Trixy Headden, NP
Gerontology · Roanoke, VANPI 1023502911
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 16 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Novo Nordisk at 30.8% of the total. Reporting peaked in 2024 at $356 and has fallen 93.9% since, to $22 in 2025.
Across 16 payments — averaging $28.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$141
- Johnson & Johnson$55
- Pfizer$49
- Irhythm Technologies, Inc.$36
- Acadia Pharmaceuticals Inc$33
- Merck$32
- plus $111 from 7 others
What the payments were for
- Food & beverage$457100%
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 |
|---|---|---|
| Novo Nordisk | 2 | $141 |
| Johnson & Johnson | 1 | $55 |
| Pfizer | 2 | $49 |
| Irhythm Technologies, Inc. | 1 | $36 |
| Acadia Pharmaceuticals Inc | 1 | $33 |
| Merck | 2 | $32 |
| Otsuka America Pharmaceutical, Inc. | 1 | $22 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $18 |
| Neurocrine Biosciences, Inc. | 1 | $17 |
| Alnylam Pharmaceuticals Inc. | 1 | $16 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $14 |
| Sanofi | 1 | $13 |
| Cashflow Solutions, LLC | 1 | $12 |
How this compares
$457 in reported general payments places this provider in the 55th percentile of 130 gerontology providers in Virginia.
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 |
|---|---|---|
| EliquisApixaban | 45 | $21,757 |
| XareltoRivaroxaban | 25 | $15,820 |
| CreonLipase/Protease/Amylase | 22 | $10,333 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 19 | $5,960 |
| AbrysvoRsv Vacc, Pref A And Pref B/Pf | 14 | $4,412 |
| AptiomEslicarbazepine Acetate | 11 | $3,986 |
| Atorvastatin Calcium | 98 | $3,788 |
| Lacosamide | 15 | $3,025 |
| Levetiracetam | 31 | $1,563 |
| Famotidine | 38 | $1,324 |
| Amlodipine Besylate | 92 | $1,298 |
| Ranolazine ErRanolazine | 20 | $1,291 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 32 | $1,227 |
| Potassium Chloride | 50 | $1,223 |
| Gabapentin | 42 | $1,170 |
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 |
|---|---|---|
| PfizerEliquis, Abrysvo | $49 | $26,16959 claims |
| Johnson & JohnsonXarelto | $55 | $15,82025 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 55th percentile of 130 gerontology providers in Virginia.
Other gerontology in Roanoke
- Lauren FerrisRoanoke$11K
- Kimberly Ekrem RiceRoanoke$1K
- Michelle DowdyRoanoke$364
- Catherine RatliffCharlottesville$10K
- Jennifer TaylorAbingdon$9K
- Alexander KingCharlottesville$7K
- Margaret HeidenreichChantilly$6K
- Jillian MaurielloRichmond$6K
- Christine HowellNorfolk$6K
- Molly McCrackenRichmond$5K
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.