Joymarie Steely
Advanced Practice Midwife · Jacksonville, FLNPI 1538773304
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 61 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 20.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $403, 4.2 times the $97 reported in 2021. Among advanced practice midwife clinicians in FL 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 61 payments — averaging $25.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mayne Pharma Commercial LLC$308
- Evofem Biosciences, Inc.$231
- Bayer$225
- Biogen$102
- Astellas Pharma US Inc$97
- Organon$73
- plus $504 from 14 others
What the payments were for
- Food & beverage$1,540100%
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 |
|---|---|---|
| Mayne Pharma Commercial LLC | 6 | $308 |
| Evofem Biosciences, Inc. | 12 | $231 |
| Bayer | 7 | $225 |
| Biogen | 1 | $102 |
| Astellas Pharma US Inc | 4 | $97 |
| Organon | 6 | $73 |
| Sage Therapeutics, LLC | 2 | $68 |
| Myriad Women's Health, Inc. | 1 | $64 |
| Pfizer | 4 | $62 |
| Sumitomo Pharma America, Inc. | 3 | $54 |
| Exeltis, USA Inc. | 2 | $37 |
| Millicent US Inc | 2 | $34 |
| AbbVie | 2 | $33 |
| Myovant Sciences Inc. | 2 | $29 |
| Exact Sciences | 2 | $29 |
| Shield Therapeutics Inc | 1 | $25 |
| Optumhealth Care Solutions, LLC | 1 | $19 |
| Olympus America Inc. | 1 | $18 |
| Hologic Sales And Service, LLC | 1 | $18 |
| Merck | 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.
- Zurzuvae$102
How this compares
$1,540 in reported general payments places this provider in the 90th percentile of 579 advanced practice midwife providers in Florida.
Other advanced practice midwife in Jacksonville
- Amy ZechellaJacksonville$2K
- Bougainvilla BaileyJacksonville$2K
- Amanda AtchooJacksonville$2K
- Laura RussellBrandon$118K
- Renita GreenTampa$7K
- Jillian JerniganMilton$6K
- Jessica BrumleyTampa$5K
- Cristina PalermitiZephyrhills$5K
- Ilona BlumbergBoynton Beach$4K
- Jacinta FeldmanDeland$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.