Trina Haywood, CNM
Advanced Practice Midwife · Wilmington, DENPI 1598919144
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $513 of the $774 with a category attached, or 66.3%. 11 manufacturers reported payments, led by Astellas Pharma US Inc at 47.2% of the total. 2025 is the largest year on record at $361, 5.1 times the $71 reported in 2021.
Across 34 payments — averaging $22.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$365
- Evofem Biosciences, Inc.$99
- Exeltis, USA Inc.$97
- Exact Sciences$42
- Merck$37
- Hologic Sales And Service, LLC$36
- plus $98 from 5 others
What the payments were for
- Food & beverage$51366%
- Education$26134%
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 | 12 | $365 |
| Evofem Biosciences, Inc. | 6 | $99 |
| Exeltis, USA Inc. | 5 | $97 |
| Exact Sciences | 2 | $42 |
| Merck | 2 | $37 |
| Hologic Sales And Service, LLC | 2 | $36 |
| Sage Therapeutics, LLC | 1 | $25 |
| Coopersurgical, Inc. | 1 | $21 |
| Agile Therapeutics, Inc. | 1 | $20 |
| Sumitomo Pharma America, Inc. | 1 | $18 |
| AbbVie | 1 | $14 |
How this compares
$774 in reported general payments places this provider in the 85th percentile of 39 advanced practice midwife providers in Delaware.
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 advanced practice midwife in Wilmington
- Amber GarbeWilmington$2K
- Patricia HeinemannWilmington$476
- Katie MansurWilmington$340
- Hannah BarteeWilmington$185
- Dorinda DoveWilmington$153
- Alexandra KownurkoWilmington$146
- Kathleen McCarthyWilmington$117
- Melissa BucherWilmington$60
- Dawn MooreWilmington$58
- Sarah UpdegraftWilmington$26
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.