Karen Hughes
Clinical Nurse Specialist · Lafayette, INNPI 1902864036
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,074 of the $3,036 with a category attached, or 68.3%. It is spread thinly across 45 manufacturers, the largest accounting for just 9.4%. Reporting peaked in 2023 at $1,998 and has fallen 61.3% since, to $774 in 2024. Among clinical nurse specialist clinicians in IN 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 106 payments — averaging $28.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$285
- Astellas Pharma US Inc$267
- Pharmacyclics LLC, An Abbvie Company$219
- Novartis$166
- Gilead$156
- Sanofi$129
- plus $2K from 39 others
What the payments were for
- Food & beverage$2,07468%
- Education$96332%
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.
How this compares
$3,036 in reported general payments places this provider in the 90th percentile of 41 clinical nurse specialist providers in Indiana.
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 |
|---|---|---|
| Anastrozole | 85 | $1,488 |
| Ondansetron OdtOndansetron | 22 | $829 |
| Hydroxyurea | 11 | $402 |
| Potassium Chloride | 20 | $327 |
| Dexamethasone | 12 | $238 |
| Acyclovir | 20 | $237 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 13 | $179 |
| LoperamideLoperamide Hcl | 19 | $148 |
| Allopurinol | 12 | $140 |
| Escitalopram Oxalate | 12 | $81 |
Paid to pharmacies, not to this prescriber.
Other clinical nurse specialist in Lafayette
- Sheryl KnottBloomington$14K
- Brooke RandolFort Wayne$10K
- Erin RiveraFort Wayne$4K
- Deanna MassieFort Wayne$3K
- Julie MantisMunster$2K
- Claire SutherbyEvansville$2K
- Shaleen AyersEvansville$2K
- Sally MortonNewburgh$2K
- Briana AlveyNewburgh$1K
- April NikoloskiCrown Point$1K
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.