Nicole Miroballi, NP
Women's Health · Homewood, ILNPI 1013453281
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.0% of the total across 354 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 40 manufacturers, the largest accounting for just 13.9% — the pattern of someone who eats at a lot of different presentations. Among women's health clinicians in IL 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 354 payments — averaging $25.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sumitomo Pharma America, Inc.$1K
- Axonics, Inc.$815
- Endo Pharmaceuticals Inc.$695
- Boston Scientific$646
- Teleflex LLC$551
- Astellas Pharma US Inc$524
- plus $4K from 34 others
What the payments were for
- Food & beverage$8,61697%
- Education$2653%
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. | 87 | $1,233 |
| Axonics, Inc. | 22 | $815 |
| Endo Pharmaceuticals Inc. | 16 | $695 |
| Boston Scientific | 17 | $646 |
| Teleflex LLC | 14 | $551 |
| Astellas Pharma US Inc | 17 | $524 |
| Coloplast | 26 | $501 |
| Antares Pharma, Inc. | 22 | $497 |
| Endo USA, Inc. | 16 | $398 |
| AbbVie | 15 | $378 |
| Progenics Pharmaceuticals, Inc. | 12 | $323 |
| Tolmar, Inc. | 13 | $317 |
| Myriad Genetic Laboratories, Inc. | 4 | $264 |
| Johnson & Johnson | 7 | $262 |
| Procept Biorobotics Corporation | 3 | $205 |
| Urovant Sciences Inc | 15 | $178 |
| Olympus America Inc. | 5 | $148 |
| Dendreon Pharmaceuticals LLC | 5 | $140 |
| Accord Healthcare, Inc. | 6 | $121 |
| 180 Medical, Inc. | 3 | $87 |
| Urogen Pharma, Inc. | 3 | $80 |
| Merck | 3 | $73 |
| Halozyme Inc | 3 | $61 |
| Blue Earth Diagnostics | 2 | $35 |
| Novartis | 2 | $30 |
| Tempus AI, Inc | 1 | $30 |
| Convatec Inc. | 1 | $28 |
| Mission Pharmacal Company | 2 | $27 |
| Mimedx Group, Inc. | 1 | $25 |
| Sanofi | 1 | $24 |
| Davol Inc. | 1 | $24 |
| Tolmar Pharmaceuticals, Inc. | 1 | $21 |
| Azurity Pharmaceuticals, Inc. | 1 | $21 |
| Vertex | 1 | $21 |
| Bluewind Medical | 1 | $20 |
| AstraZeneca | 1 | $19 |
| Verity Pharmaceuticals Inc. | 1 | $19 |
| Pfizer | 1 | $16 |
| Rochester Medical Corporation | 1 | $15 |
| C. R. Bard, Inc. & Subsidiaries | 1 | $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
$8,881 in reported general payments places this provider in the 95th percentile of 182 women's health providers in Illinois.
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 |
|---|---|---|
| MyrbetriqMirabegron | 53 | $44,823 |
| XyostedTestosterone Enanthate | 58 | $36,902 |
| GemtesaVibegron | 33 | $36,245 |
| Testosterone | 61 | $5,988 |
| Testosterone Cypionate | 157 | $4,043 |
| Tamsulosin Hcl | 196 | $2,637 |
| Finasteride | 118 | $1,528 |
| Estradiol | 17 | $979 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 61 | $816 |
| Oxybutynin Chloride ErOxybutynin Chloride | 27 | $635 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 17 | $513 |
| Anastrozole | 68 | $187 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 53 | $178 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 15 | $174 |
| Doxycycline Monohydrate | 12 | $164 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $524 | $44,82353 claims |
| Antares Pharma, Inc.Xyosted | $497 | $36,90258 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $1,233 | $36,24533 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 182 women's health providers in Illinois.
Other women's health in Homewood
- Debra GromleyDecatur$17K
- Carie EvansJerseyville$12K
- Miriam SciacchitanoChicago$10K
- Ashley WittlerShiloh$9K
- Patricia MurphyChicago$7K
- Summer HinthorneNormal$7K
- Jennifer NievesChicago$4K
- Melissa KuenstlerNewton$4K
- Sonia ReevesPekin$3K
- Lindsey FritzPeoria$3K
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.