Misty Cain
Nurse Practitioner · Farmington, MONPI 1013548403
Payments from drug & device makers
Across 24 payments — averaging $24.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$154
- Abiomed$39
- Lilly USA, LLC$39
- Boehringer Ingelheim$39
- UCB, Inc.$37
- AstraZeneca$32
- plus $238 from 12 others
What the payments were for
- Food & beverage$577100%
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 |
|---|---|---|
| AbbVie | 4 | $154 |
| Abiomed | 1 | $39 |
| Lilly USA, LLC | 2 | $39 |
| Boehringer Ingelheim | 1 | $39 |
| UCB, Inc. | 2 | $37 |
| AstraZeneca | 2 | $32 |
| Axsome Therapeutics, Inc. | 1 | $31 |
| Sandoz | 1 | $29 |
| Integra Lifesciences Corporation | 1 | $26 |
| Johnson & Johnson | 1 | $25 |
| Smith+Nephew | 1 | $20 |
| Bioventus LLC | 1 | $20 |
| Viatris Specialty LLC | 1 | $18 |
| Otsuka America Pharmaceutical, Inc. | 1 | $17 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Globus Medical | 1 | $15 |
| Novo Nordisk | 1 | $15 |
| Sumitomo Pharma America, Inc. | 1 | $7 |
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.
- UBRELVY$100
How this compares
$577 in reported general payments places this provider in the 70th percentile of 1,898 nurse practitioner 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 13 | $94,584 |
| OzempicSemaglutide | 50 | $49,036 |
| SymtuzaDarunavir/Cob/Emtri/Tenof Alaf | 40 | $44,895 |
| TrulicityDulaglutide | 27 | $27,247 |
| JanuviaSitagliptin Phosphate | 112 | $24,463 |
| JardianceEmpagliflozin | 92 | $17,937 |
| EliquisApixaban | 92 | $17,934 |
| MounjaroTirzepatide | 16 | $15,928 |
| MyrbetriqMirabegron | 82 | $15,689 |
| Breo ElliptaFluticasone/Vilanterol | 37 | $15,582 |
| FarxigaDapagliflozin Propanediol | 72 | $10,465 |
| Levocetirizine Dihydrochloride | 1,349 | $10,207 |
| Esomeprazole Magnesium | 224 | $10,156 |
| Spiriva HandihalerTiotropium Bromide | 18 | $9,809 |
| Spiriva RespimatTiotropium Bromide | 17 | $9,511 |
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 | $15 | $49,03650 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $39 | $43,17443 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $39 | $27,447109 claims |
| AstraZenecaFarxiga, Symbicort | $32 | $14,04488 claims |
| Johnson & JohnsonXarelto | $25 | $8,12752 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 70th percentile of 1,898 nurse practitioner providers in Missouri.
Other nurse practitioner in Farmington
- Amanda HumbersFarmington$19K
- Gina HeberlieFarmington$15K
- Lisa MengwasserFarmington$14K
- Aeron SheffieldChesterfield$269K
- Rachel ImperatoOsage Beach$260K
- Matthew BrunsBridgeton$126K
- Michelle DickensSpringfield$59K
- Robert HafnerKansas City$47K
- Tracey CarpenterChesterfield$47K
- Laura GrantSaint Charles$34K
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.