Leah Childress
Nurse Practitioner · Williamsburg, VANPI 1023350097
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,673 of the $13,063 with a category attached, or 89.4%. It is spread thinly across 35 manufacturers, the largest accounting for just 14.6% — the pattern of someone who eats at a lot of different presentations. Among nurse practitioner clinicians in VA 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 548 payments — averaging $23.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Genentech USA, Inc.$2K
- Grifols USA, LLC$994
- CSL Behring$989
- Takeda Pharmaceuticals U.S.A., Inc.$921
- GSK$914
- plus $6K from 29 others
What the payments were for
- Consulting fees$1,37911%
- Food & beverage$11,67389%
- Education$110%
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 | 71 | $1,905 |
| Genentech USA, Inc. | 35 | $1,725 |
| Grifols USA, LLC | 36 | $994 |
| CSL Behring | 49 | $989 |
| Takeda Pharmaceuticals U.S.A., Inc. | 24 | $921 |
| GSK | 56 | $914 |
| Sanofi | 34 | $817 |
| Regeneron Healthcare Solutions, Inc. | 32 | $733 |
| Amgen | 21 | $492 |
| Kaleo, Inc. | 24 | $454 |
| Novartis | 15 | $437 |
| Pfizer | 18 | $429 |
| Optinose US, Inc. | 53 | $375 |
| Genentech, Inc. | 3 | $343 |
| Biocryst US Sales Co., LLC | 17 | $297 |
| Ionis Pharmaceuticals, Inc. | 10 | $215 |
| Incyte Corporation | 6 | $128 |
| Octapharma USA, Inc. | 6 | $113 |
| Aimmune Therapeutics, Inc. | 5 | $111 |
| Blueprint Medicines Corporation | 5 | $107 |
| ADMA Biomanufacturing LLC | 3 | $84 |
| Pharming Healthcare, Inc. | 4 | $72 |
| Boehringer Ingelheim | 4 | $66 |
| AbbVie | 2 | $59 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $47 |
| Hikma Pharmaceuticals USA | 2 | $42 |
| Galderma Laboratories, L.p. | 2 | $33 |
| Seqirus USA Inc | 2 | $29 |
| Phadia US Inc. | 1 | $28 |
| LEO Pharma Inc. | 1 | $23 |
| Merck | 1 | $23 |
| Elutia, Inc. | 1 | $19 |
| Teva Pharmaceuticals USA, Inc. | 1 | $14 |
| Lilly USA, LLC | 1 | $14 |
| Organon | 1 | $8 |
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
$13,063 in reported general payments places this provider in the 95th percentile of 2,166 nurse practitioner providers in Virginia.
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 |
|---|---|---|
| Dupixent PenDupilumab | 22 | $80,713 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 35 | $26,284 |
| Breo ElliptaFluticasone/Vilanterol | 39 | $16,040 |
| Epinephrine | 14 | $4,298 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 17 | $2,285 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 11 | $1,905 |
| Ipratropium Bromide | 13 | $844 |
| Azelastine Hcl | 60 | $843 |
| Montelukast Sodium | 59 | $777 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 23 | $559 |
| Fluticasone Propionate | 34 | $538 |
| Famotidine | 14 | $191 |
| Hydroxyzine Hcl | 16 | $122 |
| Prednisone | 14 | $31 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta | $914 | $42,32474 claims |
| Hikma Pharmaceuticals USAEpinephrine | $42 | $4,29814 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 2,166 nurse practitioner providers in Virginia.
Other nurse practitioner in Williamsburg
- Ralph AblaseauWilliamsburg$9K
- Samantha FoxGate City$207K
- Mikel GrayCharlottesville$174K
- Kevin BrigleRichmond$166K
- Denese GomesRichmond$126K
- Ashley CarmenAlexandria$99K
- Rachel AndersonCharlottesville$90K
- Megan FrancisArlington$81K
- Elizabeth WilletteNorfolk$58K
- Lacey LyleSuffolk$50K
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.