Total Payments
$1,451
2024 Payments
$164.70
Companies
20
Transactions
64
Medicare Patients
1,853
Medicare Billing
$384,101
Payment Breakdown by Category
Food & Beverage$1,192 (82.2%)
Education$258.99 (17.8%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $1,192 | 61 | 82.2% |
| Education | $258.99 | 3 | 17.8% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Astellas Pharma US Inc | $426.25 | 10 | $0 (2024) |
| ABBVIE INC. | $222.09 | 15 | $0 (2024) |
| Novo Nordisk Inc | $125.42 | 7 | $0 (2023) |
| Amgen Inc. | $122.42 | 1 | $0 (2023) |
| GlaxoSmithKline, LLC. | $99.28 | 5 | $0 (2024) |
| AstraZeneca Pharmaceuticals LP | $67.87 | 4 | $0 (2024) |
| Lilly USA, LLC | $65.84 | 4 | $0 (2023) |
| Nestle HealthCare Nutrition Inc. | $49.34 | 3 | $0 (2022) |
| PFIZER INC. | $41.82 | 2 | $0 (2023) |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $32.66 | 2 | $0 (2021) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $164.70 | 6 | Astellas Pharma US Inc ($92.18) |
| 2023 | $492.27 | 14 | Astellas Pharma US Inc ($196.16) |
| 2022 | $511.05 | 26 | ABBVIE INC. ($141.86) |
| 2021 | $283.11 | 18 | Novo Nordisk Inc ($62.59) |
All Payment Transactions
64 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 07/25/2024 | GlaxoSmithKline, LLC. | TRELEGY ELLIPTA (Drug) | Food and Beverage | In-kind items and services | $25.19 | General |
| Category: RESPIRATORY | ||||||
| 06/10/2024 | Astellas Pharma US Inc | Veozah (Drug) | Food and Beverage | In-kind items and services | $26.19 | General |
| Category: Biological | ||||||
| 03/27/2024 | AstraZeneca Pharmaceuticals LP | BREZTRI (Drug) | Food and Beverage | In-kind items and services | $14.60 | General |
| Category: Respiratory | ||||||
| 03/19/2024 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $16.61 | General |
| Category: NEUROSCIENCE | ||||||
| 03/14/2024 | Astellas Pharma US Inc | — | Education | In-kind items and services | $65.99 | General |
| 02/21/2024 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $16.12 | General |
| Category: NEUROSCIENCE | ||||||
| 11/08/2023 | Lilly USA, LLC | TRULICITY (Drug), MOUNJARO | Food and Beverage | In-kind items and services | $13.19 | General |
| Category: Diabetes | ||||||
| 10/25/2023 | Astellas Pharma US Inc | Veozah (Drug) | Food and Beverage | In-kind items and services | $25.67 | General |
| Category: Biological | ||||||
| 09/13/2023 | Novo Nordisk Inc | Rybelsus (Drug), Tresiba, Ozempic | Food and Beverage | In-kind items and services | $24.70 | General |
| Category: Diabetes | ||||||
| 08/23/2023 | Astellas Pharma US Inc | Veozah (Drug) | Food and Beverage | In-kind items and services | $30.68 | General |
| Category: Biological | ||||||
| 07/26/2023 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $23.22 | General |
| Category: NEUROSCIENCE | ||||||
| 07/05/2023 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $24.28 | General |
| Category: NEUROSCIENCE | ||||||
| 06/23/2023 | Astellas Pharma US Inc | — | Education | In-kind items and services | $94.00 | General |
| 06/14/2023 | Astellas Pharma US Inc | Veozah (Drug) | Food and Beverage | In-kind items and services | $30.00 | General |
| Category: Biological | ||||||
| 06/07/2023 | Lilly USA, LLC | TRULICITY (Drug), MOUNJARO | Food and Beverage | In-kind items and services | $24.74 | General |
| Category: Diabetes | ||||||
| 06/05/2023 | GlaxoSmithKline, LLC. | TRELEGY ELLIPTA (Drug) | Food and Beverage | In-kind items and services | $21.49 | General |
| Category: RESPIRATORY | ||||||
| 05/17/2023 | Amgen Inc. | Prolia (Biological) | Food and Beverage | In-kind items and services | $122.42 | General |
| Category: Bone Health | ||||||
| 03/06/2023 | Astellas Pharma US Inc | Myrbetriq (Drug) | Food and Beverage | In-kind items and services | $15.81 | General |
| Category: Urology | ||||||
| 02/10/2023 | AstraZeneca Pharmaceuticals LP | BREZTRI (Drug) | Food and Beverage | In-kind items and services | $20.15 | General |
| Category: Respiratory | ||||||
| 01/06/2023 | PFIZER INC. | ELIQUIS (Drug), PAXLOVID, NURTEC ODT | Food and Beverage | In-kind items and services | $21.92 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 11/18/2022 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $11.75 | General |
| Category: NEUROSCIENCE | ||||||
| 11/10/2022 | AstraZeneca Pharmaceuticals LP | BREZTRI (Drug) | Food and Beverage | In-kind items and services | $16.64 | General |
| Category: Respiratory | ||||||
| 10/24/2022 | Astellas Pharma US Inc | — | Education | In-kind items and services | $99.00 | General |
| 09/26/2022 | GlaxoSmithKline, LLC. | TRELEGY ELLIPTA (Drug) | Food and Beverage | In-kind items and services | $20.07 | General |
| Category: RESPIRATORY | ||||||
| 09/09/2022 | Novo Nordisk Inc | Saxenda (Drug) | Food and Beverage | In-kind items and services | $16.29 | General |
| Category: Obesity | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 12 | 670 | 1,552 | $248,505 | $135,544 |
| 2022 | 10 | 545 | 1,223 | $189,560 | $107,488 |
| 2021 | 8 | 349 | 1,000 | $135,275 | $75,540 |
| 2020 | 8 | 289 | 819 | $115,150 | $65,530 |
Total Patients
1,853
Total Services
4,594
Medicare Billing
$384,101
Procedure Codes
38
All Medicare Procedures & Services
38 procedure records from CMS Medicare Utilization — Page 2 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99334 | Established patient assisted living visit, typically 15 minutes | Office | 2021 | 55 | 129 | $9,030 | $5,111 | 56.6% |
| 99328 | New patient assisted living visit, typically 75 minutes | Office | 2021 | 25 | 25 | $7,000 | $3,842 | 54.9% |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | Office | 2021 | 14 | 15 | $4,440 | $2,984 | 67.2% |
| 99497 | Advance care planning by the physician or other qualified health care professional, first 30 minutes | Office | 2021 | 36 | 39 | $4,290 | $2,358 | 55.0% |
| 99337 | Established patient assisted living visit, typically 60 minutes | Office | 2021 | 14 | 15 | $3,450 | $1,772 | 51.3% |
| 99336 | Established patient assisted living visit, typically 40 minutes | Office | 2020 | 82 | 312 | $49,920 | $28,933 | 58.0% |
| 99335 | Established patient assisted living visit, typically 25 minutes | Office | 2020 | 79 | 345 | $41,400 | $22,040 | 53.2% |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | Office | 2020 | 16 | 21 | $5,670 | $3,411 | 60.2% |
| 99337 | Established patient assisted living visit, typically 60 minutes | Office | 2020 | 18 | 22 | $5,060 | $3,056 | 60.4% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2020 | 28 | 28 | $3,780 | $2,901 | 76.7% |
| 99334 | Established patient assisted living visit, typically 15 minutes | Office | 2020 | 40 | 64 | $4,480 | $2,634 | 58.8% |
| 99328 | New patient assisted living visit, typically 75 minutes | Office | 2020 | 11 | 11 | $3,080 | $1,582 | 51.4% |
| 99497 | Advance care planning by the physician or other qualified health care professional | Office | 2020 | 15 | 16 | $1,760 | $973.58 | 55.3% |
About April Small, DNP
April Small, DNP is a Adult Health healthcare provider based in Hagerstown, Maryland. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/02/2015. The National Provider Identifier (NPI) number assigned to this provider is 1225408206.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, April Small, DNP has received a total of $1,451 in payments from pharmaceutical and medical device companies, with $164.70 received in 2024. These payments were reported across 64 transactions from 20 companies. The most common payment nature is "Food and Beverage" ($1,192).
As a Medicare-enrolled provider, Small has provided services to 1,853 Medicare beneficiaries, totaling 4,594 services with total Medicare billing of $384,101. Data is available for 4 years (2020–2023), covering 38 distinct procedure/service records.
Ad
Practice Information
- Specialty Adult Health
- Location Hagerstown, MD
- Active Since 10/02/2015
- Last Updated 10/16/2025
- Taxonomy Code 363LA2200X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1225408206
Products in Payments
- VRAYLAR (Drug) $138.50
- Prolia (Biological) $122.42
- Veozah (Drug) $112.54
- TRELEGY ELLIPTA (Drug) $77.83
- BREZTRI (Drug) $51.39
- TRULICITY (Drug) $50.05
- ZENPEP (Drug) $49.34
- Ozempic (Drug) $47.39
- UBRELVY (Drug) $43.52
- ELIQUIS (Drug) $41.69
- QULIPTA (Drug) $40.07
- Myrbetriq (Drug) $37.35
- JARDIANCE (Drug) $34.92
- Qsymia (Drug) $29.84
- Rybelsus (Drug) $24.70
- Nuedexta (Drug) $24.57
- SHINGRIX (Biological) $21.45
- RYBELSUS (Drug) $21.10
- PREVNAR 20 (Biological) $19.90
- Vascepa (Drug) $19.43
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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