Michele Ayotte
Nurse Practitioner · Apo, AENPI 1821532987
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,154 of the $1,747 with a category attached, or 66.1%. 17 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 50.5% of the total. Reporting peaked in 2024 at $1,109 and has fallen 98.1% since, to $21 in 2025.
Across 42 payments — averaging $41.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$882
- Jazz Pharmaceuticals Inc.$205
- Boston Scientific$121
- Harmony Biosciences LLC$105
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$87
- Avadel CNS Pharmaceuticals, LLC$74
- plus $272 from 11 others
What the payments were for
- Travel & lodging$46026%
- Food & beverage$1,15466%
- Education$1338%
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.
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.
How this compares
Too few nurse practitioner providers in AEto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Methylphenidate Hcl | 14 | $170 |
| Eszopiclone | 17 | $126 |
| Clonazepam | 12 | $23 |
| Zolpidem Tartrate | 22 | $21 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Apo
- John LaymonApo$160
- Kelley BeckApo$19
- Brooke BynumApo$14
- Journey HendersonApo$0
- Yuka AdamsApo$0
- Shayla KeysApo$0
- Elizabeth BhattaApo$0
- Eunice KimApo$0
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.