RxDoctor Payments Data

Pamela Gadbaw

Nurse Practitioner · Middletown, RINPI 1730744483

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $2,960 of the $3,351 with a category attached, or 88.3%. It is spread thinly across 19 manufacturers, the largest accounting for just 23.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,152, 3.1 times the $369 reported in 2021. Among nurse practitioner clinicians in RI 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.

$3,351in general payments, 2019–2025

Across 128 payments — averaging $26.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$790
  • AbbVie$497
  • Amgen$465
  • Galderma Laboratories, L.p.$346
  • LEO Pharma Inc.$239
  • Arcutis Biotherapeutics, Inc.$232
  • plus $782 from 13 others

What the payments were for

  • Food & beverage$2,96088%
  • Education$39112%

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

21
22
23
24
25

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.

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

$3,351 in reported general payments places this provider in the 95th percentile of 396 nurse practitioner providers in Rhode Island.

See all nurse practitioner providers in Rhode Island

Medicare billing

Part B allowed, 2024
$44,777
Medicare patients
186
Services billed
871

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

DrugClaimsCost to plans & patients
Fluocinonide59$2,336
Ketoconazole69$1,205
Metronidazole13$787
Triamcinolone Acetonide63$693
Ammonium Lactate13$317
Doxycycline Hyclate18$241
Hydrocortisone19$65

Paid to pharmacies, not to this prescriber.

Other nurse practitioner in Middletown

See the full list for Rhode Island

Where these figures come from

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