Melissa Coulter
Nurse Practitioner · Cedar Rapids, IANPI 1841823622
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,877 of the $3,735 with a category attached, or 77.0%. It is spread thinly across 44 manufacturers, the largest accounting for just 13.1% — 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 147 payments — averaging $25.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$488
- Seagen Inc.$321
- Pfizer$296
- AstraZeneca$273
- Novartis$264
- Daiichi Sankyo Inc.$243
- plus $2K from 38 others
What the payments were for
- Food & beverage$2,87777%
- Education$85923%
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.
How this compares
$3,735 in reported general payments places this provider in the 95th percentile of 1,346 nurse practitioner providers in Iowa.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| TasignaNilotinib Hcl | 11 | $221,145 |
| Ondansetron Hcl | 154 | $2,375 |
| Olanzapine | 79 | $1,488 |
| Gabapentin | 121 | $1,031 |
| Anastrozole | 55 | $1,014 |
| Dexamethasone | 58 | $884 |
| Fluconazole | 17 | $657 |
| Potassium Chloride | 57 | $588 |
| Ondansetron OdtOndansetron | 13 | $435 |
| Omeprazole | 80 | $376 |
| Levothyroxine Sodium | 86 | $371 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 20 | $316 |
| Allopurinol | 24 | $272 |
| Prednisone | 53 | $219 |
| Acyclovir | 25 | $216 |
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 |
|---|---|---|
| NovartisTasigna | $264 | $221,14511 claims |
| Lilly USA, LLCOlanzapine | $34 | $1,48879 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 Cedar Rapids
- Megan Hart FernandezCedar Rapids$19K
- Carla HuberCedar Rapids$18K
- Katie MaybanksCedar Rapids$4K
- Sashi SolomonCedar Rapids$4K
- Paula StultzCedar Rapids$4K
- Sarah NorrisCedar Rapids$4K
- Margaret StracuzziCedar Rapids$4K
- Jessie LeeperCedar Rapids$3K
- Nicole MorganDes Moines$106K
- Julie CoffeyIowa City$31K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.