Natalie Byars
Nurse Practitioner · Little Rock, ARNPI 1659038800
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 226 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 32 manufacturers reported payments, led by Sumitomo Pharma America, Inc. at 31.0% of the total. 2025 is the largest year on record at $1,731, 8.4 times the $207 reported in 2021. Among nurse practitioner clinicians in AR 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 226 payments — averaging $25.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sumitomo Pharma America, Inc.$2K
- Johnson & Johnson$496
- AbbVie$384
- Myriad Genetic Laboratories, Inc.$353
- Novartis$281
- Dendreon Pharmaceuticals LLC$239
- plus $2K from 26 others
What the payments were for
- Food & beverage$5,728100%
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 |
|---|---|---|
| Sumitomo Pharma America, Inc. | 98 | $1,777 |
| Johnson & Johnson(2 entities) | 18 | $496 |
| AbbVie | 17 | $384 |
| Myriad Genetic Laboratories, Inc. | 7 | $353 |
| Novartis | 14 | $281 |
| Dendreon Pharmaceuticals LLC | 7 | $239 |
| Novo Nordisk | 2 | $170 |
| Bayer | 4 | $166 |
| Astellas Pharma US Inc | 4 | $162 |
| Verity Pharmaceuticals Inc. | 9 | $158 |
| Terumo Medical Corporation | 1 | $140 |
| Scynexis, Inc. | 1 | $140 |
| Pfizer | 7 | $121 |
| Amgen | 3 | $120 |
| AstraZeneca | 3 | $110 |
| Antares Pharma, Inc. | 6 | $108 |
| Janssen Scientific Affairs, LLC | 1 | $107 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $94 |
| Sanofi-aventis U.S. LLC | 1 | $93 |
| Dexcom, Inc. | 1 | $79 |
| Tolmar, Inc. | 4 | $74 |
| Caris MPI, Inc. | 2 | $53 |
| Urogen Pharma, Inc. | 2 | $44 |
| Merck | 2 | $37 |
| Accord Healthcare, Inc. | 2 | $37 |
| Urovant Sciences Inc | 2 | $36 |
| Ferring Pharmaceuticals Inc. | 1 | $31 |
| Sun Pharmaceutical Industries Inc. | 2 | $30 |
| Boston Scientific | 1 | $30 |
| Tolmar Pharmaceuticals, Inc. | 1 | $24 |
| Blue Earth Diagnostics | 1 | $16 |
| Halozyme Inc | 1 | $16 |
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.
- ANGIO-SEAL$140
- Azur CX Detachable$140
- RYBELSUS$125
- GEMTESA$124
- PROVENGE$124
- ORGOVYX$120
- Kerendia$111
- Veozah$109
- XARELTO$107
- BRAC CDx$103
How this compares
$5,728 in reported general payments places this provider in the 90th percentile of 697 nurse practitioner providers in Arkansas.
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 |
|---|---|---|
| GemtesaVibegron | 233 | $126,755 |
| MyrbetriqMirabegron | 130 | $75,028 |
| Tamsulosin Hcl | 1,118 | $16,622 |
| Trospium Chloride ErTrospium Chloride | 27 | $7,326 |
| Oxybutynin Chloride ErOxybutynin Chloride | 344 | $6,880 |
| Testosterone | 27 | $5,623 |
| Finasteride | 343 | $4,755 |
| Testosterone Cypionate | 104 | $4,225 |
| Methenamine Hippurate | 23 | $2,865 |
| Estradiol | 48 | $2,731 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 85 | $2,719 |
| Solifenacin Succinate | 68 | $2,205 |
| Cefdinir | 122 | $1,800 |
| Tadalafil | 33 | $1,787 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 63 | $1,504 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $1,777 | $126,755233 claims |
| Astellas Pharma US IncMyrbetriq | $162 | $75,028130 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 90th percentile of 697 nurse practitioner providers in Arkansas.
Other nurse practitioner in Little Rock
- Iris KennedyLittle Rock$22K
- Julia PonderLittle Rock$21K
- Olivia CoxLittle Rock$14K
- Sarah AtkinsLittle Rock$12K
- Lauren ByersLittle Rock$8K
- Suzanne BroadwayLittle Rock$6K
- Kristie CronkhiteLittle Rock$5K
- Mary GuellLittle Rock$5K
- Danielle LeeperLittle Rock$4K
- Leigh JohnsonLittle Rock$4K
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.