Karen Smith
Nurse Practitioner · Detroit, MINPI 1114047941
Payments from drug & device makers
Across 72 payments — averaging $106.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Teva Pharmaceuticals USA, Inc.$1K
- Novo Nordisk$605
- Jazz Pharmaceuticals Inc.$372
- Neurocrine Biosciences, Inc.$363
- Alkermes, Inc.$315
- plus $4K from 28 others
What the payments were for
- Food & beverage$7,50798%
- Entertainment$1492%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 12 | $1,312 |
| Teva Pharmaceuticals USA, Inc. | 9 | $1,073 |
| Novo Nordisk | 5 | $605 |
| Jazz Pharmaceuticals Inc. | 3 | $372 |
| Neurocrine Biosciences, Inc. | 3 | $363 |
| Alkermes, Inc. | 3 | $315 |
| Bayer | 3 | $314 |
| Amgen | 2 | $247 |
| Johnson & Johnson(2 entities) | 2 | $207 |
| Scynexis, Inc. | 1 | $149 |
| Averitas Pharma Inc. | 1 | $145 |
| Silk Road Medical, Inc. | 1 | $142 |
| Sanofi | 1 | $126 |
| Gilead | 1 | $125 |
| Agios Pharmaceuticals, Inc. | 1 | $125 |
| Otsuka America Pharmaceutical, Inc. | 1 | $125 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $124 |
| Biohaven Pharmaceuticals, Inc. | 1 | $123 |
| Pfizer | 1 | $123 |
| Lilly USA, LLC | 1 | $122 |
| Alnylam Pharmaceuticals Inc. | 1 | $122 |
| Actelion Pharmaceuticals US, Inc. | 1 | $121 |
| Sunovion Pharmaceuticals Inc. | 6 | $115 |
| Idorsia Pharmaceuticals US Inc | 1 | $115 |
| SK Life Science, Inc. | 1 | $114 |
| Edwards Lifesciences | 1 | $109 |
| Viiv Healthcare Company | 1 | $107 |
| Corcept Therapeutics | 1 | $100 |
| AbbVie | 1 | $97 |
| Cequr Corporation | 1 | $96 |
| Eisai Inc. | 1 | $94 |
| Amarin Pharma, Inc. | 1 | $91 |
| Coloplast | 1 | $71 |
| Boston Scientific | 1 | $68 |
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$490
- LYBALVI$400
- Epidiolex$372
- INGREZZA$363
- AJOVY$357
- SOLIRIS$348
- AUSTEDO$340
- ENROUTE Transcarotid Neuroprotection System$283
- Wegovy$247
- Adempas$245
- Austedo XR$244
- ULTOMIRIS$221
- Qutenza$145
- ENROUTE Transcarotid Stent$142
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$142
- UZEDY$132
- BREZTRI$127
- CEREZYME$126
- CERDELGA$126
- PYRUKYND$125
How this compares
$7,655 in reported general payments places this provider in the 95th percentile of 3,351 nurse practitioner providers in Michigan.
Other nurse practitioner in Detroit
- Davida KrugerDetroit$1.8M
- Ellen DillardDetroit$168K
- Golbon AghamohammadiDetroit$157K
- Rosanne OsoskiDetroit$25K
- Amy BlakeDetroit$17K
- Tanya McCauleyDetroit$15K
- Linda ManninoDetroit$12K
- Kari HillSpring Lake$426K
- Kyle FarrPlymouth$243K
- Linda SpencerTroy$217K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.