Payment overview · 2025
General Payments
$3,730.80
121 reported records · 23 companies
Healthcare provider profile · identity verified
Leah Ashley Balch, AGPCNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · GREENEVILLE, TN · NPI 1225451925
Verified facts
What the public records show
CMS Open Payments records show Leah Ashley Balch, AGPCNP received $3,730.80 in general payments during 2025 across 121 reported records.
ABBVIE INC. accounted for 52.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 29 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Creon, Ibsrela, Linzess, Xifaxan, Zenpep.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported CREON as an associated drug or biological on 91561 records involving 20616 distinct recipient NPIs. Public Medicare Part D data also shows 45 claims for Creon by this doctor in 2024.
ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 57 claims for Linzess by this doctor in 2024.
Aimmune Therapeutics, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ZENPEP as an associated drug or biological on 32144 records involving 12432 distinct recipient NPIs. Public Medicare Part D data also shows 28 claims for Zenpep by this doctor in 2024.
Ardelyx, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported IBSRELA as an associated drug or biological on 59980 records involving 18215 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Ibsrela by this doctor in 2024.
Gilead Sciences, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Epclusa as an associated drug or biological on 4711 records involving 2021 distinct recipient NPIs. Public Medicare Part D data also shows 14 claims for Epclusa by this doctor in 2024.
Gilead Sciences, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Vemlidy as an associated drug or biological on 782 records involving 554 distinct recipient NPIs. Public Medicare Part D data also shows 20 claims for Vemlidy by this doctor in 2024.
Janssen Biotech, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported STELARA as an associated drug or biological on 23706 records involving 7279 distinct recipient NPIs. Public Medicare Part D data also shows 29 claims for Stelara by this doctor in 2024.
Salix Pharmaceuticals, a division of Bausch Health US, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported XIFAXAN as an associated drug or biological on 101901 records involving 33018 distinct recipient NPIs. Public Medicare Part D data also shows 82 claims for Xifaxan by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $1,973.89 | 52.9% | 32 | 2025 |
| Neurelis, Inc. |
Neurelis, Inc. exact · evidence 2025-02-20 |
$214.73 | 5.8% | 7 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $211.56 | 5.7% | 7 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $197.99 | 5.3% | 8 | 2025 |
| Gilead Sciences, Inc. | Unresolved — no canonical attribution shown | $178.37 | 4.8% | 17 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $159.11 | 4.3% | 10 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $101.70 | 2.7% | 6 | 2025 |
| Aimmune Therapeutics, Inc. | Unresolved — no canonical attribution shown | $93.70 | 2.5% | 5 | 2025 |
| Ardelyx, Inc. | Unresolved — no canonical attribution shown | $81.20 | 2.2% | 5 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $78.85 | 2.1% | 4 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $68.23 | 1.8% | 3 | 2025 |
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $59.21 | 1.6% | 2 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $51.71 | 1.4% | 2 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $38.85 | 1.0% | 2 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $35.24 | 0.9% | 2 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $34.48 | 0.9% | 2 | 2025 |
| SK Life Science, Inc. |
SK Life Science, Inc. exact · evidence 2025-04-03 |
$32.12 | 0.9% | 1 | 2025 |
| Mallinckrodt Hospital Products Inc. | Unresolved — no canonical attribution shown | $29.99 | 0.8% | 1 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $22.52 | 0.6% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $19.31 | 0.5% | 1 | 2025 |
| Intercept Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $17.11 | 0.5% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $16.48 | 0.4% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $14.45 | 0.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,162.80 | 119 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $1,400.00 | 1 |
| Travel and Lodging | $168.00 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| CREON Normalized: creon |
Drug | ABBVIE INC. | $1,731.89 | 16 | 2025 |
Source payment records
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| VALTOCO Normalized: valtoco |
Drug | Neurelis, Inc. | $214.73 | 7 | 2025 |
Source payment records
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| TREMFYA Normalized: tremfya |
Drug | Janssen Biotech, Inc. | $211.56 | 7 | 2025 |
Source payment records
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| LINZESS Normalized: linzess |
Drug | ABBVIE INC. | $139.89 | 13 | 2025 |
Source payment records
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| SKYRIZI Normalized: skyrizi |
Biological | ABBVIE INC. | $126.82 | 7 | 2025 |
Source payment records
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| MAVYRET Normalized: mavyret |
Drug | ABBVIE INC. | $115.18 | 9 | 2025 |
Source payment records
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| VYVGART Normalized: vyvgart |
Drug | ARGENX US, INC. | $101.70 | 6 | 2025 |
Source payment records
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| Briviact Normalized: briviact |
Drug | UCB, Inc. | $98.56 | 5 | 2025 |
Source payment records
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| ZENPEP Normalized: zenpep |
Drug | Aimmune Therapeutics, Inc. | $93.70 | 5 | 2025 |
Source payment records
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| RINVOQ Normalized: rinvoq |
Biological | ABBVIE INC. | $93.33 | 6 | 2025 |
Source payment records
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| ENTYVIO Normalized: entyvio |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $90.29 | 6 | 2025 |
Source payment records
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| IBSRELA Normalized: ibsrela |
Drug | Ardelyx, Inc. | $81.20 | 5 | 2025 |
Source payment records
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| VYEPTI Normalized: vyepti |
Biological | Lundbeck LLC | $78.85 | 4 | 2025 |
Source payment records
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| Nayzilam Normalized: nayzilam |
Drug | UCB, Inc. | $75.91 | 2 | 2025 |
Source payment records
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| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $68.23 | 3 | 2025 |
Source payment records
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| EPIDIOLEX Normalized: epidiolex |
Drug | JAZZ PHARMACEUTICALS INC. | $59.21 | 2 | 2025 |
Source payment records
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| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $51.71 | 2 | 2025 |
Source payment records
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| EOHILIA Normalized: eohilia |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $51.08 | 3 | 2025 |
Source payment records
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| INJECTAFER Normalized: injectafer |
Drug | Daiichi Sankyo Inc. | $38.85 | 2 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $35.24 | 2 | 2025 |
Source payment records
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| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $34.48 | 2 | 2025 |
Source payment records
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| ACTHAR Normalized: acthar |
Biological | Mallinckrodt Hospital Products Inc. | $29.99 | 1 | 2025 |
Source payment records
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| Rystiggo Normalized: rystiggo |
Drug | UCB, Inc. | $23.52 | 1 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION | $22.52 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $19.31 | 1 | 2025 |
Source payment records
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| GATTEX Normalized: gattex |
Drug | Takeda Pharmaceuticals U.S.A., Inc. | $17.74 | 1 | 2025 |
Source payment records
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| OCALIVA Normalized: ocaliva |
Drug | Intercept Pharmaceuticals, Inc. | $17.11 | 1 | 2025 |
Source payment records
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| OMVOH Normalized: omvoh |
Drug | Lilly USA, LLC | $16.48 | 1 | 2025 |
Source payment records
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| VELSIPITY Normalized: velsipity |
Drug | PFIZER INC. | $14.45 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| CREON creon |
2025 | Creon | 2024 | 45 | exact normalized | Medicare Part D |
| IBSRELA ibsrela |
2025 | Ibsrela | 2024 | 14 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| LINZESS linzess |
2025 | Linzess | 2024 | 57 | exact normalized | Medicare Part D |
| XIFAXAN xifaxan |
2025 | Xifaxan | 2024 | 82 | exact normalized | Medicare Part D |
| ZENPEP zenpep |
2025 | Zenpep | 2024 | 28 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | CREON open payments reported associated product |
CMS Open Payments — General Payments 91561 supporting records · 20616 recipient NPIs · example record 1201352608 |
Creon · 2024 Exact normalized brand match · 1 Part D row |
45 | 13 |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
57 | 11 |
| Aimmune Therapeutics, Inc. Exact reporting entity; no affiliate inference |
2025 | ZENPEP open payments reported associated product |
CMS Open Payments — General Payments 32144 supporting records · 12432 recipient NPIs · example record 1249641927 |
Zenpep · 2024 Exact normalized brand match · 1 Part D row |
28 | suppressed by CMS |
| Ardelyx, Inc. Exact reporting entity; no affiliate inference |
2025 | IBSRELA open payments reported associated product |
CMS Open Payments — General Payments 59980 supporting records · 18215 recipient NPIs · example record 1247828901 |
Ibsrela · 2024 Exact normalized brand match · 1 Part D row |
14 | suppressed by CMS |
| Gilead Sciences, Inc. Exact reporting entity; no affiliate inference |
2025 | Epclusa open payments reported associated product |
CMS Open Payments — General Payments 4711 supporting records · 2021 recipient NPIs · example record 1234350832 |
Epclusa · 2024 Exact normalized brand match · 1 Part D row |
14 | suppressed by CMS |
| Gilead Sciences, Inc. Exact reporting entity; no affiliate inference |
2025 | Vemlidy open payments reported associated product |
CMS Open Payments — General Payments 782 supporting records · 554 recipient NPIs · example record 1234350906 |
Vemlidy · 2024 Exact normalized brand match · 1 Part D row |
20 | suppressed by CMS |
| Janssen Biotech, Inc. Exact reporting entity; no affiliate inference |
2025 | STELARA open payments reported associated product |
CMS Open Payments — General Payments 23706 supporting records · 7279 recipient NPIs · example record 1174257377 |
Stelara · 2024 Exact normalized brand match · 1 Part D row |
29 | suppressed by CMS |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC Exact reporting entity; no affiliate inference |
2025 | XIFAXAN open payments reported associated product |
CMS Open Payments — General Payments 101901 supporting records · 33018 recipient NPIs · example record 1231775337 |
Xifaxan · 2024 Exact normalized brand match · 1 Part D row |
82 | 11 |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 484 | 208 |
| Omeprazole | Omeprazole | 143 | 47 |
| Metronidazole | Metronidazole | 139 | 135 |
| Doxycycline Hyclate | Doxycycline Hyclate | 127 | 125 |
| Lactulose | Lactulose | 82 | 18 |
| Xifaxan | Rifaximin | 82 | 11 |
| Famotidine | Famotidine | 81 | 32 |
| Humira(Cf) Pen | Adalimumab | 66 | suppressed |
| Linzess | Linaclotide | 57 | 11 |
| Promethazine Hcl | Promethazine Hcl | 55 | 13 |
| Dexlansoprazole Dr | Dexlansoprazole | 54 | suppressed |
| Sucralfate | Sucralfate | 54 | 24 |
| Cholestyramine | Cholestyramine (With Sugar) | 46 | 23 |
| Creon | Lipase/Protease/Amylase | 45 | 13 |
| Dicyclomine Hcl | Dicyclomine Hcl | 37 | suppressed |
| Tenofovir Disoproxil Fumarate | Tenofovir Disoproxil Fumarate | 33 | suppressed |
| Mesalamine | Mesalamine | 32 | suppressed |
| Ondansetron Odt | Ondansetron | 32 | 13 |
| Ursodiol | Ursodiol | 31 | suppressed |
| Prednisone | Prednisone | 30 | suppressed |
| Stelara | Ustekinumab | 29 | suppressed |
| Colestipol Hcl | Colestipol Hcl | 28 | suppressed |
| Zenpep | Lipase/Protease/Amylase | 28 | suppressed |
| Amoxicillin | Amoxicillin | 26 | 23 |
| Ondansetron Hcl | Ondansetron Hcl | 26 | 20 |
| Fluconazole | Fluconazole | 25 | 21 |
| Lubiprostone | Lubiprostone | 24 | suppressed |
| Spironolactone | Spironolactone | 24 | suppressed |
| Sulfasalazine | Sulfasalazine | 24 | suppressed |
| Azathioprine | Azathioprine | 22 | suppressed |
| Furosemide | Furosemide | 22 | suppressed |
| Erythromycin | Erythromycin Base | 21 | suppressed |
| Clarithromycin | Clarithromycin | 20 | 19 |
| Potassium Chloride | Potassium Chloride | 20 | suppressed |
| Vemlidy | Tenofovir Alafenamide | 20 | suppressed |
| Humira(Cf) | Adalimumab | 17 | suppressed |
| Epclusa | Sofosbuvir/Velpatasvir | 14 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 14 | suppressed |
| Ibsrela | Tenapanor Hcl | 14 | suppressed |
| Nizatidine | Nizatidine | 12 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 11 | suppressed |
| Lidocaine Hcl Viscous | Lidocaine Hcl | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $3,730.80 · 121 records | ABBVIE INC. | ACTHAR, Briviact, CREON, DUPIXENT, ENTYVIO, EOHILIA, EPIDIOLEX, GATTEX, IBSRELA, INGREZZA, INJECTAFER, LINZESS, MAVYRET, Nayzilam, OCALIVA, OMVOH, RINVOQ, Rystiggo, SKYRIZI, TREMFYA, ULTOMIRIS, VALTOCO, VELSIPITY, VOQUEZNA, VYEPTI, VYVGART, Wegovy, XIFAXAN, ZENPEP | 8 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Creon play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with ABBVIE INC.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error