Misty Dean
Primary Care · Oklahoma City, OKNPI 1700989316
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.8% of the total across 383 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by AbbVie at 45.0% of the total. Reporting peaked in 2023 at $1,917 and has fallen 53.0% since, to $902 in 2024. Among primary care clinicians in OK with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 383 payments — averaging $16.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$1K
- Takeda Pharmaceuticals U.S.A., Inc.$566
- Johnson & Johnson$560
- Bristol Myers Squibb$228
- Ardelyx, Inc.$178
- plus $948 from 16 others
What the payments were for
- Food & beverage$6,37999%
- Education$751%
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 | 139 | $2,907 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 82 | $1,068 |
| Takeda Pharmaceuticals U.S.A., Inc. | 40 | $566 |
| Johnson & Johnson | 36 | $560 |
| Bristol Myers Squibb | 19 | $228 |
| Ardelyx, Inc. | 11 | $178 |
| Regeneron Healthcare Solutions, Inc. | 10 | $172 |
| Merck | 10 | $143 |
| Gilead | 10 | $140 |
| E.r. Squibb & Sons, L.L.C. | 1 | $98 |
| Daiichi Sankyo Inc. | 4 | $72 |
| Nestle Healthcare Nutrition Inc. | 4 | $66 |
| Redhill Biopharma Inc. | 4 | $61 |
| Sanofi | 2 | $36 |
| QOL Medical, LLC | 2 | $35 |
| Ironwood Pharmaceuticals, Inc | 2 | $30 |
| Braintree Laboratories, Inc. | 2 | $24 |
| Ferring Pharmaceuticals Inc. | 1 | $18 |
| Lilly USA, LLC | 1 | $16 |
| Mallinckrodt Hospital Products Inc. | 1 | $13 |
| Sandoz | 1 | $13 |
| Intercept Pharmaceuticals, Inc. | 1 | $12 |
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
$6,454 in reported general payments places this provider in the 95th percentile of 83 primary care providers in Oklahoma.
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 |
|---|---|---|
| CreonLipase/Protease/Amylase | 38 | $130,544 |
| OcalivaObeticholic Acid | 12 | $111,555 |
| Humira(Cf) PenAdalimumab | 15 | $104,370 |
| Dupixent PenDupilumab | 13 | $87,921 |
| MounjaroTirzepatide | 66 | $75,445 |
| OzempicSemaglutide | 42 | $59,506 |
| LinzessLinaclotide | 55 | $43,540 |
| Mesalamine | 70 | $41,370 |
| Dexlansoprazole DrDexlansoprazole | 51 | $17,412 |
| TrulancePlecanatide | 12 | $9,871 |
| Mesalamine ErMesalamine | 18 | $9,215 |
| MovantikNaloxegol Oxalate | 14 | $8,293 |
| Omeprazole | 205 | $6,267 |
| Pantoprazole Sodium | 319 | $5,847 |
| Esomeprazole Magnesium | 44 | $4,564 |
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 |
|---|---|---|
| AbbVieCreon, Linzess | $2,907 | $174,08593 claims |
| Intercept Pharmaceuticals, Inc.Ocaliva | $12 | $111,55512 claims |
| Lilly USA, LLCMounjaro | $16 | $75,44566 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCTrulance | $1,068 | $9,87112 claims |
| Redhill Biopharma Inc.Movantik | $61 | $8,29314 claims |
| SandozLansoprazole | $13 | $35914 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 95th percentile of 83 primary care providers in Oklahoma.
Other primary care in Oklahoma City
- Jessica KearneyOklahoma City$5K
- Erin OlmstedOklahoma City$3K
- Divya JoykuttyOklahoma City$3K
- Kathy SpeigelOklahoma City$1K
- Kimberly AllenOklahoma City$1K
- Mandi BrownOklahoma City$978
- Thomas CookOklahoma City$792
- Krystal RachalOklahoma City$704
- Kendra BondOklahoma City$488
- Janice GuthrieOklahoma City$220
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.