Shannon Snyder
Adult Health · Fayetteville, NCNPI 1891196796
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.8% of the total across 274 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 19 manufacturers, the largest accounting for just 16.6% — the pattern of someone who eats at a lot of different presentations. Among adult health clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 274 payments — averaging $20.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$950
- Amgen$918
- Vifor Pharma, Inc.$719
- Bayer$538
- Otsuka America Pharmaceutical, Inc.$426
- Travere Therapeutics, Inc.$424
- plus $2K from 13 others
What the payments were for
- Food & beverage$5,38094%
- Education$3556%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 37 | $950 |
| Amgen(2 entities) | 50 | $918 |
| Vifor Pharma, Inc. | 34 | $719 |
| Bayer | 24 | $538 |
| Otsuka America Pharmaceutical, Inc. | 19 | $426 |
| Travere Therapeutics, Inc. | 25 | $424 |
| Akebia Therapeutics Inc | 10 | $285 |
| Ardelyx, Inc. | 11 | $281 |
| OPKO Pharmaceuticals, LLC | 16 | $256 |
| Fresenius USA Marketing, Inc. | 12 | $220 |
| Aurinia Pharma U.S., Inc. | 11 | $194 |
| Calliditas Therapeutics US Inc. | 6 | $142 |
| ANI Pharmaceuticals, Inc. | 6 | $134 |
| GSK | 4 | $78 |
| Lilly USA, LLC | 4 | $69 |
| Novo Nordisk | 2 | $42 |
| Boehringer Ingelheim | 1 | $25 |
| QOL Medical, LLC | 1 | $17 |
| Daiichi Sankyo Inc. | 1 | $16 |
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
$5,735 in reported general payments places this provider in the 90th percentile of 614 adult health providers in North Carolina.
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 |
|---|---|---|
| VelphoroSucroferric Oxyhydroxide | 29 | $96,039 |
| AuryxiaFerric Citrate | 21 | $43,938 |
| Sevelamer Carbonate | 191 | $37,276 |
| RayaldeeCalcifediol | 16 | $21,573 |
| VeltassaPatiromer Calcium Sorbitex | 19 | $16,007 |
| Cinacalcet Hcl | 61 | $11,068 |
| KerendiaFinerenone | 12 | $7,843 |
| Calcium Acetate | 68 | $6,325 |
| Calcitriol | 388 | $4,802 |
| Midodrine Hcl | 47 | $3,365 |
| Clonidine | 32 | $3,086 |
| Hydralazine Hcl | 130 | $1,619 |
| Allopurinol | 114 | $824 |
| Potassium Chloride | 142 | $824 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 22 | $751 |
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 |
|---|---|---|
| Fresenius USA Marketing, Inc.Velphoro | $220 | $96,03929 claims |
| Akebia Therapeutics IncAuryxia | $285 | $43,93821 claims |
| OPKO Pharmaceuticals, LLCRayaldee | $256 | $21,57316 claims |
| BayerKerendia | $538 | $7,84312 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 614 adult health providers in North Carolina.
Other adult health in Fayetteville
- Robert DodgeRaleigh$311K
- Kimberly CampDurham$147K
- Henry VanpalaRaleigh$110K
- Jolene SpencerWashington$83K
- Felicia RichardsonGreenville$64K
- Anna BooneReidsville$51K
- Chaely MedleyChapel Hill$47K
- Ann ShumDurham$35K
- Amy HopkinsGreenville$31K
- Stephanie YatesDurham$19K
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.