Mary Middagh
Family · Helena, MTNPI 1396279709
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (46.0%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Sanofi at 41.4% of the total. 2025 is the largest year on record at $4,051, more than ten times the $43 reported in 2021. Among family clinicians in MT 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 107 payments — averaging $54.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$2K
- Regeneron Healthcare Solutions, Inc.$1K
- AbbVie$813
- Takeda Pharmaceuticals U.S.A., Inc.$488
- Enterra Medical, Inc.$391
- Johnson & Johnson$150
- plus $385 from 10 others
What the payments were for
- Consulting fees$95016%
- Speaking & faculty fees$2,09636%
- Food & beverage$2,68246%
- Education$1002%
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 |
|---|---|---|
| Sanofi | 10 | $2,411 |
| Regeneron Healthcare Solutions, Inc. | 20 | $1,190 |
| AbbVie | 31 | $813 |
| Takeda Pharmaceuticals U.S.A., Inc. | 21 | $488 |
| Enterra Medical, Inc. | 4 | $391 |
| Johnson & Johnson | 4 | $150 |
| Novo Nordisk | 4 | $78 |
| Janssen Scientific Affairs, LLC | 1 | $66 |
| Amgen | 1 | $62 |
| Ipsen Biopharmaceuticals, Inc | 3 | $48 |
| Pfizer | 2 | $33 |
| QOL Medical, LLC | 2 | $29 |
| Tersera Therapeutics LLC | 1 | $22 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| Ardelyx, Inc. | 1 | $15 |
| Madrigal Pharmaceuticals | 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.
- DUPIXENT$3,046
How this compares
$5,828 in reported general payments places this provider in the 95th percentile of 481 family providers in Montana.
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 |
|---|---|---|
| OcalivaObeticholic Acid | 14 | $132,155 |
| Cimzia (2 Pack)Certolizumab Pegol | 13 | $72,941 |
| CreonLipase/Protease/Amylase | 24 | $28,582 |
| IbsrelaTenapanor Hcl | 12 | $21,086 |
| TrulancePlecanatide | 14 | $8,629 |
| MovantikNaloxegol Oxalate | 40 | $7,754 |
| Budesonide DrBudesonide | 31 | $7,139 |
| Lubiprostone | 30 | $5,323 |
| Ursodiol | 19 | $4,843 |
| Esomeprazole Magnesium | 36 | $1,622 |
| Lidocaine Hcl ViscousLidocaine Hcl | 33 | $1,435 |
| Omeprazole | 120 | $1,089 |
| Pyridostigmine Bromide | 52 | $709 |
| Pantoprazole Sodium | 31 | $556 |
| Famotidine | 48 | $517 |
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 |
|---|---|---|
| AbbVieCreon | $813 | $28,58224 claims |
| Ardelyx, Inc.Ibsrela | $15 | $21,08612 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCTrulance | $18 | $8,62914 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 481 family providers in Montana.
Other family in Helena
- Kara AddisonHelena$50K
- Jessica HavensHelena$11K
- Tara WellsHelena$10K
- Megan GittingsHelena$4K
- Jeannie FahlquistHelena$3K
- Christopher VanhorssenHelena$3K
- Willow SheehanHelena$3K
- Leigha ShilhanekHelena$3K
- Lindsay McCarthyHelena$2K
- Julie FleschHelena$2K
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.