Julie Julian, NP
Nurse Practitioner · Midlothian, VANPI 1639395866
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.1% of the total across 935 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 54 manufacturers reported payments, led by AbbVie at 25.2% of the total. Among nurse practitioner 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 935 payments — averaging $14.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Lilly USA, LLC$1K
- Novo Nordisk$1K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$942
- AstraZeneca$879
- Amgen$754
- plus $5K from 48 others
What the payments were for
- Food & beverage$13,69799%
- Education$1201%
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.
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
$13,816 in reported general payments places this provider in the 95th percentile of 2,166 nurse practitioner providers in Virginia.
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 |
|---|---|---|
| OzempicSemaglutide | 31 | $38,232 |
| FarxigaDapagliflozin Propanediol | 37 | $33,025 |
| EliquisApixaban | 23 | $22,307 |
| MounjaroTirzepatide | 12 | $12,485 |
| XareltoRivaroxaban | 12 | $11,201 |
| Tresiba Flextouch U-100Insulin Degludec | 14 | $5,284 |
| SynthroidLevothyroxine Sodium | 68 | $3,614 |
| Duloxetine Hcl | 86 | $1,751 |
| Bupropion XlBupropion Hcl | 64 | $1,673 |
| Levothyroxine Sodium | 184 | $1,512 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 18 | $1,509 |
| Atorvastatin Calcium | 206 | $1,484 |
| Rosuvastatin Calcium | 139 | $1,224 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 42 | $1,061 |
| Omeprazole | 72 | $1,010 |
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 |
|---|---|---|
| Novo NordiskOzempic | $1,065 | $38,23231 claims |
| AstraZenecaFarxiga | $879 | $33,02537 claims |
| PfizerEliquis | $544 | $22,30723 claims |
| Lilly USA, LLCMounjaro | $1,326 | $12,48512 claims |
| Johnson & JohnsonXarelto | $120 | $11,20112 claims |
| AbbVieSynthroid | $3,483 | $3,61468 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $63 | $1,512184 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 95th percentile of 2,166 nurse practitioner providers in Virginia.
Other nurse practitioner in Midlothian
- Kelly McAuliffeMidlothian$9K
- Samantha FoxGate City$207K
- Mikel GrayCharlottesville$174K
- Kevin BrigleRichmond$166K
- Denese GomesRichmond$126K
- Ashley CarmenAlexandria$99K
- Rachel AndersonCharlottesville$90K
- Megan FrancisArlington$81K
- Elizabeth WilletteNorfolk$58K
- Lacey LyleSuffolk$50K
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.