Rose Joyner
Nurse Practitioner · Midlothian, VANPI 1508239526
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 85 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 27 manufacturers, the largest accounting for just 15.4% — the pattern of someone who eats at a lot of different presentations. Among nurse practitioner clinicians in VA 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 85 payments — averaging $52.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$680
- Neurocrine Biosciences, Inc.$625
- AbbVie$395
- Lilly USA, LLC$298
- SK Life Science, Inc.$238
- E.r. Squibb & Sons, L.L.C.$194
- plus $2K from 21 others
What the payments were for
- Food & beverage$4,421100%
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 |
|---|---|---|
| Novo Nordisk | 18 | $680 |
| Neurocrine Biosciences, Inc. | 8 | $625 |
| AbbVie | 10 | $395 |
| Lilly USA, LLC | 6 | $298 |
| SK Life Science, Inc. | 2 | $238 |
| E.r. Squibb & Sons, L.L.C. | 2 | $194 |
| Otsuka America Pharmaceutical, Inc. | 4 | $171 |
| Biogen | 2 | $161 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $154 |
| AstraZeneca | 2 | $151 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $134 |
| Biohaven Pharmaceuticals, Inc. | 1 | $123 |
| Supernus Pharmaceuticals, Inc. | 2 | $122 |
| Axsome Therapeutics, Inc. | 1 | $121 |
| Boston Scientific | 1 | $120 |
| Antares Pharma, Inc. | 1 | $115 |
| Paratek Pharmaceuticals, Inc. | 1 | $109 |
| Lundbeck LLC | 3 | $105 |
| Halozyme Inc | 1 | $103 |
| Johnson & Johnson | 1 | $88 |
| Currax Pharmaceuticals LLC | 5 | $71 |
| Collegium Pharmaceutical, Inc. | 2 | $41 |
| Teva Pharmaceuticals USA, Inc. | 2 | $34 |
| Vanda Pharmaceuticals Inc. | 1 | $24 |
| Neos Therapeutics, LP | 1 | $17 |
| Bausch Health US, LLC | 1 | $15 |
| TMS Neurohealth Centers Inc. | 2 | $13 |
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
$4,421 in reported general payments places this provider in the 95th percentile of 2,166 nurse practitioner providers in Virginia.
Other nurse practitioner in Midlothian
- Julie JulianMidlothian$14K
- Kelly McAuliffeMidlothian$9K
- Samantha FoxGate City$207K
- Mikel GrayCharlottesville$174K
- Kevin BrigleRichmond$166K
- Denese GomesRichmond$126K
- Ashley CarmenAlexandria$99K
- Rachel AndersonCharlottesville$90K
- Megan FrancisArlington$81K
- Elizabeth WilletteNorfolk$58K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.