Marcella Sorrell
Nurse Practitioner · Council Bluffs, IANPI 1780169219
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.7% of the total across 342 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 31 manufacturers, the largest accounting for just 20.8% — the pattern of someone who eats at a lot of different presentations. Among nurse practitioner clinicians in IA 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 342 payments — averaging $20.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- GSK$571
- Actelion Pharmaceuticals US, Inc.$552
- Grifols USA, LLC$543
- Harmony Biosciences LLC$444
- Amgen$406
- plus $3K from 25 others
What the payments were for
- Food & beverage$6,30791%
- Education$6509%
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 | 67 | $1,444 |
| GSK | 44 | $571 |
| Actelion Pharmaceuticals US, Inc. | 14 | $552 |
| Grifols USA, LLC | 21 | $543 |
| Harmony Biosciences LLC | 34 | $444 |
| Amgen | 21 | $406 |
| Mallinckrodt Hospital Products Inc. | 10 | $368 |
| Boehringer Ingelheim | 19 | $324 |
| Electromed, Inc. | 26 | $308 |
| Sanofi-aventis U.S. LLC | 3 | $271 |
| United Therapeutics Corporation | 6 | $248 |
| Regeneron Healthcare Solutions, Inc. | 12 | $191 |
| Mylan Specialty L.p. | 9 | $168 |
| Baxter Healthcare | 7 | $166 |
| Avadel CNS Pharmaceuticals, LLC | 7 | $137 |
| Jazz Pharmaceuticals Inc. | 6 | $116 |
| Sanofi | 6 | $113 |
| Merck | 4 | $76 |
| Bayer | 3 | $70 |
| Axsome Therapeutics, Inc. | 3 | $60 |
| Paratek Pharmaceuticals, Inc. | 3 | $58 |
| Johnson & Johnson | 3 | $52 |
| Insmed, Inc. | 3 | $47 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $43 |
| Viatris Specialty LLC | 2 | $42 |
| Vifor Pharma, Inc. | 2 | $34 |
| 3b Medical, Inc. | 1 | $27 |
| Xeris Pharmaceuticals, Inc. | 1 | $22 |
| Verona Pharma, Inc. | 1 | $19 |
| Philips North America LLC | 1 | $18 |
| Lilly USA, LLC | 1 | $18 |
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
$6,958 in reported general payments places this provider in the 95th percentile of 1,346 nurse practitioner providers in Iowa.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 449 | $340,689 |
| OfevNintedanib Esylate | 11 | $146,506 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 84 | $63,657 |
| Ambrisentan | 25 | $39,255 |
| Breo ElliptaFluticasone/Vilanterol | 56 | $27,967 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 33 | $16,024 |
| EliquisApixaban | 23 | $13,349 |
| Spiriva RespimatTiotropium Bromide | 15 | $8,585 |
| SymbicortBudesonide/Formoterol Fumarate | 19 | $6,233 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 186 | $3,777 |
| Roflumilast | 21 | $2,456 |
| Ventolin HfaAlbuterol Sulfate | 30 | $1,890 |
| Montelukast Sodium | 85 | $607 |
| Methylprednisolone | 46 | $280 |
| Prednisone | 59 | $232 |
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, Anoro Ellipta | $571 | $384,679538 claims |
| Boehringer IngelheimOfev, Spiriva Respimat | $324 | $155,09126 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $1,444 | $69,889103 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 1,346 nurse practitioner providers in Iowa.
Other nurse practitioner in Council Bluffs
- Tara SandsCouncil Bluffs$4K
- Lauren WarnekeCouncil Bluffs$3K
- Nicole MorganDes Moines$106K
- Julie CoffeyIowa City$31K
- Mary JohnsonDavenport$30K
- Megan Hart FernandezCedar Rapids$19K
- Carla HuberCedar Rapids$18K
- Beth ChiaWest Des Moines$15K
- Margaret KinneyRed Oak$13K
- Abbey ModlinDes Moines$12K
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.