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 3 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 09/10/2021 | Novo Nordisk Inc | RYBELSUS (Drug), Ozempic | Food and Beverage | In-kind items and services | $21.10 | General |
| Category: Diabetes | ||||||
| 08/27/2021 | Esperion Therapeutics, Inc. | NEXLETOL (Drug) | Food and Beverage | In-kind items and services | $16.69 | General |
| Category: ANTILIPEMIC AGENTS | ||||||
| 08/13/2021 | Novo Nordisk Inc | Wegovy (Drug) | Food and Beverage | In-kind items and services | $15.94 | General |
| Category: Obesity | ||||||
| 08/06/2021 | Novo Nordisk Inc | Ozempic (Drug), RYBELSUS | Food and Beverage | In-kind items and services | $13.18 | General |
| Category: Diabetes | ||||||
| 07/30/2021 | Lilly USA, LLC | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $15.79 | General |
| Category: Diabetes | ||||||
| 07/09/2021 | VIVUS LLC | Qsymia (Drug) | Food and Beverage | In-kind items and services | $16.54 | General |
| Category: ENDOCRINOLOGY | ||||||
| 06/25/2021 | Nestle HealthCare Nutrition Inc. | ZENPEP (Drug) | Food and Beverage | In-kind items and services | $15.13 | General |
| Category: ENDOCRINE PANCREATIC INSUFFICIENCY | ||||||
| 05/28/2021 | Lilly USA, LLC | TRULICITY (Drug), JARDIANCE | Food and Beverage | In-kind items and services | $12.12 | General |
| Category: Diabetes | ||||||
| 05/21/2021 | Boehringer Ingelheim Pharmaceuticals, Inc. | STIOLTO RESPIMAT (Drug) | Food and Beverage | In-kind items and services | $13.53 | General |
| Category: RESPIRATORY | ||||||
| 04/02/2021 | VIVUS LLC | Qsymia (Drug) | Food and Beverage | In-kind items and services | $13.30 | General |
| Category: ENDOCRINOLOGY | ||||||
| 03/05/2021 | Astellas Pharma US Inc | MYRBETRIQ (Drug) | Food and Beverage | In-kind items and services | $17.37 | General |
| Category: UROLOGY | ||||||
| 02/19/2021 | SUN PHARMACEUTICAL INDUSTRIES INC. | KAPSPARGO (Drug), EZALLOR SPRINKLE, DRIZALMA SPRINKLE | Food and Beverage | In-kind items and services | $18.35 | General |
| Category: Cardiology Vascular Diseases | ||||||
| 01/29/2021 | Novo Nordisk Inc | Ozempic (Drug), RYBELSUS | Food and Beverage | In-kind items and services | $12.37 | General |
| Category: Diabetes | ||||||
| 01/22/2021 | Nestle HealthCare Nutrition Inc. | ZENPEP (Drug) | Food and Beverage | In-kind items and services | $15.48 | General |
| Category: ENDOCRINE PANCREATIC INSUFFICIENCY | ||||||
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 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office | 2023 | 125 | 740 | $114,700 | $60,992 | 53.2% |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | Office | 2023 | 89 | 89 | $24,475 | $15,448 | 63.1% |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | Office | 2023 | 97 | 274 | $26,030 | $12,642 | 48.6% |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | Office | 2023 | 52 | 83 | $17,845 | $9,876 | 55.3% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2023 | 85 | 85 | $12,750 | $9,387 | 73.6% |
| 99496 | Transitional care management services for problem of high complexity | Office | 2023 | 32 | 37 | $11,655 | $6,993 | 60.0% |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | Office | 2023 | 47 | 47 | $11,045 | $6,039 | 54.7% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 25 | 50 | $10,750 | $5,023 | 46.7% |
| 99497 | Advance care planning, first 30 minutes | Office | 2023 | 63 | 68 | $7,480 | $3,660 | 48.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 28 | 49 | $7,350 | $3,371 | 45.9% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 15 | 15 | $3,600 | $1,779 | 49.4% |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | Office | 2023 | 12 | 15 | $825.00 | $333.08 | 40.4% |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | Office | 2022 | 103 | 463 | $74,080 | $41,715 | 56.3% |
| 99335 | Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes | Office | 2022 | 96 | 369 | $44,280 | $23,189 | 52.4% |
| 99337 | Established patient custodial care facility, group care, or assisted living visit, typically 1 hour | Office | 2022 | 72 | 93 | $21,390 | $12,448 | 58.2% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2022 | 69 | 69 | $10,350 | $7,947 | 76.8% |
| 99328 | New patient custodial care facility, group care, or assisted living visit, typically 75 minutes | Office | 2022 | 40 | 40 | $11,200 | $5,888 | 52.6% |
| 99496 | Transitional care management services for problem of high complexity | Office | 2022 | 20 | 25 | $7,725 | $4,930 | 63.8% |
| 99497 | Advance care planning, first 30 minutes | Office | 2022 | 79 | 81 | $8,910 | $4,713 | 52.9% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 14 | 19 | $4,085 | $2,417 | 59.2% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2022 | 18 | 18 | $4,320 | $2,403 | 55.6% |
| 99334 | Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes | Office | 2022 | 34 | 46 | $3,220 | $1,838 | 57.1% |
| 99336 | Established patient assisted living visit, typically 40 minutes | Office | 2021 | 78 | 310 | $49,600 | $27,541 | 55.5% |
| 99335 | Established patient assisted living visit, typically 25 minutes | Office | 2021 | 78 | 418 | $50,160 | $26,152 | 52.1% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2021 | 49 | 49 | $7,305 | $5,780 | 79.1% |
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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