Payment overview · 2025
General Payments
$45.00
1 reported records · 1 companies
Healthcare provider profile · identity verified
Bethany Michielsen, FNP-C
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Primary Care · PORTAGE, IN · NPI 1437784451
Verified facts
What the public records show
CMS Open Payments records show Bethany Michielsen, FNP-C received $45.00 in general payments during 2025 across 1 reported records.
Lilly USA, LLC accounted for 100.0% of that reported general-payment amount.
Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 61 claims for Jardiance by this doctor in 2024.
Lilly USA, 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 44 claims for Mounjaro 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 |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $45.00 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Education | $45.00 | 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
Payment records were found, but the reported records did not identify a specific associated product for this analysis.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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 |
|---|---|---|---|---|---|---|
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
61 | 15 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
44 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 137 | 42 |
| Pantoprazole Sodium | Pantoprazole Sodium | 126 | 42 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 124 | 42 |
| Levothyroxine Sodium | Levothyroxine Sodium | 123 | 39 |
| Metoprolol Succinate | Metoprolol Succinate | 97 | 30 |
| Amlodipine Besylate | Amlodipine Besylate | 96 | 34 |
| Gabapentin | Gabapentin | 92 | 36 |
| Tramadol Hcl | Tramadol Hcl | 77 | 21 |
| Celecoxib | Celecoxib | 70 | 23 |
| Jardiance | Empagliflozin | 61 | 15 |
| Montelukast Sodium | Montelukast Sodium | 58 | 17 |
| Bupropion Xl | Bupropion Hcl | 57 | 20 |
| Escitalopram Oxalate | Escitalopram Oxalate | 57 | 21 |
| Metformin Hcl | Metformin Hcl | 56 | 19 |
| Losartan Potassium | Losartan Potassium | 54 | 16 |
| Carvedilol | Carvedilol | 52 | 18 |
| Ozempic | Semaglutide | 51 | 19 |
| Omeprazole | Omeprazole | 49 | 18 |
| Clonazepam | Clonazepam | 47 | 13 |
| Eliquis | Apixaban | 45 | 13 |
| Mounjaro | Tirzepatide | 44 | 11 |
| Trazodone Hcl | Trazodone Hcl | 43 | 16 |
| Lisinopril | Lisinopril | 42 | 12 |
| Clopidogrel | Clopidogrel Bisulfate | 41 | 16 |
| Hydrochlorothiazide | Hydrochlorothiazide | 41 | 14 |
| Alprazolam | Alprazolam | 40 | suppressed |
| Furosemide | Furosemide | 40 | 15 |
| Spironolactone | Spironolactone | 38 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 37 | 11 |
| Fluticasone Propionate | Fluticasone Propionate | 37 | 17 |
| Tamsulosin Hcl | Tamsulosin Hcl | 37 | 14 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 36 | 15 |
| Duloxetine Hcl | Duloxetine Hcl | 33 | suppressed |
| Simvastatin | Simvastatin | 33 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 32 | 12 |
| Irbesartan | Irbesartan | 31 | 11 |
| Potassium Chloride | Potassium Chloride | 29 | suppressed |
| Synthroid | Levothyroxine Sodium | 29 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 27 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 25 | 22 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 25 | suppressed |
| Mirtazapine | Mirtazapine | 24 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 23 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 23 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 21 | suppressed |
| Pregabalin | Pregabalin | 21 | suppressed |
| Lorazepam | Lorazepam | 20 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 20 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 19 | suppressed |
| Novolog Flexpen | Insulin Aspart | 19 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 18 | suppressed |
| Methylprednisolone | Methylprednisolone | 18 | 15 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 17 | suppressed |
| Januvia | Sitagliptin Phosphate | 17 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 17 | suppressed |
| Azithromycin | Azithromycin | 16 | 11 |
| Cephalexin | Cephalexin | 16 | suppressed |
| Famotidine | Famotidine | 16 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 16 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 14 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 14 | suppressed |
| Ezetimibe | Ezetimibe | 14 | suppressed |
| Glimepiride | Glimepiride | 14 | suppressed |
| Lidocaine | Lidocaine | 14 | suppressed |
| Memantine Hcl | Memantine Hcl | 14 | suppressed |
| Prednisone | Prednisone | 14 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 13 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 12 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 12 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 12 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 12 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 12 | suppressed |
| Topiramate | Topiramate | 12 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Bumetanide | Bumetanide | 11 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 11 | suppressed |
| Lactulose | Lactulose | 11 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 11 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 11 | suppressed |
| Valsartan | Valsartan | 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 | $45.00 · 1 records | Lilly USA, LLC | — | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
- 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