Kristi Bruening, PA
Physician Assistant · Rapid City, SDNPI 1649864570
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,168 of the $5,006 with a category attached, or 63.3%. 12 manufacturers reported payments, led by Axonics, Inc. at 42.8% of the total. Reporting peaked in 2022 at $2,404 and has fallen 95.0% since, to $120 in 2025. Among physician assistant clinicians in SD 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 65 payments — averaging $77.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axonics, Inc.$2K
- Teleflex LLC$2K
- Intuitive Surgical$986
- Neurocrine Biosciences, Inc.$65
- Otsuka America Pharmaceutical, Inc.$57
- Axsome Therapeutics, Inc.$41
- plus $105 from 6 others
What the payments were for
- Travel & lodging$3,16863%
- Food & beverage$1,83837%
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 |
|---|---|---|
| Axonics, Inc. | 21 | $2,144 |
| Teleflex LLC | 23 | $1,608 |
| Intuitive Surgical | 4 | $986 |
| Neurocrine Biosciences, Inc. | 5 | $65 |
| Otsuka America Pharmaceutical, Inc. | 3 | $57 |
| Axsome Therapeutics, Inc. | 2 | $41 |
| Johnson & Johnson | 2 | $30 |
| Ferring Pharmaceuticals Inc. | 1 | $17 |
| Blue Earth Diagnostics | 1 | $16 |
| Myovant Sciences Inc. | 1 | $15 |
| Ultragenyx Pharmaceutical Inc. | 1 | $14 |
| Smith+Nephew | 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.
- Axonics$1,725
- UroLift$1,222
- Da Vinci Surgical System$950
How this compares
$5,006 in reported general payments places this provider in the 95th percentile of 548 physician assistant providers in South Dakota.
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 |
|---|---|---|
| MyrbetriqMirabegron | 94 | $43,502 |
| Mirabegron ErMirabegron | 15 | $7,233 |
| Estradiol | 32 | $3,512 |
| Oxybutynin Chloride ErOxybutynin Chloride | 136 | $2,959 |
| Methenamine Hippurate | 39 | $2,382 |
| Tamsulosin Hcl | 167 | $2,314 |
| Finasteride | 129 | $1,139 |
| Cephalexin | 147 | $649 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 39 | $616 |
| NitrofurantoinNitrofurantoin Macrocrystal | 19 | $531 |
| Terazosin Hcl | 52 | $452 |
| Solifenacin Succinate | 15 | $318 |
| Oxybutynin Chloride | 40 | $182 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $117 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 25 | $98 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Rapid City
- Jordan HeinsRapid City$10K
- Jarrett FowlerRapid City$7K
- Jerome WenningerRapid City$7K
- Nicholas AlonzoRapid City$4K
- Kayla TollefsrudRapid City$4K
- Morgan SauvageRapid City$3K
- Paeton MoyleRapid City$3K
- Cassidy PetersonRapid City$3K
- Corey AndersonRapid City$3K
- Katie BadjeRapid City$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.