Vashti Miller
Adult Health · Mount Dora, FLNPI 1295030898
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% of the total across 170 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 22.4% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,846, more than ten times the $78 reported in 2021. Among adult health clinicians in FL 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 170 payments — averaging $26.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$995
- GSK$543
- Mallinckrodt Hospital Products Inc.$310
- Actelion Pharmaceuticals US, Inc.$279
- Viatris Specialty LLC$278
- Sanofi$274
- plus $2K from 19 others
What the payments were for
- Food & beverage$4,31797%
- Education$1193%
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 |
|---|---|---|
| AstraZeneca | 23 | $995 |
| GSK | 30 | $543 |
| Mallinckrodt Hospital Products Inc. | 14 | $310 |
| Actelion Pharmaceuticals US, Inc. | 8 | $279 |
| Viatris Specialty LLC | 15 | $278 |
| Sanofi | 8 | $274 |
| Regeneron Healthcare Solutions, Inc. | 10 | $241 |
| Verona Pharma, Inc. | 13 | $212 |
| Boehringer Ingelheim | 5 | $199 |
| Grifols USA, LLC | 2 | $183 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $151 |
| Biosense Webster, Inc. | 1 | $130 |
| Electromed, Inc. | 11 | $119 |
| Insmed, Inc. | 5 | $106 |
| Amgen | 4 | $85 |
| ANI Pharmaceuticals, Inc. | 2 | $66 |
| Pulmonx Corporation | 3 | $64 |
| United Therapeutics Corporation | 2 | $53 |
| Baxter Healthcare | 1 | $28 |
| Merck | 1 | $23 |
| Covis Pharma GmbH | 1 | $22 |
| Vifor Pharma, Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $20 |
| Philips North America LLC | 1 | $19 |
| Pharming Healthcare, Inc. | 1 | $14 |
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
$4,436 in reported general payments places this provider in the 90th percentile of 2,237 adult health providers in Florida.
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 adult health in Mount Dora
- Patricia PagnottaMaitland$409K
- Carly KoelschSarasota$265K
- Norma SolisMiami$150K
- Ashley PontenbergWinter Park$136K
- Jeffrey HernandezMiami$122K
- Jamie JohnsonTampa$58K
- Jessica MangesClearwater$52K
- Sita SwamyOrlando$49K
- Cynthia OteroMaitland$31K
- Jennifer GodshallTampa$29K
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.