Ryann Lavenia
Nurse Anesthetist, Certified Registered · Fort Myers, FLNPI 1306810288
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $55,542 of the $71,070 with a category attached, or 78.2%. AbbVie accounts for 95.6% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2023 at $28,831 and has fallen 51.9% since, to $13,870 in 2025. Among nurse anesthetist, certified registered clinicians in FL 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 241 payments — averaging $294.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$68K
- Merz North America, Inc.$2K
- Revance Therapeutics, Inc.$1K
- Galderma Laboratories, L.p.$317
What the payments were for
- Consulting fees$3,0004%
- Speaking & faculty fees$55,54278%
- Travel & lodging$5,6418%
- Food & beverage$6,86910%
- Education$170%
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(2 entities) | 175 | $67,974 |
| Merz North America, Inc. | 35 | $1,658 |
| Revance Therapeutics, Inc. | 18 | $1,120 |
| Galderma Laboratories, L.p. | 13 | $317 |
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
$71,070 in reported general payments places this provider in the 95th percentile of 4,234 nurse anesthetist, certified registered providers in Florida.
See all nurse anesthetist, certified registered providers in Florida →
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ValacyclovirValacyclovir Hcl | 21 | $381 |
Paid to pharmacies, not to this prescriber.
Other nurse anesthetist, certified registered in Fort Myers
- Carol WirthFort Myers$2K
- Krista RogersFort Myers$2K
- Holly LenzFort Myers$2K
- Vicky JohnsonSarasota$382K
- Jonathan KlineWesley Chapel$218K
- Erik RauchSt Petersburg$83K
- John YoungTampa$56K
- Michelle AlleMiami$54K
- Nicholas AngelisPensacola$28K
- Laura GallagherFort Lauderdale$25K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.