Lara Lahr
Advanced Practice Midwife · Fort Wayne, INNPI 1942843701
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 61 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 31 manufacturers, the largest accounting for just 13.2% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,738, 3.4 times the $516 reported in 2021. Among advanced practice midwife clinicians in IN 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 61 payments — averaging $81.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$657
- Otsuka Pharmaceutical Development & Commercialization, Inc.$455
- Sanofi-aventis U.S. LLC$443
- Neurocrine Biosciences, Inc.$329
- Astellas Pharma US Inc$270
- Novo Nordisk$216
- plus $3K from 25 others
What the payments were for
- Food & beverage$4,983100%
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(2 entities) | 6 | $657 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 5 | $455 |
| Sanofi-aventis U.S. LLC | 4 | $443 |
| Neurocrine Biosciences, Inc. | 3 | $329 |
| Astellas Pharma US Inc | 3 | $270 |
| Novo Nordisk | 2 | $216 |
| Corcept Therapeutics | 2 | $207 |
| Biogen | 5 | $203 |
| Exact Sciences | 3 | $165 |
| AbbVie | 2 | $146 |
| Argenx US, Inc. | 1 | $140 |
| Kyowa Kirin, Inc. | 1 | $121 |
| Scynexis, Inc. | 1 | $119 |
| Insmed, Inc. | 1 | $118 |
| Mayne Pharma Commercial LLC | 1 | $116 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $109 |
| Sage Therapeutics, LLC | 1 | $109 |
| Gilead | 1 | $109 |
| Dexcom, Inc. | 1 | $104 |
| Therapeuticsmd, Inc. | 1 | $100 |
| Lundbeck LLC | 1 | $97 |
| Boston Scientific | 1 | $95 |
| Axsome Therapeutics, Inc. | 2 | $94 |
| Bayer | 3 | $93 |
| Amgen | 1 | $91 |
| Tactile Systems Technology Inc | 1 | $69 |
| Mallinckrodt Hospital Products Inc. | 1 | $59 |
| Pfizer | 3 | $53 |
| Organon | 1 | $40 |
| Myriad Women's Health, Inc. | 1 | $32 |
| Octapharma USA, Inc. | 1 | $26 |
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
$4,983 in reported general payments places this provider in the 95th percentile of 151 advanced practice midwife providers in Indiana.
Other advanced practice midwife in Fort Wayne
- Paige TiernonFort Wayne$1K
- Allison ThorpeFort Wayne$952
- Kathryn ConferFort Wayne$924
- Rebecca CroninFort Wayne$823
- Kaylee HorvathFort Wayne$637
- Ashlee CarterFort Wayne$631
- Bridgette NieseFort Wayne$539
- Lisa FedderkeFort Wayne$519
- Gail ClarkFort Wayne$461
- Natima AlexanderFort Wayne$433
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.