Who Paid My Doc
Ivy Alwell
Registered Nurse, Psychiatric/Mental Health, Adult Hillsboro, MO Clinical Nurse Specialist
NPI 1477684009 CMS profile 10800854
4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050
General payments
$5,928
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Ivy Alwell of Hillsboro, MO is reported in the CMS Open Payments database as having received $5,928 across 327 general payments and $0 in research payments paid to them.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.
General payments for this record sit in the 97th percentile of Registered Nurse, Psychiatric/Mental Health, Adult profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
5 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $214 | 5 | |
| 2024 | General | $1,124 | 43 | |
| 2023 | General | $1,864 | 123 | |
| 2022 | General | $1,570 | 86 | |
| 2021 | General | $1,156 | 70 |
Beside peers
- Ivy Alwell
- Registered Nurse, Psychiatric/Mental Health, Adult median
- Middle half of Registered Nurse, Psychiatric/Mental Health, Adult
- National median
In program year 2025, general payments to Ivy Alwell were reported at $214. Among 96 Registered Nurse, Psychiatric/Mental Health, Adult profiles paid that year, the median was $121 and the middle half received between $39 and $265.
Show as a table
| Year | Ivy Alwell | Registered Nurse, Psychiatric/Mental Health, Adult median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | — | — | $163 |
| 2020 | $0 | — | — | $114 |
| 2021 | $1,156 | $108 | $31–$328 | $132 |
| 2022 | $1,570 | $99 | $22–$306 | $149 |
| 2023 | $1,864 | $99 | $43–$313 | $160 |
| 2024 | $1,124 | $119 | $30–$319 | $164 |
| 2025 | $214 | $121 | $39–$265 | $169 |
Breakdown
A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.
Prescribing to Medicare patients
Part D · data year 2024 · 25 drugsPart D claims
771
Drug cost
$75,277
Branded share of claims
14.5%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Fanapt Iloperidone | Brand | 18 | $45,544 | |
| Rexulti Brexpiprazole | Brand | 12 | $20,549 | |
| Vilazodone Hcl | Generic | 11 | $787 | |
| Mirtazapine | Generic | 31 | $759 | |
| Fluoxetine Hcl | Generic | 88 | $744 | |
| Bupropion Xl Bupropion Hcl | Brand | 26 | $622 | |
| Quetiapine Fumarate | Generic | 46 | $613 | |
| Lamotrigine | Generic | 59 | $561 | |
| Olanzapine | Generic | 31 | $511 | |
| Aripiprazole | Generic | 29 | $482 |
The 10 drugs with the highest cost, of 25 counted.
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 1,644 Part D prescribers listed as Certified Clinical Nurse Specialist; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 4 billing codesPaid by Medicare
$1,374
Medicare patients
20
Services billed
34
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| Depression | 75% | |
| High blood pressure | 70% | |
| Arthritis | 55% |
Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.
Payments and prescribing
First 5 of 14 products · payments 2024Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.
| Product | Paid by | Related payments | Part D claims | Part B services |
|---|---|---|---|---|
| Qelbree |
|
$524 | — | — |
| FANAPT |
|
$130 | 18 | — |
| REXULTI |
|
$102 | 12 | — |
| VRAYLAR |
|
$60 | — | — |
| CAPLYTA |
|
$48 | — | — |
A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.
See all 14 in the dashboard with a free accountRecords
327 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
Related records
Registered Nurse, Psychiatric/Mental Health, Adult in Missouri
Practitioners in the same specialty and state, ranked by reported value.
All Registered Nurse, Psychiatric/Mental Health, Adult
Everyone recorded under this specialty, nationwide.
Doctors in Missouri
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.