Paul Holt
Nurse Practitioner · Paducah, KYNPI 1316020563
Payments from drug & device makers
Across 75 payments — averaging $17.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$172
- AbbVie$161
- Pfizer$140
- Novo Nordisk$115
- Biogen$113
- Lilly USA, LLC$99
- plus $484 from 14 others
What the payments were for
- Food & beverage$1,26899%
- Education$141%
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 |
|---|---|---|
| Boehringer Ingelheim | 12 | $172 |
| AbbVie | 8 | $161 |
| Pfizer | 9 | $140 |
| Novo Nordisk | 6 | $115 |
| Biogen | 4 | $113 |
| Lilly USA, LLC | 6 | $99 |
| Amgen | 6 | $86 |
| AstraZeneca | 4 | $64 |
| Exact Sciences | 3 | $60 |
| Bayer | 3 | $43 |
| Eisai Inc. | 2 | $36 |
| Sumitomo Pharma America, Inc. | 2 | $34 |
| Phathom Pharmaceuticals, Inc. | 2 | $30 |
| Medtronic | 1 | $27 |
| Sanofi-aventis U.S. LLC | 2 | $27 |
| Dexcom, Inc. | 1 | $20 |
| Avanir Pharmaceuticals, Inc. | 1 | $17 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $15 |
| Amarin Pharma, Inc. | 1 | $13 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $12 |
How this compares
$1,282 in reported general payments places this provider in the 70th percentile of 1,918 nurse practitioner 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 |
|---|---|---|
| MounjaroTirzepatide | 49 | $67,066 |
| OzempicSemaglutide | 49 | $49,131 |
| CreonLipase/Protease/Amylase | 11 | $28,360 |
| EliquisApixaban | 26 | $17,327 |
| XareltoRivaroxaban | 18 | $14,244 |
| FarxigaDapagliflozin Propanediol | 12 | $10,056 |
| Tresiba Flextouch U-200Insulin Degludec | 15 | $9,001 |
| LinzessLinaclotide | 13 | $8,135 |
| JardianceEmpagliflozin | 14 | $7,885 |
| Spiriva RespimatTiotropium Bromide | 11 | $5,693 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $4,903 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 14 | $3,297 |
| Celecoxib | 33 | $2,709 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 168 | $2,249 |
| Esomeprazole Magnesium | 58 | $2,159 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $99 | $67,06649 claims |
| Novo NordiskOzempic | $115 | $49,13149 claims |
| AbbVieCreon, Linzess, Synthroid | $161 | $37,48738 claims |
| PfizerEliquis | $140 | $17,32726 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $172 | $13,57825 claims |
| AstraZenecaFarxiga | $64 | $10,05612 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 70th percentile of 1,918 nurse practitioner providers in Kentucky.
Other nurse practitioner in Paducah
- Michele Carbonell-SmithPaducah$13K
- Leon KehrerPaducah$11K
- Aaron GarrettPaducah$10K
- Kaci MedleyPaducah$10K
- Rachael BradfordLexington$447K
- Tara MuddLouisville$243K
- Lee HaasLouisville$95K
- Ashley KnableLouisville$86K
- Christina BenningerLouisville$81K
- Courtney BowlingCampbellsville$47K
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.