Ruby Leach, APRN
Nurse Practitioner · Lexington, KYNPI 1376637942
Payments from drug & device makers
Across 261 payments — averaging $19.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$762
- AstraZeneca$678
- Amgen$503
- AbbVie$462
- Novo Nordisk$358
- Merck$312
- plus $2K from 26 others
What the payments were for
- Food & beverage$5,001100%
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 |
|---|---|---|
| Lilly USA, LLC | 46 | $762 |
| AstraZeneca | 25 | $678 |
| Amgen | 25 | $503 |
| AbbVie | 30 | $462 |
| Novo Nordisk | 18 | $358 |
| Merck | 13 | $312 |
| Xeris Pharmaceuticals, Inc. | 14 | $293 |
| Idorsia Pharmaceuticals US Inc | 7 | $188 |
| Boehringer Ingelheim | 10 | $159 |
| Novartis | 9 | $144 |
| Bayer | 8 | $122 |
| Sanofi-aventis U.S. LLC | 5 | $115 |
| GSK | 7 | $114 |
| Exact Sciences | 6 | $91 |
| Phathom Pharmaceuticals, Inc. | 5 | $82 |
| Pfizer | 5 | $75 |
| Vanda Pharmaceuticals Inc. | 3 | $73 |
| Gilead | 3 | $55 |
| Axsome Therapeutics, Inc. | 2 | $51 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $47 |
| Antares Pharma, Inc. | 2 | $43 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $41 |
| Dexcom, Inc. | 2 | $39 |
| Dynavax Technologies Corporation | 2 | $38 |
| Insulet Corporation | 2 | $35 |
| Teva Pharmaceuticals USA, Inc. | 1 | $27 |
| Tris Pharma Inc | 1 | $20 |
| Azurity Pharmaceuticals, Inc. | 1 | $16 |
| Ultragenyx Pharmaceutical Inc. | 1 | $15 |
| Corium, LLC | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Eisai Inc. | 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.
- Repatha$121
- QUVIVIQ$121
- BREZTRI$113
- VAXNEUVANCE$104
How this compares
$5,001 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| OzempicSemaglutide | 44 | $48,668 |
| JanuviaSitagliptin Phosphate | 34 | $29,964 |
| EliquisApixaban | 23 | $27,353 |
| XareltoRivaroxaban | 28 | $21,767 |
| JardianceEmpagliflozin | 18 | $13,005 |
| MounjaroTirzepatide | 13 | $12,752 |
| LinzessLinaclotide | 14 | $8,512 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $7,759 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 15 | $2,573 |
| Levothyroxine Sodium | 193 | $2,187 |
| Dexlansoprazole DrDexlansoprazole | 12 | $1,908 |
| Atorvastatin Calcium | 240 | $1,882 |
| Potassium Chloride | 67 | $1,583 |
| Pantoprazole Sodium | 93 | $1,467 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 12 | $1,379 |
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 |
|---|---|---|
| Novo NordiskOzempic | $358 | $48,66844 claims |
| MerckJanuvia | $312 | $29,96434 claims |
| PfizerEliquis | $75 | $27,35323 claims |
| Boehringer IngelheimJardiance | $159 | $13,00518 claims |
| Lilly USA, LLCMounjaro | $762 | $12,75213 claims |
| AbbVieLinzess, Synthroid | $462 | $9,43155 claims |
| GSKTrelegy Ellipta | $114 | $7,75912 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 1,918 nurse practitioner providers in Kentucky.
Other nurse practitioner in Lexington
- Rachael BradfordLexington$447K
- Juawanna SchullerLexington$26K
- Jessica SchorckLexington$26K
- Amelia HendricksonLexington$22K
- Megan CollettLexington$13K
- Amy NydamLexington$11K
- Tara MuddLouisville$243K
- Lee HaasLouisville$95K
- Ashley KnableLouisville$86K
- Christina BenningerLouisville$81K
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.