Michele Delzer
Nurse Practitioner · Rapid City, SDNPI 1508910985
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 121 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 11.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,514, more than ten times the $134 reported in 2021. Among nurse practitioner clinicians in SD 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 121 payments — averaging $26.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Harmony Biosciences LLC$373
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$357
- Axsome Therapeutics, Inc.$342
- AbbVie$270
- Vanda Pharmaceuticals Inc.$231
- Medtronic$206
- plus $1K from 18 others
What the payments were for
- Food & beverage$3,218100%
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 |
|---|---|---|
| Harmony Biosciences LLC | 15 | $373 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 15 | $357 |
| Axsome Therapeutics, Inc. | 10 | $342 |
| AbbVie | 21 | $270 |
| Vanda Pharmaceuticals Inc. | 6 | $231 |
| Medtronic | 5 | $206 |
| Alkermes, Inc. | 8 | $179 |
| Lundbeck LLC | 6 | $147 |
| Teva Pharmaceuticals USA, Inc. | 7 | $145 |
| Madrigal Pharmaceuticals | 1 | $144 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $130 |
| Boston Scientific | 2 | $106 |
| Nevro Corp. | 2 | $100 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $92 |
| Relievant Medsystems, Inc. | 1 | $76 |
| Otsuka America Pharmaceutical, Inc. | 4 | $68 |
| Neurocrine Biosciences, Inc. | 2 | $62 |
| Collegium Pharmaceutical, Inc. | 3 | $60 |
| Pfizer | 2 | $39 |
| Globus Medical | 1 | $22 |
| Chiesi USA, Inc. | 1 | $21 |
| Abbott | 1 | $18 |
| Averitas Pharma Inc. | 1 | $15 |
| IBSA Pharma Inc. | 1 | $15 |
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.
- SYNCHROMEDII$151
- REZDIFFRA$144
- Auvelity$125
- NURTEC ODT$125
- Fanapt$124
- Wakix$104
How this compares
$3,218 in reported general payments places this provider in the 90th percentile of 504 nurse practitioner providers in South Dakota.
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 |
|---|---|---|
| OxycontinOxycodone Hcl | 21 | $10,333 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 125 | $3,375 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 53 | $2,138 |
| Oxycodone Hcl | 97 | $1,744 |
| Fentanyl | 12 | $1,385 |
| Pregabalin | 43 | $997 |
| Morphine Sulfate ErMorphine Sulfate | 70 | $861 |
| Gabapentin | 79 | $746 |
| Methadone Hcl | 25 | $506 |
| Tizanidine Hcl | 37 | $326 |
| Methocarbamol | 18 | $297 |
| Methylphenidate Hcl | 47 | $270 |
| Tramadol Hcl | 63 | $202 |
| Celecoxib | 13 | $195 |
| Morphine Sulfate | 11 | $179 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Rapid City
- Roger DeraadRapid City$6K
- Kristen NelsonRapid City$5K
- Caiti KeanRapid City$5K
- Shari FechnerRapid City$4K
- Becky SharpRapid City$4K
- Marie PattonRapid City$3K
- Joel KirstRapid City$3K
- Christina GrahamRapid City$3K
- Connie TschetterRapid City$3K
- Kristine LarsonRapid City$3K
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.