Karen Thrift
Family · Fort Smith, ARNPI 1093031619
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,351 of the $8,589 with a category attached, or 85.6%. It is spread thinly across 43 manufacturers, the largest accounting for just 23.4% — the pattern of someone who eats at a lot of different presentations. Among family clinicians in AR 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 286 payments — averaging $30.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Novo Nordisk$859
- Amgen$800
- Lilly USA, LLC$780
- AstraZeneca$750
- Sanofi-aventis U.S. LLC$438
- plus $3K from 37 others
What the payments were for
- Travel & lodging$1,23814%
- Food & beverage$7,35186%
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.
- MINIMED 780G$1,351
- EVENITY$376
- FARXIGA$255
- JARDIANCE$250
- RYBELSUS$235
- SOLIQUA 100/33$125
- AIRSUPRA$125
- Ozempic$125
- Impella$125
- TZIELD$125
- XARELTO$125
- NURTEC ODT$125
- INTERSTIM$105
- REZDIFFRA$103
How this compares
$8,589 in reported general payments places this provider in the 95th percentile of 2,103 family providers in Arkansas.
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 | 168 | $209,877 |
| MounjaroTirzepatide | 141 | $196,865 |
| JardianceEmpagliflozin | 126 | $121,394 |
| Tresiba Flextouch U-100Insulin Degludec | 131 | $105,441 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 67 | $76,256 |
| FarxigaDapagliflozin Propanediol | 94 | $71,919 |
| Tresiba Flextouch U-200Insulin Degludec | 57 | $63,621 |
| TrulicityDulaglutide | 48 | $57,969 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 58 | $53,820 |
| RybelsusSemaglutide | 47 | $47,037 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 51 | $28,934 |
| XareltoRivaroxaban | 18 | $16,814 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 36 | $13,605 |
| EliquisApixaban | 14 | $10,752 |
| Novolog FlexpenInsulin Aspart | 42 | $10,121 |
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, Rybelsus, Novolog | $859 | $266,711243 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $780 | $259,315205 claims |
| Boehringer IngelheimJardiance, Tradjenta | $266 | $126,753137 claims |
| AstraZenecaFarxiga, Symbicort | $750 | $74,345105 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus | $438 | $55,80569 claims |
| Johnson & JohnsonXarelto | $179 | $16,81418 claims |
| PfizerEliquis | $273 | $10,75214 claims |
| GSKAnoro Ellipta | $28 | $6,07113 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 2,103 family providers in Arkansas.
Other family in Fort Smith
- Nina CopelandFort Smith$207K
- Amanda DavisFort Smith$46K
- Scarlett BoneFort Smith$16K
- Nathan WilliamsonFort Smith$15K
- Yong OunpraseuthFort Smith$14K
- Karen WilliamsFort Smith$11K
- Nycole OliverFort Smith$10K
- Bentlee RundellFort Smith$10K
- Nata MatthewsFort Smith$10K
- Emily ChristensenFort Smith$9K
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.