Melissa Manhart, NP
Family · Washington, MONPI 1679786990
Payments from drug & device makers
Across 289 payments — averaging $14.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$481
- Lilly USA, LLC$417
- AbbVie$365
- Novo Nordisk$265
- Novartis$263
- Takeda Pharmaceuticals U.S.A., Inc.$230
- plus $2K from 29 others
What the payments were for
- Food & beverage$4,316100%
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 |
|---|---|---|
| Boehringer Ingelheim | 33 | $481 |
| Lilly USA, LLC | 31 | $417 |
| AbbVie | 24 | $365 |
| Novo Nordisk | 21 | $265 |
| Novartis | 15 | $263 |
| Takeda Pharmaceuticals U.S.A., Inc. | 12 | $230 |
| Otsuka America Pharmaceutical, Inc. | 13 | $197 |
| Abbott | 10 | $158 |
| Exact Sciences | 9 | $154 |
| Johnson & Johnson | 11 | $153 |
| GSK | 12 | $142 |
| Teva Pharmaceuticals USA, Inc. | 9 | $140 |
| Merck | 8 | $124 |
| Amgen | 8 | $123 |
| Sumitomo Pharma America, Inc. | 7 | $108 |
| AstraZeneca | 7 | $101 |
| Pfizer | 7 | $100 |
| Amarin Pharma, Inc. | 6 | $93 |
| Bayer | 6 | $93 |
| Astellas Pharma US Inc | 5 | $82 |
| Averitas Pharma Inc. | 4 | $71 |
| Esperion Therapeutics, Inc. | 5 | $68 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $65 |
| Idorsia Pharmaceuticals US Inc | 4 | $55 |
| Eisai Inc. | 3 | $47 |
| Lundbeck LLC | 3 | $42 |
| Axsome Therapeutics, Inc. | 2 | $34 |
| Sanofi-aventis U.S. LLC | 2 | $32 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $25 |
| Nevro Corp. | 1 | $17 |
| Jazz Pharmaceuticals Inc. | 1 | $17 |
| Cranial Technologies, Inc | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Edwards Lifesciences | 1 | $13 |
| Dynavax Technologies Corporation | 1 | $13 |
How this compares
$4,316 in reported general payments places this provider in the 90th percentile of 3,812 family providers in Missouri.
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 |
|---|---|---|
| JardianceEmpagliflozin | 47 | $43,482 |
| EliquisApixaban | 34 | $37,840 |
| OzempicSemaglutide | 14 | $25,578 |
| MounjaroTirzepatide | 20 | $23,286 |
| FarxigaDapagliflozin Propanediol | 13 | $11,162 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 27 | $6,809 |
| Atorvastatin Calcium | 187 | $1,802 |
| Gabapentin | 42 | $1,344 |
| Omeprazole | 55 | $804 |
| Duloxetine Hcl | 30 | $803 |
| Pantoprazole Sodium | 59 | $789 |
| Mirtazapine | 28 | $773 |
| Lisinopril | 108 | $701 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 11 | $603 |
| Tamsulosin Hcl | 40 | $537 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $481 | $43,48247 claims |
| PfizerEliquis | $100 | $37,84034 claims |
| Novo NordiskOzempic | $265 | $25,57814 claims |
| Lilly USA, LLCMounjaro | $417 | $23,28620 claims |
| AstraZenecaFarxiga | $101 | $11,16213 claims |
| GSKArexvy | $142 | $6,80927 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 90th percentile of 3,812 family providers in Missouri.
Other family in Washington
- Dana HellebuschWashington$24K
- Connie SpencerSaint Joseph$320K
- Shayla SandersKansas City$306K
- Tamera WolfLees Summit$215K
- Tiffany ArnoldFestus$177K
- Tiffany NelsonSedalia$164K
- Chelsey BeckerSaint Peters$104K
- Carey PattonDes Peres$94K
- Marcy MarkesColumbia$92K
- Laura HedigerSpringfield$71K
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.