Madalyn Wren, APRN
Nurse Practitioner · Kansas City, MONPI 1164003448
Payments from drug & device makers
Across 26 payments — averaging $59.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$244
- AstraZeneca$184
- GSK$137
- Genentech, Inc.$130
- Regeneron Healthcare Solutions, Inc.$122
- Daiichi Sankyo Inc.$118
- plus $608 from 10 others
What the payments were for
- Food & beverage$1,38890%
- Education$15510%
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 |
|---|---|---|
| Gilead | 4 | $244 |
| AstraZeneca | 5 | $184 |
| GSK | 2 | $137 |
| Genentech, Inc. | 2 | $130 |
| Regeneron Healthcare Solutions, Inc. | 1 | $122 |
| Daiichi Sankyo Inc. | 1 | $118 |
| Johnson & Johnson | 1 | $112 |
| Sanofi | 1 | $106 |
| Bayer | 1 | $79 |
| Puma Biotechnology, Inc. | 2 | $78 |
| EMD Serono, Inc. | 1 | $74 |
| Lilly USA, LLC | 1 | $55 |
| Geron Corporation | 1 | $50 |
| Merck | 1 | $23 |
| Tolmar, Inc. | 1 | $18 |
| Genentech USA, Inc. | 1 | $14 |
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
$1,543 in reported general payments places this provider in the 80th percentile of 1,898 nurse practitioner providers in Missouri.
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 |
|---|---|---|
| Lenalidomide | 12 | $179,841 |
| EliquisApixaban | 11 | $7,857 |
| Dexamethasone | 37 | $591 |
| Ondansetron Hcl | 32 | $439 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 20 | $349 |
| Prochlorperazine Maleate | 20 | $297 |
| Acyclovir | 19 | $263 |
| Prednisone | 20 | $79 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Kansas City
- Robert HafnerKansas City$47K
- Courtney JefferyKansas City$24K
- Shea FijalKansas City$18K
- Janay KissingerKansas City$14K
- Jennifer PoundKansas City$11K
- Catherine SpellKansas City$10K
- Lakeisha KellyKansas City$10K
- Moeid RiazKansas City$8K
- Aeron SheffieldChesterfield$269K
- Rachel ImperatoOsage Beach$260K
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.