Vanna Altman
Family · Winchester, MANPI 1669576922
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.7% of the total across 600 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 25 manufacturers, the largest accounting for just 22.7% — the pattern of someone who eats at a lot of different presentations. Among family clinicians in MA 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 600 payments — averaging $26.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$4K
- AbbVie$2K
- E.r. Squibb & Sons, L.L.C.$1K
- Lilly USA, LLC$1K
- Lumenis BE Inc$1K
- UCB, Inc.$1K
- plus $6K from 19 others
What the payments were for
- Food & beverage$14,96996%
- Education$6704%
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 |
|---|---|---|
| Johnson & Johnson | 119 | $3,547 |
| AbbVie | 90 | $1,633 |
| E.r. Squibb & Sons, L.L.C. | 58 | $1,331 |
| Lilly USA, LLC | 49 | $1,181 |
| Lumenis BE Inc | 1 | $1,116 |
| UCB, Inc. | 38 | $1,068 |
| Galderma Laboratories, L.p. | 40 | $835 |
| Regeneron Healthcare Solutions, Inc. | 29 | $768 |
| Arcutis Biotherapeutics, Inc. | 24 | $737 |
| Sun Pharmaceutical Industries Inc. | 24 | $550 |
| Sanofi | 25 | $512 |
| Amgen | 19 | $446 |
| Dermavant Sciences, Inc. | 17 | $384 |
| Incyte Corporation | 16 | $338 |
| Novartis | 10 | $243 |
| LEO Pharma Inc. | 7 | $239 |
| Bristol Myers Squibb | 15 | $206 |
| Organon | 7 | $155 |
| Pfizer | 4 | $121 |
| Sanofi-aventis U.S. LLC | 1 | $97 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $46 |
| Fresenius Kabi USA, LLC | 2 | $34 |
| Biofrontera Inc. | 1 | $18 |
| Verrica Pharmaceuticals Inc. | 1 | $18 |
| Mission Pharmacal Company | 1 | $16 |
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
$15,639 in reported general payments places this provider in the 95th percentile of 2,320 family providers in Massachusetts.
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 |
|---|---|---|
| Fluorouracil | 49 | $2,506 |
| Ketoconazole | 91 | $1,825 |
| Triamcinolone Acetonide | 74 | $1,100 |
| Clobetasol Propionate | 16 | $990 |
| Betamethasone Dipropionate | 29 | $967 |
| Metronidazole | 20 | $847 |
| Mupirocin | 27 | $200 |
| Doxycycline Hyclate | 12 | $137 |
| Hydrocortisone | 13 | $101 |
Paid to pharmacies, not to this prescriber.
Other family in Winchester
- Marlynne LievoreWinchester$8K
- Paul GouldLakeville$343K
- Brittany MurrayBoston$141K
- Jennifer FlemingLawrence$80K
- Naomi AmudalaBoston$79K
- Geoffrey WhitleyCharlestown$66K
- Katherine O'BrienWinthrop$58K
- Kristy SmithActon$57K
- Leslie StefanowiczDartmouth$56K
- Marissa CasilloFoxborough$31K
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.