Thomas McAfee, CRNA
Nurse Anesthetist, Certified Registered · Jacksonville, FLNPI 1366479966
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 32 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Astellas Pharma US Inc at 31.2% of the total. Among nurse anesthetist, certified registered clinicians in FL 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 32 payments — averaging $20.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$204
- Johnson & Johnson$77
- Lilly USA, LLC$74
- Bayer$71
- Eisai Inc.$54
- AstraZeneca$43
- plus $131 from 6 others
What the payments were for
- Food & beverage$655100%
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 |
|---|---|---|
| Astellas Pharma US Inc | 9 | $204 |
| Johnson & Johnson | 4 | $77 |
| Lilly USA, LLC | 3 | $74 |
| Bayer | 4 | $71 |
| Eisai Inc. | 3 | $54 |
| AstraZeneca | 2 | $43 |
| Pfizer | 2 | $33 |
| Merck | 1 | $27 |
| EMD Serono, Inc. | 1 | $19 |
| Stemline Therapeutics Inc. | 1 | $18 |
| Genmab U.S., Inc. | 1 | $18 |
| Daiichi Sankyo Inc. | 1 | $17 |
How this compares
$655 in reported general payments places this provider in the 90th percentile of 4,234 nurse anesthetist, certified registered providers in Florida.
See all nurse anesthetist, certified registered providers in Florida →
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.
Other nurse anesthetist, certified registered in Jacksonville
- John McDonoughJacksonville$18K
- Clarissa ManchenoJacksonville$3K
- Megan PowellJacksonville$3K
- Rebecca KlingbeilJacksonville$2K
- Aubrey CroweJacksonville$2K
- Jaclynn TornabeneJacksonville$2K
- Huibin MengJacksonville$2K
- Vicky JohnsonSarasota$382K
- Jonathan KlineWesley Chapel$218K
- Erik RauchSt Petersburg$83K
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.