Kelly Ganster, CNM
Advanced Practice Midwife · Florence, KYNPI 1881996510
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 34 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 15 manufacturers, the largest accounting for just 21.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $266, 2.9 times the $93 reported in 2021.
Across 34 payments — averaging $18.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dexcom, Inc.$131
- Avion Pharmaceuticals$104
- Astellas Pharma US Inc$62
- AbbVie$49
- Exeltis, USA Inc.$44
- Daiichi Sankyo Inc.$36
- plus $189 from 9 others
What the payments were for
- Food & beverage$615100%
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 |
|---|---|---|
| Dexcom, Inc. | 4 | $131 |
| Avion Pharmaceuticals | 8 | $104 |
| Astellas Pharma US Inc | 3 | $62 |
| AbbVie | 3 | $49 |
| Exeltis, USA Inc. | 3 | $44 |
| Daiichi Sankyo Inc. | 2 | $36 |
| Sage Therapeutics, LLC | 1 | $33 |
| Shield Therapeutics Inc | 2 | $30 |
| Merck | 2 | $30 |
| Agile Therapeutics, Inc. | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $19 |
| Pfizer | 1 | $17 |
| Exact Sciences | 1 | $17 |
| Therapeuticsmd, Inc. | 1 | $13 |
| Mayne Pharma Commercial LLC | 1 | $9 |
How this compares
$615 in reported general payments places this provider in the 55th percentile of 96 advanced practice midwife providers in Kentucky.
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.
Other advanced practice midwife in Florence
- Sara FergusonFlorence$2K
- Laura SessannaFlorence$1K
- Jennifer DooleyFlorence$511
- Cassandra FieldsLexington$4K
- Victoria BurslemNicholasville$4K
- Dolores PolitoLexington$4K
- Hannah LloydLexington$3K
- Iniko SalleeLexington$3K
- Donna BarisichVersailles$2K
- Courtney MaxfieldBowling Green$2K
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.