Lauren Backy
Advanced Practice Midwife · Fredericksburg, VANPI 1497129134
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 72 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 23 manufacturers, the largest accounting for just 14.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $488 and has fallen 70.7% since, to $143 in 2025. Among advanced practice midwife clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 72 payments — averaging $19.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$193
- Astellas Pharma US Inc$157
- Bayer$146
- Pfizer$120
- Organon$109
- Exeltis, USA Inc.$89
- plus $553 from 17 others
What the payments were for
- Food & beverage$1,368100%
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 | 11 | $193 |
| Astellas Pharma US Inc | 9 | $157 |
| Bayer | 7 | $146 |
| Pfizer | 7 | $120 |
| Organon | 5 | $109 |
| Exeltis, USA Inc. | 5 | $89 |
| Sumitomo Pharma America, Inc. | 3 | $77 |
| Optumhealth Care Solutions, LLC | 2 | $59 |
| Evofem Biosciences, Inc. | 3 | $49 |
| Aspira Women's Health Inc | 2 | $48 |
| Mayne Pharma Commercial LLC | 2 | $47 |
| Mylan Pharmaceuticals Inc. | 3 | $42 |
| Merck | 2 | $41 |
| Avion Pharmaceuticals | 2 | $35 |
| Roche Diagnostics Corporation | 1 | $24 |
| Avanos Medical | 1 | $21 |
| Coopersurgical, Inc. | 1 | $20 |
| Biogen | 1 | $18 |
| Scynexis, Inc. | 1 | $18 |
| Smith+Nephew | 1 | $18 |
| Myovant Sciences Inc. | 1 | $13 |
| Agile Therapeutics, Inc. | 1 | $12 |
| Johnson & Johnson | 1 | $12 |
How this compares
$1,368 in reported general payments places this provider in the 90th percentile of 222 advanced practice midwife providers in Virginia.
Other advanced practice midwife in Fredericksburg
- Julie FlanaganFredericksburg$2K
- Lauren JordanFredericksburg$1K
- Megan PhamFredericksburg$468
- Karen KlaussArlington$4K
- Wendy GraefeChesapeake$3K
- Sherrie DossIvanhoe$3K
- Liane GuarnieriAlexandria$3K
- Leah ChoateMineral$2K
- Dorsena GayleLeesburg$2K
- Elizabeth RobsonAlexandria$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.