Michael Holmes
Primary Care · Harriman, TNNPI 1760544621
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 125 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 15.1% — the pattern of someone who eats at a lot of different presentations.
Across 125 payments — averaging $17.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$321
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$280
- AbbVie$248
- Lilly USA, LLC$237
- Novo Nordisk$222
- AstraZeneca$106
- plus $716 from 18 others
What the payments were for
- Food & beverage$2,130100%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 18 | $321 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 13 | $280 |
| AbbVie | 13 | $248 |
| Lilly USA, LLC | 15 | $237 |
| Novo Nordisk | 11 | $222 |
| AstraZeneca | 6 | $106 |
| Xeris Pharmaceuticals, Inc. | 4 | $81 |
| GSK | 5 | $75 |
| Abbott | 4 | $67 |
| Bayer | 4 | $61 |
| Clarus Therapeutics Inc. | 9 | $57 |
| Phathom Pharmaceuticals, Inc. | 3 | $46 |
| Kowa Pharmaceuticals America, Inc. | 3 | $41 |
| Pfizer | 3 | $40 |
| Dexcom, Inc. | 2 | $37 |
| Sumitomo Pharma America, Inc. | 2 | $36 |
| Lundbeck LLC | 2 | $35 |
| Johnson & Johnson | 2 | $32 |
| Axsome Therapeutics, Inc. | 1 | $24 |
| Almatica Pharma LLC | 1 | $20 |
| Eisai Inc. | 1 | $20 |
| Vanda Pharmaceuticals Inc. | 1 | $15 |
| Amarin Pharma, Inc. | 1 | $14 |
| Kyowa Kirin, Inc. | 1 | $13 |
How this compares
$2,130 in reported general payments places this provider in the 75th percentile of 189 primary care providers in Tennessee.
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 |
|---|---|---|
| OzempicSemaglutide | 150 | $171,124 |
| MounjaroTirzepatide | 77 | $81,923 |
| JardianceEmpagliflozin | 77 | $80,893 |
| EliquisApixaban | 85 | $75,809 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 84 | $72,501 |
| VraylarCariprazine Hcl | 40 | $67,979 |
| RybelsusSemaglutide | 21 | $47,862 |
| LinzessLinaclotide | 48 | $32,804 |
| TrulicityDulaglutide | 23 | $31,391 |
| MyrbetriqMirabegron | 23 | $25,994 |
| Spiriva HandihalerTiotropium Bromide | 28 | $24,154 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 27 | $19,885 |
| XareltoRivaroxaban | 24 | $19,147 |
| JanuviaSitagliptin Phosphate | 14 | $14,352 |
| Hysingla ErHydrocodone Bitartrate | 11 | $10,656 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $222 | $218,987171 claims |
| Lilly USA, LLCMounjaro, Trulicity | $237 | $113,315100 claims |
| AbbVieVraylar, Linzess | $248 | $100,78388 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $75 | $84,316107 claims |
| PfizerEliquis | $40 | $75,80985 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $106 | $23,64838 claims |
| Johnson & JohnsonXarelto | $32 | $19,14724 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 75th percentile of 189 primary care providers in Tennessee.
Other primary care in Harriman
- Mary SullivanGermantown$115K
- Len GetzMemphis$25K
- Judith CaldwellNashville$18K
- Mara HutchingsNashville$14K
- Reena BhaktaMurfreesboro$12K
- Ryan HartmanNashville$11K
- Martha LemonsBrentwood$11K
- Abigail EubankHendersonville$9K
- Corey ClelandSevierville$9K
- Katie JohnsonClarksville$8K
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.