Nurse Practitioner Program year 2025 Reported 2022–2025 Source: CMS Open Payments, 2026 publication

Karen Holdsworth

Nurse Practitioner Graham, NC Nurse Practitioner

NPI 1104454842 CMS profile 11136545

214 E Elm St, Graham, NC 27253

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General payments

$3,349

184 records reported · program years 2022–2025

Research payments

$0

Paid to them · None reported · program years 2022–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Karen Holdsworth of Graham, NC is reported in the CMS Open Payments database as having received $3,349 across 184 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 88th percentile of Nurse Practitioner profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

4 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,436 76
2024 General $1,174 63
2023 General $498 30
2022 General $240 15

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Karen Holdsworth
  • Nurse Practitioner median
  • Middle half of Nurse Practitioner
  • National median

In program year 2025, general payments to Karen Holdsworth were reported at $1,436. Among 41,044 Nurse Practitioner profiles paid that year, the median was $174 and the middle half received between $55 and $557.

Show as a table
Year Karen Holdsworth Nurse Practitioner median Middle half National median
2019 $0 $50 $22–$97 $163
2020 $0 $40 $16–$108 $114
2021 $0 $135 $40–$426 $132
2022 $240 $152 $48–$470 $149
2023 $498 $166 $54–$529 $160
2024 $1,174 $173 $55–$556 $164
2025 $1,436 $174 $55–$557 $169

Breakdown

Who paid General payments · program years 2022–2025
  1. Lilly USA, LLC $506 30 payments
  2. Novo Nordisk Inc $445 31 payments
  3. AstraZeneca Pharmaceuticals LP $415 18 payments
  4. Pfizer Inc. $414 25 payments
  5. Boehringer Ingelheim Pharmaceuticals, Inc. $255 15 payments
  6. AbbVie, Inc. $185 10 payments
  7. Otsuka America Pharmaceutical, Inc. $139 6 payments
  8. ITI, Inc. $126 6 payments
  9. Grifols USA, LLC $106 4 payments
  10. Bayer HealthCare Pharmaceuticals Inc. $77 5 payments
  11. Other $679 34 payments

Every payment, record by record

What the payments were for General payments · program years 2022–2025
  1. Food and Beverage $3,349 184 payments
Products named General payments · program years 2022–2025
  1. MOUNJARO $389 23 payments
  2. AIRSUPRA $281 10 payments
  3. NURTEC ODT $273 17 payments
  4. FARXIGA $245 9 payments
  5. ZEPBOUND $242 14 payments
  6. Ozempic $239 17 payments
  7. RYBELSUS $229 16 payments
  8. Wegovy $206 14 payments
  9. ZAVZPRET $195 11 payments
  10. BREZTRI $140 3 payments
  11. Other $2,480 134 payments

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 · 94 drugs

Part D claims

3,825

Median for Nurse Practitioner: 389

Drug cost

$375,108

Median for Nurse Practitioner: $21,885

Branded share of claims

16.8%

Median for Nurse Practitioner: 19.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Ozempic Semaglutide Brand 79 $89,932
Jardiance Empagliflozin Brand 49 $65,753
Rybelsus Semaglutide Brand 23 $39,686
Trulicity Dulaglutide Brand 29 $35,124
Eliquis Apixaban Brand 29 $32,558
Farxiga Dapagliflozin Propanediol Brand 23 $26,631
Mounjaro Tirzepatide Brand 14 $26,100
Symbicort Budesonide/Formoterol Fumarate Brand 20 $6,693
Belsomra Suvorexant Brand 14 $6,178
Breo Ellipta Fluticasone/Vilanterol Brand 12 $4,680

The 10 drugs with the highest cost, of 94 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 229,976 Part D prescribers listed as Nurse Practitioner; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 28 billing codes

Paid by Medicare

$15,997

Of which drugs: $2,838

Medicare patients

66

Average age 71

Services billed

270

36 women, 30 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 42%
Diabetes 35%
Depression 29%
Ischemic heart disease 24%
Chronic kidney disease 24%
COPD 20%
Cancer 18%

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 26 products · payments 2024

Two 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.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
MOUNJARO
$98 14 —
JARDIANCE
$90 49 —
ZEPBOUND
$85 — —
AIRSUPRA
$85 — —
NURTEC ODT
$65 — —

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 more in the dashboard: 25 with a free account, all 26 with Patron

Records

184 reported

Every 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.

Other Nurse Practitioner in North Carolina

Related records

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.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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