Rebecca Johnson, CNM
Advanced Practice Midwife · Paducah, KYNPI 1285957308
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.4% of the total across 60 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 22 manufacturers, the largest accounting for just 20.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $519 and has fallen 74.8% since, to $131 in 2025.
Across 60 payments — averaging $20.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$255
- AbbVie$249
- Mayne Pharma Commercial LLC$139
- Novo Nordisk$80
- Daiichi Sankyo Inc.$69
- Pfizer$52
- plus $393 from 16 others
What the payments were for
- Food & beverage$1,14392%
- Education$948%
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 |
|---|---|---|
| Astellas Pharma US Inc | 5 | $255 |
| AbbVie | 14 | $249 |
| Mayne Pharma Commercial LLC | 7 | $139 |
| Novo Nordisk | 5 | $80 |
| Daiichi Sankyo Inc. | 3 | $69 |
| Pfizer | 4 | $52 |
| Organon | 2 | $48 |
| Axonics, Inc. | 2 | $35 |
| Exeltis, USA Inc. | 2 | $34 |
| Sage Therapeutics, LLC | 2 | $32 |
| Merck | 2 | $29 |
| Therapeuticsmd, Inc. | 2 | $29 |
| Sumitomo Pharma America, Inc. | 1 | $26 |
| Pharmacosmos Therapeutics Inc. | 1 | $21 |
| Scynexis, Inc. | 1 | $21 |
| Dexcom, Inc. | 1 | $21 |
| Agile Therapeutics, Inc. | 1 | $20 |
| Bayer | 1 | $18 |
| Myovant Sciences Inc. | 1 | $17 |
| Amgen | 1 | $16 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $15 |
| Avion Pharmaceuticals | 1 | $12 |
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.
- Veozah$107
How this compares
$1,237 in reported general payments places this provider in the 75th percentile of 96 advanced practice midwife 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 |
|---|---|---|
| Amitriptyline Hcl | 12 | $354 |
| Fluconazole | 16 | $303 |
| Estradiol | 15 | $211 |
| Buspirone Hcl | 12 | $108 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 13 | $83 |
| Oxybutynin Chloride ErOxybutynin Chloride | 13 | $37 |
| Citalopram HbrCitalopram Hydrobromide | 12 | $33 |
| Metformin Hcl | 12 | $26 |
| Amlodipine Besylate | 12 | $22 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Paducah
- Sherri LynnPaducah$2K
- Maria SprungerPaducah$1K
- Monica InglishPaducah$731
- Cassandra FieldsLexington$4K
- Victoria BurslemNicholasville$4K
- Dolores PolitoLexington$4K
- Hannah LloydLexington$3K
- Iniko SalleeLexington$3K
- Donna BarisichVersailles$2K
- Sara FergusonFlorence$2K
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.