Kristal Ledbetter
Primary Care · Centerville, OHNPI 1467137018
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 136 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 23 manufacturers reported payments, led by AstraZeneca at 27.7% of the total. 2025 is the largest year on record at $1,585, more than ten times the $133 reported in 2023.
Across 136 payments — averaging $19.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$735
- Grifols USA, LLC$559
- Mylan Specialty L.p.$236
- GSK$221
- Novo Nordisk$145
- Takeda Pharmaceuticals U.S.A., Inc.$143
- plus $617 from 17 others
What the payments were for
- Food & beverage$2,657100%
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 | 35 | $735 |
| Grifols USA, LLC | 26 | $559 |
| Mylan Specialty L.p. | 18 | $236 |
| GSK | 14 | $221 |
| Novo Nordisk | 8 | $145 |
| Takeda Pharmaceuticals U.S.A., Inc. | 8 | $143 |
| Mallinckrodt Hospital Products Inc. | 3 | $96 |
| Insmed, Inc. | 3 | $73 |
| Lilly USA, LLC | 4 | $71 |
| Pulmonx Corporation | 1 | $52 |
| Viatris Specialty LLC | 2 | $46 |
| Lundbeck LLC | 2 | $46 |
| Axsome Therapeutics, Inc. | 2 | $30 |
| Verona Pharma, Inc. | 1 | $28 |
| Medtronic | 1 | $27 |
| Evoke Pharma, Inc. | 1 | $21 |
| Actelion Pharmaceuticals US, Inc. | 1 | $21 |
| Boehringer Ingelheim | 1 | $21 |
| AbbVie | 1 | $20 |
| Exact Sciences | 1 | $17 |
| Baxter Healthcare | 1 | $17 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $16 |
| Pfizer | 1 | $15 |
How this compares
$2,657 in reported general payments places this provider in the 85th percentile of 321 primary care providers in Ohio.
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 |
|---|---|---|
| MounjaroTirzepatide | 53 | $67,955 |
| OzempicSemaglutide | 21 | $25,168 |
| Liothyronine Sodium | 17 | $908 |
| Doxycycline Hyclate | 18 | $631 |
| Levothyroxine Sodium | 53 | $578 |
| Ondansetron OdtOndansetron | 22 | $400 |
| Omeprazole | 27 | $355 |
| Methocarbamol | 27 | $304 |
| Azithromycin | 24 | $244 |
| Metoprolol Succinate | 13 | $172 |
| Gabapentin | 19 | $165 |
| Citalopram HbrCitalopram Hydrobromide | 12 | $155 |
| Methylprednisolone | 24 | $128 |
| Atorvastatin Calcium | 28 | $116 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $103 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $71 | $67,95553 claims |
| Novo NordiskOzempic | $145 | $25,16821 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 85th percentile of 321 primary care providers in Ohio.
Other primary care in Centerville
- Inna BairCenterville$4K
- Adine EdwardsSpringfield$14K
- Kelly McKenna TaulbeeHamilton$12K
- Lindsay ChappellFairlawn$11K
- Laura HolligerNorth Canton$10K
- Caitlyn FrantzDayton$10K
- Brandy RichardsCleveland$8K
- Regan HeagenFindlay$8K
- Zachary HaleBeavercreek$7K
- Katherine ElliotWesterville$7K
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.