Kristin Bykowski
Adult Health · Brookfield, OHNPI 1932502705
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 621 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 29 manufacturers, the largest accounting for just 23.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $3,045 and has fallen 54.3% since, to $1,392 in 2025. Among adult health clinicians in OH 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 621 payments — averaging $19.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- AstraZeneca$2K
- Lilly USA, LLC$869
- Amgen$837
- Biohaven Pharmaceuticals, Inc.$678
- Merck$556
- plus $4K from 23 others
What the payments were for
- Food & beverage$11,852100%
- Education$50%
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 |
|---|---|---|
| AbbVie | 165 | $2,794 |
| AstraZeneca | 61 | $2,295 |
| Lilly USA, LLC | 65 | $869 |
| Amgen(2 entities) | 34 | $837 |
| Biohaven Pharmaceuticals, Inc. | 18 | $678 |
| Merck | 30 | $556 |
| Novo Nordisk | 40 | $515 |
| Bayer | 32 | $494 |
| GSK | 37 | $467 |
| Biohaven Pharmaceutical Holding Company Ltd. | 17 | $414 |
| Amarin Pharma, Inc. | 34 | $340 |
| Johnson & Johnson | 12 | $229 |
| Novartis | 14 | $227 |
| Boehringer Ingelheim | 15 | $227 |
| Pfizer | 11 | $182 |
| Sanofi-aventis U.S. LLC | 9 | $139 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $117 |
| Abbott | 1 | $114 |
| E.r. Squibb & Sons, L.L.C. | 4 | $68 |
| Exact Sciences | 3 | $65 |
| Amneal Pharmaceuticals LLC | 3 | $65 |
| Idorsia Pharmaceuticals US Inc | 2 | $36 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $23 |
| Mylan Specialty L.p. | 1 | $22 |
| Xeris Pharmaceuticals, Inc. | 1 | $21 |
| Electromed, Inc. | 1 | $21 |
| Astellas Pharma US Inc | 1 | $18 |
| Scilex Pharmaceuticals Inc. | 1 | $13 |
| Ultragenyx Pharmaceutical Inc. | 1 | $13 |
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.
- FARXIGA$822
- AIRSUPRA$706
- BREZTRI$645
- NURTEC ODT$585
- KRYSTEXXA$360
- AIMOVIG$125
- VRAYLAR$125
- FreeStyle Libre 2$114
- Kerendia$106
How this compares
$11,857 in reported general payments places this provider in the 95th percentile of 1,184 adult health 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 |
|---|---|---|
| TrulicityDulaglutide | 34 | $34,842 |
| OzempicSemaglutide | 14 | $22,010 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $16,001 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 20 | $14,856 |
| MounjaroTirzepatide | 11 | $10,732 |
| Trazodone Hcl | 11 | $963 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 37 | $764 |
| Atorvastatin Calcium | 50 | $657 |
| Metoprolol Succinate | 27 | $502 |
| Methylprednisolone | 90 | $460 |
| Losartan Potassium | 26 | $364 |
| Gabapentin | 41 | $306 |
| Acyclovir | 11 | $293 |
| Triamcinolone Acetonide | 14 | $264 |
| Simvastatin | 22 | $252 |
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, LLCTrulicity, Mounjaro | $869 | $45,57445 claims |
| Novo NordiskOzempic | $515 | $22,01014 claims |
| GSKTrelegy Ellipta | $467 | $16,00112 claims |
| AstraZenecaBreztri Aerosphere | $2,295 | $14,85620 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $65 | $16320 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 1,184 adult health providers in Ohio.
Other adult health in Brookfield
- Bonnie MohlerCanton$338K
- Andrew GuinigundoCincinnati$215K
- Gabriella McCartyWestlake$177K
- Karen SteffeyLyndhurst$145K
- Marie ChambersCenterville$134K
- Susan FlickCleveland$131K
- Teresa ShafferBoardman$102K
- Jesse McClainYoungstown$79K
- Lucretia LongColumbus$76K
- Marybeth RivardColumbus$41K
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.