Karen Lothamer
Nurse Practitioner · Fort Wayne, INNPI 1699823492
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% of the total across 483 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 21 manufacturers, the largest accounting for just 16.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,823, 2.7 times the $1,427 reported in 2021. Among nurse practitioner clinicians in IN 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 483 payments — averaging $24.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$2K
- AbbVie$1K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$1K
- Teva Pharmaceuticals USA, Inc.$1K
- Lundbeck LLC$1K
- Sunovion Pharmaceuticals Inc.$965
- plus $4K from 15 others
What the payments were for
- Food & beverage$11,72297%
- Education$3303%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 40 | $1,965 |
| AbbVie | 78 | $1,500 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 57 | $1,301 |
| Teva Pharmaceuticals USA, Inc. | 33 | $1,133 |
| Lundbeck LLC | 74 | $1,018 |
| Sunovion Pharmaceuticals Inc. | 48 | $965 |
| Alkermes, Inc. | 24 | $899 |
| E.r. Squibb & Sons, L.L.C. | 34 | $829 |
| Neurocrine Biosciences, Inc. | 22 | $797 |
| Axsome Therapeutics, Inc. | 15 | $563 |
| Supernus Pharmaceuticals, Inc. | 12 | $258 |
| Vanda Pharmaceuticals Inc. | 9 | $202 |
| Takeda Pharmaceuticals U.S.A., Inc. | 13 | $202 |
| Indivior Inc. | 5 | $86 |
| Ironshore Pharmaceuticals Inc. | 4 | $78 |
| Johnson & Johnson | 4 | $69 |
| Merck | 4 | $62 |
| Corium, LLC | 3 | $48 |
| Tris Pharma Inc | 2 | $34 |
| Biogen | 1 | $24 |
| Idorsia Pharmaceuticals US Inc | 1 | $18 |
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.
- ARISTADA$884
- VRAYLAR$709
- ABILIFY MAINTENA$589
- REXULTI$586
- INGREZZA$480
- LYBALVI$462
- CAPLYTA$358
- ABILIFY ASIMTUFII$346
- Auvelity$242
- Austedo XR$239
- ARISTADA INITIO$221
- COBENFY$206
- Fanapt$125
- AUSTEDO$123
How this compares
$12,052 in reported general payments places this provider in the 95th percentile of 2,724 nurse practitioner 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 |
|---|---|---|
| Invega SustennaPaliperidone Palmitate | 106 | $307,076 |
| Austedo XrDeutetrabenazine | 40 | $249,955 |
| IngrezzaValbenazine Tosylate | 20 | $205,042 |
| Abilify MaintenaAripiprazole | 54 | $151,998 |
| Invega TrinzaPaliperidone Palmitate | 17 | $131,299 |
| RexultiBrexpiprazole | 86 | $131,189 |
| AustedoDeutetrabenazine | 16 | $122,658 |
| VraylarCariprazine Hcl | 82 | $121,612 |
| TrintellixVortioxetine Hydrobromide | 58 | $46,193 |
| AuvelityDextromethorphan Hbr/Bupropion | 13 | $19,995 |
| BelsomraSuvorexant | 36 | $19,487 |
| Aripiprazole | 165 | $10,887 |
| Clozapine | 100 | $9,874 |
| Lurasidone Hcl | 26 | $9,809 |
| Olanzapine | 110 | $7,013 |
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 |
|---|---|---|
| Johnson & JohnsonInvega Sustenna, Invega Trinza | $69 | $438,375123 claims |
| Teva Pharmaceuticals USA, Inc.Austedo Xr, Austedo | $1,133 | $372,61456 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena, Rexulti | $1,965 | $283,187140 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $797 | $205,04220 claims |
| AbbVieVraylar | $1,500 | $121,61282 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $202 | $46,19358 claims |
| Axsome Therapeutics, Inc.Auvelity | $563 | $19,99513 claims |
| MerckBelsomra | $62 | $19,48736 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 2,724 nurse practitioner providers in Indiana.
Other nurse practitioner in Fort Wayne
- Sean GoddardFort Wayne$180K
- Kristine TaylorFort Wayne$69K
- Mary BullisFort Wayne$27K
- Nathan MinerFort Wayne$21K
- Joel NagelFort Wayne$20K
- Gabriela NorthFort Wayne$18K
- Pamela ShodaFort Wayne$11K
- Sara CoburnFort Wayne$9K
- Marlise FletterFort Wayne$9K
- Kristi OrbaughIndianapolis$1.3M
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.