Who Paid My Doc
Julie Gombieski
Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family Danbury, CT Nurse Practitioner
NPI 1104033729 CMS profile 11031796
75 West St, Danbury, CT 06810
General payments
$1,006
Research payments
$0
Ownership & investment interest
$0
Through program year 2025, Julie Gombieski of Danbury, CT is reported in the CMS Open Payments database as having received $1,006 across 45 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.
By program year
5 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $552 | 22 | |
| 2024 | General | $152 | 12 | |
| 2023 | General | $170 | 4 | |
| 2022 | General | $13 | 1 | |
| 2021 | General | $120 | 6 |
Beside peers
- Julie Gombieski
- Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family median
- Middle half of Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family
- National median
In program year 2025, general payments to Julie Gombieski were reported at $552. Among 33 Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family profiles paid that year, the median was $178 and the middle half received between $85 and $552.
Show as a table
| Year | Julie Gombieski | Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | — | — | $163 |
| 2020 | $0 | — | — | $114 |
| 2021 | $120 | — | — | $132 |
| 2022 | $13 | $141 | $35–$290 | $149 |
| 2023 | $170 | $302 | $77–$646 | $160 |
| 2024 | $152 | $266 | $151–$940 | $164 |
| 2025 | $552 | $178 | $85–$552 | $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 · 5 drugsPart D claims
85
Drug cost
$2,496
Branded share of claims
36.5%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Paliperidone Er Paliperidone | Brand | 18 | $1,279 | |
| Alprazolam Er Alprazolam | Brand | 13 | $738 | |
| Clonazepam | Generic | 14 | $307 | |
| Alprazolam | Generic | 24 | $105 | |
| Fluoxetine Hcl | Generic | 16 | $68 |
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.
Payments and prescribing
1 product · 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 |
|---|---|---|---|---|
| VRAYLAR |
|
$152 | — | — |
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.
Records
45 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
Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family in Connecticut
Practitioners in the same specialty and state, ranked by reported value.
All Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family
Everyone recorded under this specialty, nationwide.
Doctors in Connecticut
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.