Melissa Koonce, APRN
Nurse Practitioner · Pine Bluff, ARNPI 1811415540
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,365 of the $5,154 with a category attached, or 84.7%. It is spread thinly across 46 manufacturers, the largest accounting for just 8.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,845, more than ten times the $18 reported in 2021. Among nurse practitioner clinicians in AR 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 257 payments — averaging $20.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Incyte Corporation$440
- Lilly USA, LLC$383
- Novartis$351
- AstraZeneca$265
- Takeda Pharmaceuticals U.S.A., Inc.$229
- Gilead$205
- plus $3K from 40 others
What the payments were for
- Food & beverage$4,36585%
- Education$78915%
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
$5,154 in reported general payments places this provider in the 90th percentile of 697 nurse practitioner providers in Arkansas.
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 nurse practitioner in Pine Bluff
- Jena ShepherdPine Bluff$6K
- Jo BlasengamePine Bluff$6K
- Sarah BrownPine Bluff$5K
- Merideth HanksRogers$157K
- Angela JonesJonesboro$90K
- Tiffany McConathyHot Springs$54K
- Brenna FitzgeraldNorth Little Rock$46K
- Iris KennedyLittle Rock$22K
- Virginia LaliberteHot Springs$21K
- Julia PonderLittle Rock$21K
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.