Total Payments
$545.57
2024 Payments
$84.82
Companies
12
Transactions
28
Medicare Patients
826
Medicare Billing
$34,550
Payment Breakdown by Category
Food & Beverage$545.57 (100.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $545.57 | 28 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Exeltis, USA Inc. | $221.06 | 11 | $0 (2024) |
| Astellas Pharma US Inc | $69.76 | 4 | $0 (2024) |
| Mycovia Pharmaceuticals, Inc. | $54.45 | 2 | $0 (2023) |
| MILLICENT US INC | $33.33 | 2 | $0 (2024) |
| Agile Therapeutics, Inc. | $27.59 | 2 | $0 (2024) |
| UROVANT SCIENCES INC | $23.32 | 1 | $0 (2021) |
| Hologic Sales and Service, LLC | $23.21 | 1 | $0 (2023) |
| PFIZER INC. | $22.09 | 1 | $0 (2021) |
| Hologic, LLC | $19.61 | 1 | $0 (2021) |
| MAYNE PHARMA COMMERCIAL LLC | $19.32 | 1 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $84.82 | 5 | MILLICENT US INC ($33.33) |
| 2023 | $184.60 | 9 | Exeltis, USA Inc. ($78.31) |
| 2022 | $134.79 | 7 | Exeltis, USA Inc. ($97.83) |
| 2021 | $141.36 | 7 | Astellas Pharma US Inc ($38.79) |
All Payment Transactions
28 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/13/2024 | MILLICENT US INC | FEMRING (Drug), INTRAROSA | Food and Beverage | In-kind items and services | $15.03 | General |
| Category: TREAT SYMPTOMS OF MENOPAUSE | ||||||
| 06/12/2024 | MILLICENT US INC | INTRAROSA (Drug) | Food and Beverage | In-kind items and services | $18.30 | General |
| Category: TREATMENT OF DYSPAREUNIA | ||||||
| 05/22/2024 | Astellas Pharma US Inc | Veozah (Drug) | Food and Beverage | In-kind items and services | $16.53 | General |
| Category: Biological | ||||||
| 05/08/2024 | Agile Therapeutics, Inc. | Twirla (Drug) | Food and Beverage | In-kind items and services | $13.90 | General |
| Category: Birth Control Contraceptive Patch | ||||||
| 03/06/2024 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $21.06 | General |
| Category: CONTRACEPTIVE | ||||||
| 12/14/2023 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $20.54 | General |
| Category: Oral Contraceptive | ||||||
| 10/05/2023 | Hologic Sales and Service, LLC | APTIMA (Device) | Food and Beverage | In-kind items and services | $23.21 | General |
| Category: Diagnostics | ||||||
| 09/21/2023 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $23.75 | General |
| Category: Oral Contraceptive | ||||||
| 09/07/2023 | Mycovia Pharmaceuticals, Inc. | Vivjoa (Drug) | Food and Beverage | In-kind items and services | $32.82 | General |
| Category: Infections and Infectious Diseases | ||||||
| 07/13/2023 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $13.78 | General |
| Category: Oral Contraceptive | ||||||
| 06/22/2023 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $20.24 | General |
| Category: Oral Contraceptive | ||||||
| 05/25/2023 | Exact Sciences Corporation | Cologuard Collection Kit (Device) | Food and Beverage | In-kind items and services | $16.50 | General |
| Category: Oncology | ||||||
| 05/11/2023 | Astellas Pharma US Inc | Myrbetriq (Drug) | Food and Beverage | In-kind items and services | $14.44 | General |
| Category: Urology | ||||||
| 04/07/2023 | MAYNE PHARMA COMMERCIAL LLC | — | Food and Beverage | In-kind items and services | $19.32 | General |
| 12/15/2022 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $22.58 | General |
| Category: Oral Contraceptive | ||||||
| 11/17/2022 | Mycovia Pharmaceuticals, Inc. | Vivjoa (Drug) | Food and Beverage | In-kind items and services | $21.63 | General |
| Category: Infections and Infectious Diseases | ||||||
| 10/27/2022 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $16.63 | General |
| Category: Oral Contraceptive | ||||||
| 09/15/2022 | TherapeuticsMD, Inc. | ANNOVERA (Drug), BIJUVA, IMVEXXY | Food and Beverage | In-kind items and services | $15.33 | General |
| Category: OBSTETRICS GYNECOLOGY WOMEN'S HEALTH | ||||||
| 07/14/2022 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $21.67 | General |
| Category: Oral Contraceptive | ||||||
| 04/14/2022 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $18.49 | General |
| Category: Oral Contraceptive | ||||||
| 02/03/2022 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $18.46 | General |
| Category: Oral Contraceptive | ||||||
| 12/30/2021 | PFIZER INC. | PREMARIN (Drug), PREMARIN, ESTRING | Food and Beverage | In-kind items and services | $22.09 | General |
| Category: WOMENS HEALTH | ||||||
| 11/18/2021 | UROVANT SCIENCES INC | GEMTESA (Drug) | Food and Beverage | Cash or cash equivalent | $23.32 | General |
| Category: Urology | ||||||
| 10/28/2021 | Agile Therapeutics, Inc. | Twirla (Drug) | Food and Beverage | In-kind items and services | $13.69 | General |
| Category: Birth Control Contraceptive Patch | ||||||
| 10/07/2021 | Exeltis, USA Inc. | SLYND (Drug) | Food and Beverage | In-kind items and services | $23.86 | General |
| Category: Oral Contraceptive | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 183 | 195 | $35,356 | $7,705 |
| 2022 | 6 | 205 | 223 | $42,554 | $8,932 |
| 2021 | 7 | 223 | 245 | $30,690 | $9,283 |
| 2020 | 9 | 215 | 233 | $28,470 | $8,629 |
Total Patients
826
Total Services
896
Medicare Billing
$34,550
Procedure Codes
27
All Medicare Procedures & Services
27 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2023 | 88 | 88 | $11,000 | $2,955 | 26.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 36 | 43 | $11,954 | $2,185 | 18.3% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 21 | 26 | $4,446 | $916.08 | 20.6% |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 2023 | 24 | 24 | $3,168 | $863.28 | 27.3% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 14 | 14 | $4,788 | $785.76 | 16.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 51 | 68 | $18,904 | $3,563 | 18.8% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2022 | 69 | 69 | $8,625 | $2,315 | 26.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 24 | 24 | $8,208 | $1,501 | 18.3% |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 2022 | 31 | 31 | $4,092 | $1,113 | 27.2% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 14 | 15 | $2,565 | $388.84 | 15.2% |
| 81002 | Urinalysis, manual test | Office | 2022 | 16 | 16 | $160.00 | $51.49 | 32.2% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 53 | 71 | $10,650 | $3,524 | 33.1% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2021 | 66 | 66 | $8,250 | $2,218 | 26.9% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 21 | 21 | $4,830 | $1,342 | 27.8% |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 2021 | 36 | 36 | $3,960 | $1,315 | 33.2% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Office | 2021 | 16 | 18 | $2,160 | $563.40 | 26.1% |
| G0444 | Annual depression screening, 15 minutes | Office | 2021 | 17 | 17 | $680.00 | $264.86 | 39.0% |
| 81002 | Urinalysis, manual test | Office | 2021 | 14 | 16 | $160.00 | $55.68 | 34.8% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 54 | 68 | $10,200 | $3,140 | 30.8% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2020 | 38 | 38 | $4,750 | $1,310 | 27.6% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 15 | 17 | $3,910 | $1,262 | 32.3% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Office | 2020 | 17 | 17 | $3,910 | $1,176 | 30.1% |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 2020 | 18 | 18 | $1,980 | $647.64 | 32.7% |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | Office | 2020 | 16 | 16 | $1,920 | $429.56 | 22.4% |
| G0444 | Annual depression screening, 15 minutes | Office | 2020 | 23 | 23 | $920.00 | $350.29 | 38.1% |
About Michelle Libretti, ARNP
Michelle Libretti, ARNP is a Gerontology healthcare provider based in Palm Coast, Florida. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/27/2017. The National Provider Identifier (NPI) number assigned to this provider is 1609316595.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Michelle Libretti, ARNP has received a total of $545.57 in payments from pharmaceutical and medical device companies, with $84.82 received in 2024. These payments were reported across 28 transactions from 12 companies. The most common payment nature is "Food and Beverage" ($545.57).
As a Medicare-enrolled provider, Libretti has provided services to 826 Medicare beneficiaries, totaling 896 services with total Medicare billing of $34,550. Data is available for 4 years (2020–2023), covering 27 distinct procedure/service records.
Ad
Practice Information
- Specialty Gerontology
- Other Specialties Adult Health
- Location Palm Coast, FL
- Active Since 02/27/2017
- Last Updated 09/26/2024
- Taxonomy Code 363LG0600X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1609316595
Products in Payments
- SLYND (Drug) $221.06
- Vivjoa (Drug) $54.45
- APTIMA (Device) $42.82
- MYRBETRIQ (Drug) $38.79
- Twirla (Drug) $27.59
- GEMTESA (Drug) $23.32
- PREMARIN (Drug) $22.09
- INTRAROSA (Drug) $18.30
- Veozah (Drug) $16.53
- Cologuard Collection Kit (Device) $16.50
- ANNOVERA (Drug) $15.33
- FEMRING (Drug) $15.03
- Myrbetriq (Drug) $14.44
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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.