Sarah Peak, APRN
Nurse Practitioner · Casper, WYNPI 1457054280
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 26 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Novo Nordisk at 26.8% of the total. 2025 is the largest year on record at $315, 9.9 times the $32 reported in 2023.
Across 26 payments — averaging $19.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$136
- AstraZeneca$82
- GSK$64
- Lundbeck LLC$61
- Lilly USA, LLC$45
- Novartis$39
- plus $81 from 3 others
What the payments were for
- Food & beverage$507100%
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 | 7 | $136 |
| AstraZeneca | 4 | $82 |
| GSK | 3 | $64 |
| Lundbeck LLC | 3 | $61 |
| Lilly USA, LLC | 3 | $45 |
| Novartis | 2 | $39 |
| AbbVie | 2 | $37 |
| Otsuka America Pharmaceutical, Inc. | 1 | $28 |
| Grifols USA, LLC | 1 | $15 |
How this compares
$507 in reported general payments places this provider in the 85th percentile of 150 nurse practitioner providers in Wyoming.
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 | 37 | $34,707 |
| MounjaroTirzepatide | 25 | $25,216 |
| Breo ElliptaFluticasone/Vilanterol | 25 | $12,119 |
| FarxigaDapagliflozin Propanediol | 12 | $8,320 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 11 | $7,362 |
| EliquisApixaban | 11 | $6,269 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 79 | $2,225 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 13 | $1,725 |
| SynthroidLevothyroxine Sodium | 18 | $1,288 |
| Pantoprazole Sodium | 60 | $961 |
| Levothyroxine Sodium | 76 | $868 |
| Azithromycin | 44 | $708 |
| Duloxetine Hcl | 29 | $701 |
| Estradiol | 12 | $698 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 31 | $675 |
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 | $136 | $34,70737 claims |
| Lilly USA, LLCMounjaro | $45 | $25,21625 claims |
| GSKBreo Ellipta, Trelegy Ellipta | $64 | $19,48036 claims |
| AstraZenecaFarxiga | $82 | $8,32012 claims |
| AbbVieSynthroid | $37 | $1,28818 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 85th percentile of 150 nurse practitioner providers in Wyoming.
Other nurse practitioner in Casper
- Kristin BrittCasper$5K
- Kerry FischerCasper$4K
- Molly RodrickCasper$3K
- Janine GloverCasper$3K
- Amy GruwellCasper$3K
- Jamie KidderCasper$3K
- Aaron RutzCasper$2K
- Brandon BennionCasper$2K
- Stephanie DavisCasper$730
- Julie NovickCasper$481
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.