie WaltersLexington$20K
- Audra MarcumLexington$14K
- Holly ChitwoodLexington$10K
- Chadwick HuntLexington$6K
- Nicole ClevingerLexington$5K
- Sara StarksLexington$4K
- Autumn WestmorelandLexington$4K
- Charles BeachLexington$4K
- Lauren DavisLexington$4K
- Alicia ReamsLexington$4K
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.