Treesa Silver, CNM
Advanced Practice Midwife · Cedar Rapids, IANPI 1134421837
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 243 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 31 manufacturers, the largest accounting for just 19.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,458, more than ten times the $58 reported in 2022. Among advanced practice midwife clinicians in IA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 243 payments — averaging $15.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$736
- AbbVie$495
- Amgen$351
- Novo Nordisk$308
- Lilly USA, LLC$283
- AstraZeneca$274
- plus $1K from 25 others
What the payments were for
- Food & beverage$3,872100%
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 |
|---|---|---|
| Pfizer | 48 | $736 |
| AbbVie | 29 | $495 |
| Amgen | 38 | $351 |
| Novo Nordisk | 17 | $308 |
| Lilly USA, LLC | 20 | $283 |
| AstraZeneca | 16 | $274 |
| Astellas Pharma US Inc | 7 | $165 |
| Boehringer Ingelheim | 7 | $121 |
| Johnson & Johnson | 5 | $119 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $107 |
| Phathom Pharmaceuticals, Inc. | 3 | $90 |
| Merck | 5 | $87 |
| Exact Sciences | 5 | $80 |
| GSK | 5 | $72 |
| Sanofi Pasteur Inc. | 3 | $70 |
| Otsuka America Pharmaceutical, Inc. | 3 | $59 |
| Lundbeck LLC | 2 | $53 |
| Coopersurgical, Inc. | 3 | $50 |
| Dexcom, Inc. | 2 | $43 |
| Axsome Therapeutics, Inc. | 2 | $41 |
| Sanofi-aventis U.S. LLC | 2 | $39 |
| Novartis | 2 | $33 |
| Vertex | 2 | $33 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $32 |
| Almatica Pharma LLC | 2 | $31 |
| Bayer | 1 | $21 |
| Supernus Pharmaceuticals, Inc. | 1 | $20 |
| Idorsia Pharmaceuticals US Inc | 1 | $16 |
| Modernatx, Inc. | 1 | $15 |
| Xeris Pharmaceuticals, Inc. | 1 | $15 |
| Dynavax Technologies Corporation | 1 | $14 |
How this compares
$3,872 in reported general payments places this provider in the 95th percentile of 73 advanced practice midwife providers in Iowa.
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 | 14 | $25,715 |
| MounjaroTirzepatide | 11 | $12,857 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 11 | $863 |
| Atorvastatin Calcium | 84 | $521 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $359 |
| Lisinopril | 45 | $307 |
| Gabapentin | 14 | $304 |
| Metoprolol Succinate | 26 | $267 |
| Clobetasol Propionate | 12 | $257 |
| Omeprazole | 41 | $237 |
| Duloxetine Hcl | 19 | $232 |
| Fluticasone Propionate | 12 | $213 |
| Losartan Potassium | 36 | $169 |
| Levothyroxine Sodium | 29 | $143 |
| Metformin Hcl ErMetformin Hcl | 17 | $136 |
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 | $308 | $25,71514 claims |
| Lilly USA, LLCMounjaro | $283 | $12,85711 claims |
| Almatica Pharma LLCSertraline Hcl | $31 | $1812 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 95th percentile of 73 advanced practice midwife providers in Iowa.
Other advanced practice midwife in Cedar Rapids
- Sarah JonesNorth Liberty$9K
- Lori SteinmannDes Moines$6K
- Caitlin HainleyDes Moines$2K
- Amber GoodrichIowa City$2K
- Kimberly BooteWaterloo$1K
- Beth CarlsonDavenport$991
- Christa JacksonDavenport$769
- Lydia SwailesDavenport$568
- Pamela ThorpeDubuque$548
- Casie DorrCouncil Bluffs$527
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.