Margaret Saunders, NP
Acute Care · Maryville, TNNPI 1205345378
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 212 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 32 manufacturers reported payments, led by AstraZeneca at 29.0% of the total. Reporting peaked in 2024 at $2,612 and has fallen 88.4% since, to $304 in 2025. Among acute care clinicians in TN 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.
Across 212 payments — averaging $29.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- United Therapeutics Corporation$514
- Takeda Pharmaceuticals U.S.A., Inc.$412
- Boehringer Ingelheim$388
- Amgen$326
- Insmed, Inc.$320
- plus $2K from 26 others
What the payments were for
- Food & beverage$6,233100%
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(2 entities) | 53 | $1,809 |
| United Therapeutics Corporation | 15 | $514 |
| Takeda Pharmaceuticals U.S.A., Inc. | 19 | $412 |
| Boehringer Ingelheim | 23 | $388 |
| Amgen | 7 | $326 |
| Insmed, Inc. | 12 | $320 |
| Sanofi | 8 | $289 |
| Baxter Healthcare | 10 | $215 |
| Axsome Therapeutics, Inc. | 8 | $193 |
| Avadel CNS Pharmaceuticals, LLC | 6 | $193 |
| Mylan Specialty L.p. | 9 | $164 |
| GSK | 4 | $149 |
| Tactile Systems Technology Inc | 1 | $146 |
| 3b Medical, Inc. | 2 | $134 |
| Grifols USA, LLC | 5 | $99 |
| Pulmonx Corporation | 1 | $99 |
| Philips North America LLC | 1 | $92 |
| Jazz Pharmaceuticals Inc. | 4 | $79 |
| Breas Medical, Inc. | 1 | $74 |
| Novo Nordisk | 2 | $74 |
| Regeneron Healthcare Solutions, Inc. | 3 | $69 |
| Harmony Biosciences LLC | 2 | $59 |
| Mallinckrodt Hospital Products Inc. | 2 | $53 |
| E.r. Squibb & Sons, L.L.C. | 3 | $48 |
| Actelion Pharmaceuticals US, Inc. | 2 | $45 |
| Advanced Respiratory, Inc | 2 | $37 |
| Pfizer | 2 | $36 |
| Fisher & Paykel Healthcare Inc | 1 | $36 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $26 |
| Merck | 1 | $22 |
| Inspire Medical Systems, Inc. | 1 | $17 |
| ZOLL Respicardia, Inc. | 1 | $16 |
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.
- TEZSPIRE$589
- FASENRA$244
- Flexitouch Plus$146
- Entre Plus$146
- DUPIXENT$114
How this compares
$6,233 in reported general payments places this provider in the 90th percentile of 738 acute care providers in Tennessee.
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.
Other acute care in Maryville
- Abby HamiltonMaryville$5K
- Haley HoyNashville$368K
- Anne AlexandrovMemphis$110K
- Stephen MillerKnoxville$108K
- Shannon GraceNashville$57K
- Timothy BallardKnoxville$47K
- Kelsey MartinNashville$42K
- Barbara BrownNashville$36K
- Michelle GoochChattanooga$35K
- Elizabeth DavidsonNashville$33K
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.