Nicholas Maxwell, PA
Physician Assistant · Kansas City, MONPI 1194211144
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.8% of the total across 544 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 27 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,637, 3.2 times the $834 reported in 2021. Among physician assistant clinicians in MO 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 544 payments — averaging $17.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Johnson & Johnson$1K
- Lilly USA, LLC$1K
- Novartis$792
- UCB, Inc.$737
- E.r. Squibb & Sons, L.L.C.$673
- plus $3K from 21 others
What the payments were for
- Food & beverage$9,25297%
- Education$3023%
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 | 120 | $1,888 |
| Johnson & Johnson(2 entities) | 73 | $1,488 |
| Lilly USA, LLC | 80 | $1,121 |
| Novartis | 37 | $792 |
| UCB, Inc. | 36 | $737 |
| E.r. Squibb & Sons, L.L.C. | 38 | $673 |
| Pfizer | 29 | $487 |
| Sun Pharmaceutical Industries Inc. | 24 | $442 |
| Dermavant Sciences, Inc. | 35 | $370 |
| Regeneron Healthcare Solutions, Inc. | 16 | $359 |
| Arcutis Biotherapeutics, Inc. | 13 | $302 |
| Amgen | 11 | $224 |
| Sanofi | 7 | $158 |
| Janssen Scientific Affairs, LLC | 1 | $101 |
| Incyte Corporation | 4 | $86 |
| LEO Pharma Inc. | 4 | $75 |
| Almirall LLC | 2 | $52 |
| Galderma Laboratories, L.p. | 3 | $44 |
| Biofrontera Inc. | 2 | $25 |
| Optinose US, Inc. | 1 | $25 |
| Kyowa Kirin, Inc. | 1 | $24 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Nabriva Therapeutics, PLC | 1 | $14 |
| Genentech USA, Inc. | 1 | $14 |
| Acclarent, Inc | 1 | $14 |
| Intersect ENT, Inc. | 1 | $12 |
| Organon | 2 | $11 |
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
$9,554 in reported general payments places this provider in the 95th percentile of 1,380 physician assistant 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 |
|---|---|---|
| Dupixent PenDupilumab | 157 | $633,645 |
| Skyrizi PenRisankizumab-Rzaa | 22 | $445,978 |
| Betamethasone Dipropionate | 161 | $8,187 |
| Clobetasol Propionate | 187 | $7,720 |
| Fluorouracil | 108 | $6,393 |
| Ketoconazole | 323 | $4,324 |
| Tretinoin | 39 | $2,665 |
| Doxycycline Hyclate | 148 | $2,515 |
| Tacrolimus | 24 | $1,540 |
| Triamcinolone Acetonide | 79 | $1,298 |
| Calcipotriene | 12 | $834 |
| Metronidazole | 20 | $797 |
| Clindamycin Phosphate | 23 | $706 |
| Imiquimod | 32 | $625 |
| Mupirocin | 55 | $498 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Kansas City
- Jennifer DavissonKansas City$343K
- Sileen DowisKansas City$117K
- Krishna SchmidtKansas City$18K
- Austin ShandleyKansas City$11K
- Megan HottelKansas City$8K
- Andrew BergLees Summit$245K
- Daniel BeckSikeston$114K
- Amee RozancO Fallon$101K
- Autumn WillsCape Girardeau$37K
- Kimberly BrownSaint Louis$28K
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.