Marc Arnold
Nurse Practitioner · Mechanicsville, VANPI 1912042839
Payments from drug & device makers
Across 174 payments — averaging $24.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$549
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$368
- AstraZeneca$361
- Abbott$359
- Novartis$312
- Impulse Dynamics (USA) Inc.$281
- plus $2K from 22 others
What the payments were for
- Food & beverage$4,25199%
- Education$251%
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 |
|---|---|---|
| Boston Scientific | 22 | $549 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 23 | $368 |
| AstraZeneca | 15 | $361 |
| Abbott | 4 | $359 |
| Novartis | 20 | $312 |
| Impulse Dynamics (USA) Inc. | 5 | $281 |
| Boehringer Ingelheim | 11 | $230 |
| Amgen | 6 | $201 |
| Atricure, Inc. | 5 | $197 |
| E.r. Squibb & Sons, L.L.C. | 13 | $184 |
| Pfizer | 10 | $172 |
| Novo Nordisk | 7 | $154 |
| Edwards Lifesciences | 2 | $150 |
| Medtronic | 1 | $145 |
| Scpharmaceuticals Inc. | 3 | $97 |
| Merck | 5 | $80 |
| Cardiva Medical, Inc. | 2 | $69 |
| Kestra Medical Technology Services, Inc. | 3 | $59 |
| Alnylam Pharmaceuticals Inc. | 3 | $50 |
| AbbVie | 3 | $50 |
| Kiniksa Pharmaceuticals, Ltd. | 2 | $44 |
| Lilly USA, LLC | 2 | $41 |
| Johnson & Johnson | 2 | $34 |
| Lexicon Pharmaceuticals, Inc. | 1 | $21 |
| Irhythm Technologies, Inc. | 1 | $20 |
| Axsome Therapeutics, Inc. | 1 | $19 |
| Electromed, Inc. | 1 | $15 |
| Philips North America LLC | 1 | $13 |
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.
- OPTIMIZER$220
- MitraClip System$165
- LINQ II$145
- SAPIEN 3 Ultra RESILIA$141
- Watchman$138
- FARXIGA$125
- MitraClip$125
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$111
How this compares
$4,275 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 |
|---|---|---|
| EliquisApixaban | 459 | $512,818 |
| EntrestoSacubitril/Valsartan | 275 | $341,337 |
| FarxigaDapagliflozin Propanediol | 144 | $157,483 |
| XareltoRivaroxaban | 154 | $153,151 |
| JardianceEmpagliflozin | 94 | $97,871 |
| Repatha SureclickEvolocumab | 65 | $60,368 |
| BrilintaTicagrelor | 26 | $31,683 |
| Ranolazine ErRanolazine | 105 | $14,452 |
| Metoprolol Succinate | 886 | $10,728 |
| Praluent PenAlirocumab | 11 | $9,369 |
| Colesevelam Hcl | 23 | $8,474 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 137 | $4,381 |
| Rosuvastatin Calcium | 316 | $4,281 |
| Valsartan | 130 | $3,902 |
| Flecainide Acetate | 37 | $3,151 |
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 |
|---|---|---|
| PfizerEliquis | $172 | $512,818459 claims |
| NovartisEntresto | $312 | $341,337275 claims |
| AstraZenecaFarxiga, Brilinta | $361 | $189,167170 claims |
| Johnson & JohnsonXarelto | $34 | $153,151154 claims |
| Boehringer IngelheimJardiance | $230 | $97,87194 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 Mechanicsville
- 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
- Sasha LeeVirginia Beach$32K
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.