Tiana Miller-Breland, CNM
Advanced Practice Midwife · Catonsville, MDNPI 1376936872
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 39 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Astellas Pharma US Inc at 39.0% of the total. 2025 is the largest year on record at $660, more than ten times the $20 reported in 2022. Among advanced practice midwife clinicians in MD 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 39 payments — averaging $26.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$400
- Sage Therapeutics, LLC$314
- Biogen$125
- Supernus Pharmaceuticals, Inc.$81
- Mayne Pharma Commercial LLC$58
- Organon$27
- plus $20 from 1 others
What the payments were for
- Food & beverage$1,025100%
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 | 11 | $400 |
| Sage Therapeutics, LLC | 17 | $314 |
| Biogen | 1 | $125 |
| Supernus Pharmaceuticals, Inc. | 4 | $81 |
| Mayne Pharma Commercial LLC | 4 | $58 |
| Organon | 1 | $27 |
| Mylan Pharmaceuticals Inc. | 1 | $20 |
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
$1,025 in reported general payments places this provider in the 90th percentile of 164 advanced practice midwife providers in Maryland.
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 |
|---|---|---|
| Norgestimate-Ethinyl Estradiol | 14 | $308 |
Paid to pharmacies, not to this prescriber.
Other advanced practice midwife in Catonsville
- Jenna BenyounesChevy Chase$36K
- Cathy BerkovitzEaston$6K
- Carolyn GegorColumbia$6K
- Fitima SmithSilver Spring$3K
- Nadine FlahartyRockville$2K
- Sarah MorelliSilver Spring$1K
- Danielle KlapkaTowson$1K
- Cynthia WhedbeeWestminster$1K
- Kelli HarklessGlen Burnie$1K
- Ashley SladeFrederick$1K
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.