RxDoctor Payments Data

Shelby Shelton, CNM

Advanced Practice Midwife · Lufkin, TXNPI 1407568165

Payments from drug & device makers

$524in general payments, 2019–2025

Across 17 payments — averaging $30.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Astellas Pharma US Inc$150
  • Boston Scientific$143
  • Cepheid$65
  • Biogen$42
  • Exeltis, USA Inc.$36
  • Sumitomo Pharma America, Inc.$29
  • plus $59 from 3 others

What the payments were for

  • Food & beverage$42581%
  • Education$9919%

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

23
24
25

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.

How this compares

$524 in reported general payments places this provider in the 75th percentile of 356 advanced practice midwife providers in Texas.

See all advanced practice midwife providers in Texas

Medicare billing

Part B allowed, 2024
$2,804
Medicare patients
27
Services billed
39

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.

Other advanced practice midwife in Lufkin

See the full list for Texas

Where these figures come from

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