RxDoctor Payments Data

Linda Debalzo

Clinical Nurse Specialist · Beachwood, OHNPI 1639283518

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 98.6% of the total across 189 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 20 manufacturers, the largest accounting for just 16.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,455 and has fallen 52.0% since, to $699 in 2025. Among clinical nurse specialist clinicians in OH 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.

$4,233in general payments, 2019–2025

Across 189 payments — averaging $22.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lundbeck LLC$692
  • AbbVie$624
  • ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$464
  • Axsome Therapeutics, Inc.$436
  • Otsuka America Pharmaceutical, Inc.$379
  • Neurocrine Biosciences, Inc.$363
  • plus $1K from 14 others

What the payments were for

  • Food & beverage$4,17499%
  • Education$591%

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

21
22
23
24
25

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.

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

$4,233 in reported general payments places this provider in the 90th percentile of 97 clinical nurse specialist providers in Ohio.

See all clinical nurse specialist providers in Ohio

Medicare billing

Part B allowed, 2024
$28,163
Medicare patients
22
Services billed
368

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

DrugClaimsCost to plans & patients
Bupropion XlBupropion Hcl48$1,149
Duloxetine Hcl31$1,137
Buspirone Hcl45$868
Mirtazapine20$627
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine12$495
Dextroamphetamine-Amphet ErDextroamphetamine/Amphetamine16$462
Desvenlafaxine Succinate ErDesvenlafaxine Succinate12$396
Escitalopram Oxalate31$393
Venlafaxine Hcl ErVenlafaxine Hcl18$340
Trazodone Hcl47$308
Clonazepam22$274
Quetiapine Fumarate12$185
Citalopram HbrCitalopram Hydrobromide16$171
Lamotrigine35$165
Fluoxetine Hcl41$128

Paid to pharmacies, not to this prescriber.

Other clinical nurse specialist in Beachwood

See the full list for Ohio

Where these figures come from

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