Julie Flanagan
Advanced Practice Midwife · Fredericksburg, VANPI 1144880600
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 106 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by AbbVie at 25.2% of the total. Reporting peaked in 2022 at $776 and has fallen 76.7% since, to $181 in 2025. Among advanced practice midwife clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 106 payments — averaging $20.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$541
- Exeltis, USA Inc.$262
- Astellas Pharma US Inc$262
- Organon$195
- Bayer$139
- Aspira Women's Health Inc$122
- plus $627 from 17 others
What the payments were for
- Food & beverage$2,06396%
- Education$854%
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 | 29 | $541 |
| Exeltis, USA Inc. | 15 | $262 |
| Astellas Pharma US Inc | 11 | $262 |
| Organon | 9 | $195 |
| Bayer | 7 | $139 |
| Aspira Women's Health Inc | 1 | $122 |
| Optumhealth Care Solutions, LLC | 3 | $82 |
| Coopersurgical, Inc. | 5 | $77 |
| Avion Pharmaceuticals | 4 | $63 |
| Mylan Pharmaceuticals Inc. | 4 | $57 |
| Shield Therapeutics Inc | 1 | $42 |
| Mayne Pharma Commercial LLC | 2 | $42 |
| Merck | 2 | $41 |
| Biogen | 2 | $39 |
| Pfizer | 2 | $35 |
| Therapeuticsmd, Inc. | 2 | $29 |
| Exact Sciences | 1 | $21 |
| Sumitomo Pharma America, Inc. | 1 | $20 |
| Scynexis, Inc. | 1 | $18 |
| Smith+Nephew | 1 | $18 |
| Mycovia Pharmaceuticals, Inc. | 1 | $17 |
| Agile Therapeutics, Inc. | 1 | $15 |
| Johnson & Johnson | 1 | $12 |
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
$2,148 in reported general payments places this provider in the 95th percentile of 222 advanced practice midwife providers in Virginia.
Other advanced practice midwife in Fredericksburg
- Lauren JordanFredericksburg$1K
- Lauren BackyFredericksburg$1K
- Megan PhamFredericksburg$468
- Karen KlaussArlington$4K
- Wendy GraefeChesapeake$3K
- Sherrie DossIvanhoe$3K
- Liane GuarnieriAlexandria$3K
- Leah ChoateMineral$2K
- Dorsena GayleLeesburg$2K
- Elizabeth RobsonAlexandria$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.