Kari Eckhardt, CNM
Advanced Practice Midwife · Tomball, TXNPI 1548412356
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 58 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 28 manufacturers, the largest accounting for just 16.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $432, 2.4 times the $183 reported in 2021. Among advanced practice midwife clinicians in TX 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 58 payments — averaging $24.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mayne Pharma Commercial LLC$232
- Biogen$208
- AbbVie$131
- Astellas Pharma US Inc$125
- Myovant Sciences Inc.$74
- Avanos Medical$66
- plus $609 from 22 others
What the payments were for
- Food & beverage$1,444100%
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 |
|---|---|---|
| Mayne Pharma Commercial LLC | 7 | $232 |
| Biogen | 8 | $208 |
| AbbVie | 6 | $131 |
| Astellas Pharma US Inc | 1 | $125 |
| Myovant Sciences Inc. | 3 | $74 |
| Avanos Medical | 2 | $66 |
| Smith+Nephew | 2 | $63 |
| Daiichi Sankyo Inc. | 3 | $61 |
| Shield Therapeutics Inc | 3 | $43 |
| Evofem Biosciences, Inc. | 2 | $43 |
| Organon | 2 | $37 |
| Exact Sciences | 2 | $35 |
| Hologic Sales And Service, LLC | 1 | $34 |
| Avion Pharmaceuticals | 1 | $32 |
| Merck | 2 | $30 |
| Boston Scientific | 1 | $25 |
| Innovation Technologies Inc | 1 | $21 |
| Johnson & Johnson | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
| Aspira Women's Health Inc | 1 | $19 |
| Abbott | 1 | $18 |
| Agile Therapeutics, Inc. | 1 | $17 |
| Novo Nordisk | 1 | $17 |
| Radius Health, Inc. | 1 | $16 |
| Millicent US Inc | 1 | $16 |
| Mission Pharmacal Company | 1 | $15 |
| Exeltis, USA Inc. | 1 | $15 |
| Sumitomo Pharma America, Inc. | 1 | $14 |
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
$1,444 in reported general payments places this provider in the 90th percentile of 356 advanced practice midwife providers in Texas.
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 |
|---|---|---|
| YuvafemEstradiol | 12 | $1,230 |
| Estradiol | 12 | $540 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Tomball
- Jessica McNeilCarrollton$75K
- Patricia KuehlDallas$21K
- Wendi RiceAbilene$20K
- Amy BibleSan Antonio$7K
- Belinda LopezSan Antonio$6K
- Jennifer HensleyAustin$3K
- Angela JudsonMcKinney$3K
- Maria BarnesSan Antonio$3K
- Antay WatersFort Worth$3K
- Robin EvensonMcKinney$3K
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.