Kristina Downing, APRN
Nurse Practitioner · Norfolk, NENPI 1518218718
Payments from drug & device makers
Across 229 payments — averaging $17.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$689
- AstraZeneca$541
- AbbVie$514
- Medtronic$292
- Lilly USA, LLC$227
- GSK$146
- plus $2K from 28 others
What the payments were for
- Food & beverage$3,994100%
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 |
|---|---|---|
| Novo Nordisk | 58 | $689 |
| AstraZeneca | 23 | $541 |
| AbbVie | 30 | $514 |
| Medtronic | 3 | $292 |
| Lilly USA, LLC | 13 | $227 |
| GSK | 9 | $146 |
| Pfizer | 8 | $128 |
| Abbott | 6 | $126 |
| Amgen | 7 | $126 |
| Phathom Pharmaceuticals, Inc. | 5 | $118 |
| Merck | 7 | $103 |
| Idorsia Pharmaceuticals US Inc | 6 | $97 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $94 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $90 |
| Organon | 4 | $85 |
| Cranial Technologies, Inc | 5 | $69 |
| Nestle Healthcare Nutrition Inc. | 5 | $69 |
| Vertex | 3 | $61 |
| Exact Sciences | 3 | $45 |
| Kowa Pharmaceuticals America, Inc. | 2 | $44 |
| Johnson & Johnson | 3 | $44 |
| Currax Pharmaceuticals LLC | 3 | $41 |
| Sanofi Pasteur Inc. | 2 | $32 |
| Phadia US Inc. | 2 | $30 |
| Sumitomo Pharma America, Inc. | 1 | $25 |
| Dynavax Technologies Corporation | 1 | $19 |
| Corcept Therapeutics | 1 | $19 |
| Bayer | 1 | $19 |
| Forte Bio-pharma LLC | 1 | $18 |
| Aimmune Therapeutics, Inc. | 1 | $18 |
| Boston Scientific | 1 | $17 |
| Eisai Inc. | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $15 |
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
$3,994 in reported general payments places this provider in the 90th percentile of 924 nurse practitioner providers in Nebraska.
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 |
|---|---|---|
| OzempicSemaglutide | 50 | $68,881 |
| EliquisApixaban | 47 | $57,166 |
| XareltoRivaroxaban | 24 | $37,543 |
| RybelsusSemaglutide | 14 | $27,098 |
| JanuviaSitagliptin Phosphate | 16 | $26,453 |
| FarxigaDapagliflozin Propanediol | 19 | $21,547 |
| ProliaDenosumab | 12 | $21,467 |
| MounjaroTirzepatide | 15 | $18,094 |
| MyrbetriqMirabegron | 17 | $7,470 |
| Omeprazole | 283 | $5,917 |
| BrilintaTicagrelor | 12 | $5,150 |
| Tresiba Flextouch U-100Insulin Degludec | 12 | $4,753 |
| LantusInsulin Glargine,hum.Rec.Anlog | 24 | $4,476 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 23 | $4,125 |
| Levothyroxine Sodium | 379 | $3,720 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $689 | $95,98064 claims |
| PfizerEliquis | $128 | $57,16647 claims |
| Johnson & JohnsonXarelto | $44 | $37,54324 claims |
| AstraZenecaFarxiga, Brilinta | $541 | $26,69731 claims |
| MerckJanuvia | $103 | $26,45316 claims |
| AmgenProlia | $126 | $21,46712 claims |
| Lilly USA, LLCMounjaro | $227 | $18,09415 claims |
| Sanofi-aventis U.S. LLCLantus | $16 | $4,47624 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 90th percentile of 924 nurse practitioner providers in Nebraska.
Other nurse practitioner in Norfolk
- Kelly JuedenNorfolk$6K
- Chelsie NutschNorfolk$5K
- Kristen HammesOmaha$899K
- Amy MuchowiczOmaha$78K
- Winifred SchaedelPalmyra$64K
- Kari CunninghamOmaha$53K
- Laura DonovanOmaha$49K
- Kathleen HealeyOmaha$36K
- Katie RuchOmaha$26K
- Jodi FuehrerGrand Island$25K
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.