Vicky Snyder
Payments from drug & device makers
Across 346 payments — averaging $22.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$1K
- Novo Nordisk$818
- Dexcom, Inc.$703
- Amgen$593
- Xeris Pharmaceuticals, Inc.$440
- Insulet Corporation$392
- plus $4K from 32 others
What the payments were for
- Food & beverage$7,56999%
- Education$691%
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 |
|---|---|---|
| Lilly USA, LLC | 58 | $1,094 |
| Novo Nordisk | 38 | $818 |
| Dexcom, Inc. | 41 | $703 |
| Amgen(2 entities) | 33 | $593 |
| Xeris Pharmaceuticals, Inc. | 17 | $440 |
| Insulet Corporation | 11 | $392 |
| Cequr Corporation | 2 | $391 |
| Radius Health, Inc. | 11 | $359 |
| Corcept Therapeutics | 16 | $335 |
| Sequel Med Tech, LLC | 5 | $280 |
| Sanofi-aventis U.S. LLC | 14 | $260 |
| Medtronic | 12 | $250 |
| BETA Bionics, Inc. | 9 | $211 |
| Tandem Diabetes Care, Inc. | 5 | $195 |
| Boehringer Ingelheim | 10 | $159 |
| Novartis | 7 | $133 |
| Abbott | 6 | $109 |
| IBSA Pharma Inc. | 6 | $103 |
| Esperion Therapeutics, Inc. | 5 | $94 |
| AstraZeneca | 5 | $81 |
| Amneal Pharmaceuticals LLC | 4 | $74 |
| AbbVie | 3 | $68 |
| Bayer | 3 | $57 |
| Kyowa Kirin, Inc. | 3 | $52 |
| Amphastar Pharmaceuticals, Inc. | 3 | $51 |
| Ascensia Diabetes Care US Inc. | 2 | $48 |
| Zealand Pharma US, Inc. | 3 | $46 |
| Intra-sana Laboratories | 2 | $38 |
| Tolmar, Inc. | 2 | $32 |
| Mannkind Corporation | 2 | $31 |
| Sanofi US Services Inc. | 1 | $25 |
| Antares Pharma, Inc. | 1 | $20 |
| Kowa Pharmaceuticals America, Inc. | 1 | $19 |
| Pfizer | 1 | $17 |
| Clarus Therapeutics Inc. | 1 | $16 |
| Almatica Pharma LLC | 1 | $15 |
| Daiichi Sankyo Inc. | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., 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
$7,638 in reported general payments places this provider in the 95th percentile of 6,706 family providers in Tennessee.
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 |
|---|---|---|
| MounjaroTirzepatide | 333 | $580,771 |
| OzempicSemaglutide | 184 | $286,982 |
| Tresiba Flextouch U-200Insulin Degludec | 89 | $205,409 |
| JardianceEmpagliflozin | 119 | $158,756 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 77 | $132,158 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 63 | $101,085 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 58 | $93,950 |
| TrulicityDulaglutide | 59 | $79,235 |
| ProliaDenosumab | 37 | $64,186 |
| Evenity (2 Syringes)Romosozumab-Aqqg | 19 | $46,611 |
| FarxigaDapagliflozin Propanediol | 26 | $41,605 |
| TradjentaLinagliptin | 26 | $38,338 |
| RybelsusSemaglutide | 15 | $36,978 |
| TymlosAbaloparatide | 13 | $36,834 |
| Novolog FlexpenInsulin Aspart | 50 | $22,852 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $1,094 | $666,543412 claims |
| Novo NordiskOzempic, Rybelsus, Novolog | $818 | $331,435216 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Tradjenta | $159 | $291,045203 claims |
| AmgenProlia, Evenity (2 Syringes) | $593 | $110,79756 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $260 | $101,08563 claims |
| AstraZenecaFarxiga | $81 | $41,60526 claims |
| Radius Health, Inc.Tymlos | $359 | $36,83413 claims |
| IBSA Pharma Inc.Tirosint, Tirosint-Sol | $103 | $11,38833 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium, Unithroid | $74 | $5,872454 claims |
| AbbVieSynthroid | $68 | $4,88473 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 6,706 family providers in Tennessee.
Other family in Alcoa
- Stacy BrownMt Juliet$719K
- Dana WebberKnoxville$499K
- Brandy BiedermanHixson$448K
- Cynthia MillerMurfreesboro$384K
- Tamera ThoenerNashville$254K
- April SwonerHermitage$246K
- Jennifer WilliamsNashville$213K
- Chantil JeffreysGermantown$195K
- Laura PorchCordova$148K
- Lori LankfordNashville$148K
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.