Natalie Miller, MD
Allergy & Immunology · Louisville, KYNPI 1235395781
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 71 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 22 manufacturers, the largest accounting for just 18.0% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for allergy & immunology clinicians in KY, where the typical reported total is $7,092.
Across 71 payments — averaging $22.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$288
- Sanofi$240
- Genentech USA, Inc.$158
- GSK$146
- CSL Behring$132
- Covis Pharma GmbH$84
- plus $555 from 16 others
What the payments were for
- Food & beverage$1,603100%
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 |
|---|---|---|
| AstraZeneca | 17 | $288 |
| Sanofi | 3 | $240 |
| Genentech USA, Inc. | 3 | $158 |
| GSK | 9 | $146 |
| CSL Behring | 7 | $132 |
| Covis Pharma GmbH | 3 | $84 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $79 |
| Pfizer | 3 | $60 |
| Novartis | 2 | $56 |
| Biocryst US Sales Co., LLC | 2 | $55 |
| Pharming Healthcare, Inc. | 3 | $49 |
| Kaleo, Inc. | 3 | $47 |
| Boehringer Ingelheim | 3 | $38 |
| Shire North American Group Inc | 2 | $34 |
| Sanofi-aventis U.S. LLC | 1 | $22 |
| Incyte Corporation | 1 | $19 |
| Alk-abello, Inc | 1 | $19 |
| AbbVie | 1 | $18 |
| Merck | 1 | $17 |
| Regeneron Healthcare Solutions, Inc. | 1 | $16 |
| Amgen | 1 | $13 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
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
$1,603 in reported general payments places this provider in the 20th percentile of 66 allergy & immunology providers in Kentucky.
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 |
|---|---|---|
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 39 | $247,272 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 22 | $17,671 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 17 | $9,824 |
| Spiriva RespimatTiotropium Bromide | 15 | $8,511 |
| Advair HfaFluticasone Propion/Salmeterol | 22 | $8,473 |
| Epinephrine | 32 | $8,088 |
| DuleraMometasone/Formoterol | 24 | $7,593 |
| SymbicortBudesonide/Formoterol Fumarate | 22 | $7,227 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 82 | $1,917 |
| Azelastine Hcl | 53 | $1,319 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 18 | $1,267 |
| Ipratropium Bromide | 42 | $984 |
| Montelukast Sodium | 117 | $695 |
| Levocetirizine Dihydrochloride | 52 | $664 |
| Fluticasone Propionate | 60 | $553 |
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 |
|---|---|---|
| CSL BehringHizentra | $132 | $247,27239 claims |
| GSKTrelegy Ellipta | $146 | $17,67122 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $288 | $17,05139 claims |
| Boehringer IngelheimSpiriva Respimat | $38 | $8,51115 claims |
| MerckDulera | $17 | $7,59324 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 20th percentile of 66 allergy & immunology providers in Kentucky.
Other allergy & immunology in Louisville
- James SublettLouisville$588K
- Stephen PollardLouisville$301K
- Douglas LotzLouisville$199K
- James SublettLouisville$194K
- Timothy FranxmanLouisville$162K
- Jeremy JonesLouisville$149K
- Mark CorbettLouisville$138K
- Kali GeraceLouisville$29K
- David PallaresLouisville$22K
- Joseph TurbyvilleLouisville$13K
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.