Liane Guarnieri
Advanced Practice Midwife · Alexandria, VANPI 1417553975
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 122 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 18 manufacturers, the largest accounting for just 11.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $824 and has fallen 53.7% since, to $381 in 2025. Among advanced practice midwife 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 122 payments — averaging $20.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organon$301
- Bayer$297
- Sumitomo Pharma America, Inc.$270
- Astellas Pharma US Inc$230
- Coopersurgical, Inc.$219
- Mayne Pharma Commercial LLC$183
- plus $1K from 12 others
What the payments were for
- Food & beverage$2,522100%
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 |
|---|---|---|
| Organon | 13 | $301 |
| Bayer | 14 | $297 |
| Sumitomo Pharma America, Inc. | 14 | $270 |
| Astellas Pharma US Inc | 11 | $230 |
| Coopersurgical, Inc. | 11 | $219 |
| Mayne Pharma Commercial LLC | 10 | $183 |
| Pfizer | 9 | $180 |
| AbbVie | 9 | $173 |
| Shield Therapeutics Inc | 6 | $150 |
| Exeltis, USA Inc. | 6 | $124 |
| Myovant Sciences Inc. | 5 | $97 |
| Aspira Women's Health Inc | 3 | $80 |
| Millicent US Inc | 3 | $57 |
| Optumhealth Care Solutions, LLC | 2 | $50 |
| Sage Therapeutics, LLC | 2 | $36 |
| Avion Pharmaceuticals | 2 | $34 |
| Hologic Sales And Service, LLC | 1 | $22 |
| Smith+Nephew | 1 | $18 |
How this compares
$2,522 in reported general payments places this provider in the 95th percentile of 222 advanced practice midwife providers in Virginia.
Other advanced practice midwife in Alexandria
- Elizabeth RobsonAlexandria$2K
- Susan RogersAlexandria$617
- Hannah CloughAlexandria$430
- Karen KlaussArlington$4K
- Wendy GraefeChesapeake$3K
- Sherrie DossIvanhoe$3K
- Leah ChoateMineral$2K
- Dorsena GayleLeesburg$2K
- Julie FlanaganFredericksburg$2K
- Mary WilliamsSuffolk$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.