Megan Vitrano
Clinical Nurse Specialist · Muskogee, OKNPI 1760969497
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 94 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by Abiomed at 28.2% of the total. 2025 is the largest year on record at $844, 9.2 times the $91 reported in 2021.
Across 94 payments — averaging $21.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$580
- Medtronic$387
- Johnson & Johnson$266
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$138
- E.r. Squibb & Sons, L.L.C.$122
- Atricure, Inc.$83
- plus $486 from 14 others
What the payments were for
- Food & beverage$2,060100%
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 |
|---|---|---|
| Abiomed | 13 | $580 |
| Medtronic | 24 | $387 |
| Johnson & Johnson(3 entities) | 15 | $266 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 6 | $138 |
| E.r. Squibb & Sons, L.L.C. | 7 | $122 |
| Atricure, Inc. | 2 | $83 |
| Chiesi USA, Inc. | 5 | $77 |
| W. L. Gore & Associates, Inc. | 4 | $71 |
| Acera Surgical, Inc. | 2 | $57 |
| Surmodics, Inc. | 3 | $46 |
| Novartis | 2 | $40 |
| Bayer | 2 | $36 |
| AstraZeneca | 2 | $33 |
| Baxter Healthcare | 1 | $21 |
| Pfizer | 1 | $20 |
| Kowa Pharmaceuticals America, Inc. | 1 | $18 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Lilly USA, LLC | 1 | $17 |
| Boehringer Ingelheim | 1 | $16 |
| Philips North America LLC | 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.
- Impella$110
How this compares
$2,060 in reported general payments places this provider in the 65th percentile of 56 clinical nurse specialist providers in Oklahoma.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 22 | $105 |
| Tramadol Hcl | 14 | $44 |
Paid to pharmacies, not to this prescriber.
Other clinical nurse specialist in Muskogee
- Deborah CrawfordTulsa$11K
- Stacy BootheNorman$7K
- Jessica GriffithTulsa$5K
- Erica MelickOklahoma City$5K
- Kelly Lang-SheppardOklahoma City$5K
- Cheryl WestOklahoma City$4K
- Melissa DimickTulsa$4K
- Denise BennettOkarche$3K
- Lindsey RemmertTulsa$3K
- Stephanie MooreTulsa$3K
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.