Paige Goulette, NP
Nurse Practitioner · Owosso, MINPI 1164120556
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.7%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 32 manufacturers reported payments, led by Genentech USA, Inc. at 33.3% of the total. 2025 is the largest year on record at $10,582, more than ten times the $582 reported in 2022. Among nurse practitioner clinicians in MI 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 255 payments — averaging $73.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genentech USA, Inc.$6K
- TG Therapeutics, Inc.$4K
- Sanofi$3K
- Amgen$2K
- Novartis$1K
- EMD Serono, Inc.$830
- plus $2K from 26 others
Across 2 payments — averaging $2260.96 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- F. Hoffmann-la Roche AG$5K
What the payments were for
- Consulting fees$8,34645%
- Speaking & faculty fees$2,37813%
- Travel & lodging$1,82710%
- Food & beverage$6,04332%
- Education$650%
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 |
|---|---|---|
| Genentech USA, Inc. | 14 | $6,214 |
| TG Therapeutics, Inc. | 21 | $3,520 |
| Sanofi | 29 | $2,896 |
| Amgen(2 entities) | 7 | $1,752 |
| Novartis | 22 | $1,443 |
| EMD Serono, Inc. | 62 | $830 |
| Biogen | 21 | $646 |
| AbbVie | 28 | $304 |
| Bristol Myers Squibb | 8 | $146 |
| Genentech, Inc. | 2 | $137 |
| Pfizer | 5 | $90 |
| Lilly USA, LLC | 5 | $89 |
| UCB, Inc. | 3 | $63 |
| Lundbeck LLC | 3 | $61 |
| Averitas Pharma Inc. | 3 | $51 |
| Tanabe Pharma America, Inc. | 2 | $45 |
| Eisai Inc. | 2 | $42 |
| Jazz Pharmaceuticals Inc. | 2 | $40 |
| Corium, LLC | 3 | $37 |
| SK Life Science, Inc. | 1 | $33 |
| Merz Pharmaceuticals, LLC | 1 | $26 |
| Catalyst Pharmaceuticals, Inc. | 1 | $25 |
| Kyowa Kirin, Inc. | 1 | $25 |
| Xeris Pharmaceuticals, Inc. | 1 | $18 |
| AstraZeneca | 1 | $18 |
| Acorda Therapeutics, Inc | 1 | $17 |
| Otsuka America Pharmaceutical, Inc. | 1 | $17 |
| Teva Pharmaceuticals USA, Inc. | 1 | $16 |
| Neurocrine Biosciences, Inc. | 1 | $16 |
| Aucta Pharmaceuticals, Inc. | 1 | $15 |
| OWP Pharmaceuticals, Inc. | 1 | $14 |
| Ipsen Biopharmaceuticals, Inc | 1 | $14 |
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
$18,658 in reported general payments places this provider in the 95th percentile of 3,351 nurse practitioner providers in Michigan.
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 |
|---|---|---|
| Kesimpta PenOfatumumab | 39 | $410,996 |
| Aimovig AutoinjectorErenumab-Aooe | 41 | $32,915 |
| Nurtec OdtRimegepant Sulfate | 26 | $31,106 |
| AptiomEslicarbazepine Acetate | 11 | $25,619 |
| Dalfampridine ErDalfampridine | 54 | $19,831 |
| Emgality PenGalcanezumab-Gnlm | 21 | $14,466 |
| MyrbetriqMirabegron | 20 | $12,305 |
| Ajovy AutoinjectorFremanezumab-Vfrm | 11 | $7,548 |
| Tolterodine Tartrate ErTolterodine Tartrate | 11 | $2,158 |
| Memantine Hcl | 58 | $2,134 |
| Pregabalin | 67 | $2,049 |
| Baclofen | 124 | $1,917 |
| Tizanidine Hcl | 38 | $1,904 |
| Gabapentin | 75 | $1,567 |
| Zonisamide | 28 | $1,407 |
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 |
|---|---|---|
| PfizerNurtec Odt | $90 | $31,10626 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 3,351 nurse practitioner providers in Michigan.
Other nurse practitioner in Owosso
- Davida KrugerDetroit$739K
- Kari HillSpring Lake$426K
- Kyle FarrPlymouth$243K
- Linda SpencerTroy$217K
- Ellen DillardDetroit$168K
- Golbon AghamohammadiDetroit$157K
- Abubakir BabanDearborn$143K
- Lisa Astalos ChismWoodhaven$103K
- Martha GoetzPetoskey$101K
- Debra DegraffGrand Rapids$80K
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.