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

Melanie Agnes Mariano

Nurse Practitioner Austell, GA Nurse Practitioner

NPI 1912677329 CMS profile 11134283

3825 Medical Park Dr Ste 200, Austell, GA 30106

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General payments

$5,664

296 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, Melanie Agnes Mariano of Austell, GA is reported in the CMS Open Payments database as having received $5,664 across 296 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 93rd 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 $2,193 108
2024 General $1,976 98
2023 General $841 48
2022 General $654 42

Beside peers

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

In program year 2025, general payments to Melanie Agnes Mariano were reported at $2,193. 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 Melanie Agnes Mariano 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 $654 $152 $48–$470 $149
2023 $841 $166 $54–$529 $160
2024 $1,976 $173 $55–$556 $164
2025 $2,193 $174 $55–$557 $169

Breakdown

Who paid General payments · program years 2022–2025
  1. Novo Nordisk Inc $738 47 payments
  2. Lilly USA, LLC $540 29 payments
  3. Amgen Inc. $449 25 payments
  4. Sanofi-Aventis U.S. LLC $446 16 payments
  5. Abbott Laboratories $406 25 payments
  6. Insulet Corporation $365 18 payments
  7. Bayer HealthCare Pharmaceuticals Inc. $314 16 payments
  8. Mannkind Corporation $212 9 payments
  9. Boehringer Ingelheim Pharmaceuticals, Inc. $208 11 payments
  10. AbbVie, Inc. $158 11 payments
  11. Other $1,829 89 payments

Every payment, record by record

What the payments were for General payments · program years 2022–2025
  1. Food and Beverage $5,634 295 payments
  2. Long term medical supply or device loan $30 1 payment
Products named General payments · program years 2022–2025
  1. Ozempic $423 28 payments
  2. RYBELSUS $398 27 payments
  3. TZIELD $396 14 payments
  4. FreeStyle Libre 3 $376 24 payments
  5. Omnipod $365 18 payments
  6. Kerendia $314 16 payments
  7. MOUNJARO $313 16 payments
  8. JARDIANCE $214 12 payments
  9. AFREZZA $212 9 payments
  10. TEPEZZA $169 8 payments
  11. Other $3,258 171 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 · 61 drugs

Part D claims

2,590

Median for Nurse Practitioner: 389

Drug cost

$1,098,837

Median for Nurse Practitioner: $21,885

Branded share of claims

43.6%

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 170 $264,965
Jardiance Empagliflozin Brand 151 $196,930
Mounjaro Tirzepatide Brand 115 $159,986
Farxiga Dapagliflozin Propanediol Brand 59 $66,258
Trulicity Dulaglutide Brand 43 $65,887
Rybelsus Semaglutide Brand 27 $43,697
Januvia Sitagliptin Phosphate Brand 33 $38,226
Humulin R U-500 Kwikpen Insulin Regular, Human Brand 21 $35,040
Tradjenta Linagliptin Brand 32 $30,144
Tresiba Flextouch U-100 Insulin Degludec Brand 25 $30,012

The 10 drugs with the highest cost, of 61 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 · 7 billing codes

Paid by Medicare

$18,401

Medicare's payments for the services billed

Medicare patients

149

Average age 74

Services billed

383

94 women, 55 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%
Diabetes 67%
Arthritis 46%
Chronic kidney disease 40%
Ischemic heart disease 38%
Heart failure 25%
Depression 22%
Atrial fibrillation 17%

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 25 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
JARDIANCE
  • Lilly USA, LLC $121
  • Boehringer Ingelheim Pharmaceuticals, Inc. $88
$208 151 —
TZIELD
  • SANOFI-AVENTIS U.S. LLC $191
$191 — —
MOUNJARO
  • Lilly USA, LLC $130
$130 115 —
Kerendia
  • Bayer HealthCare Pharmaceuticals Inc. $81
$81 — —
ZEPBOUND
  • Lilly USA, LLC $78
$78 — —

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 25 in the dashboard with a free account

Records

296 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 Georgia

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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