Rebecca Sapp, APRN
Family · Vanceburg, KYNPI 1255814752
Payments from drug & device makers
Across 328 payments — averaging $15.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$994
- Novo Nordisk$790
- Lilly USA, LLC$651
- AstraZeneca$392
- Otsuka America Pharmaceutical, Inc.$374
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$279
- plus $2K from 21 others
What the payments were for
- Food & beverage$5,14199%
- Education$381%
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 |
|---|---|---|
| AbbVie | 68 | $994 |
| Novo Nordisk | 60 | $790 |
| Lilly USA, LLC | 39 | $651 |
| AstraZeneca | 16 | $392 |
| Otsuka America Pharmaceutical, Inc. | 23 | $374 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 20 | $279 |
| Lundbeck LLC | 13 | $246 |
| Axsome Therapeutics, Inc. | 9 | $194 |
| Boehringer Ingelheim | 9 | $169 |
| Novartis | 14 | $168 |
| Astellas Pharma US Inc | 9 | $158 |
| Bayer | 9 | $151 |
| Sumitomo Pharma America, Inc. | 8 | $121 |
| Pfizer | 5 | $82 |
| Abbott | 5 | $79 |
| Phathom Pharmaceuticals, Inc. | 4 | $68 |
| Merck | 4 | $57 |
| Exact Sciences | 3 | $47 |
| Biohaven Pharmaceuticals, Inc. | 2 | $32 |
| Dexcom, Inc. | 1 | $21 |
| Evoke Pharma, Inc. | 1 | $21 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $20 |
| Sanofi Pasteur Inc. | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
| Genentech USA, Inc. | 1 | $11 |
How this compares
$5,179 in reported general payments places this provider in the 90th percentile of 4,374 family 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 | 40 | $47,104 |
| JardianceEmpagliflozin | 41 | $31,990 |
| OzempicSemaglutide | 11 | $19,451 |
| FarxigaDapagliflozin Propanediol | 18 | $18,195 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 29 | $18,150 |
| JanuviaSitagliptin Phosphate | 12 | $10,139 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 11 | $6,767 |
| NexiumEsomeprazole Magnesium | 11 | $2,678 |
| SynthroidLevothyroxine Sodium | 23 | $1,048 |
| Potassium Chloride | 58 | $1,026 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 49 | $784 |
| Pantoprazole Sodium | 89 | $679 |
| Levothyroxine Sodium | 91 | $663 |
| Cefdinir | 40 | $650 |
| Gabapentin | 107 | $619 |
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 | $651 | $47,10440 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Nexium | $392 | $39,02458 claims |
| Boehringer IngelheimJardiance | $169 | $31,99041 claims |
| Novo NordiskOzempic | $790 | $19,45111 claims |
| MerckJanuvia | $57 | $10,13912 claims |
| AbbVieSynthroid | $994 | $1,04823 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 90th percentile of 4,374 family providers in Kentucky.
Other family in Vanceburg
- Bonnie HillLouisa$372K
- Ashley SnellenElizabethtown$190K
- Smita RanjanLouisville$92K
- Elizabeth SaltLexington$89K
- Tracey GaslinLouisville$79K
- Kassandra GreenLouisville$69K
- Danielle RevertLouisville$65K
- Lora BrownMonticellow$61K
- Shelley WaldmanLouisville$59K
- Vicki ChapmanMount Vernon$57K
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.