Payment overview · 2025
General Payments
$31.20
1 reported records · 1 companies
Healthcare provider profile · identity verified
Joyce Ann Little, APRN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · PIKEVILLE, KY · NPI 1982977484
Verified facts
What the public records show
CMS Open Payments records show Joyce Ann Little, APRN received $31.20 in general payments during 2025 across 1 reported records.
Dexcom, Inc. accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $31.20 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $31.20 | 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 |
|---|---|---|---|---|---|
| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $31.20 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
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 | 406 | 115 |
| Gabapentin | Gabapentin | 274 | 55 |
| Lisinopril | Lisinopril | 254 | 72 |
| Levothyroxine Sodium | Levothyroxine Sodium | 214 | 64 |
| Pantoprazole Sodium | Pantoprazole Sodium | 187 | 58 |
| Famotidine | Famotidine | 182 | 51 |
| Omeprazole | Omeprazole | 158 | 54 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 150 | 53 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 131 | 40 |
| Losartan Potassium | Losartan Potassium | 123 | 33 |
| Sertraline Hcl | Sertraline Hcl | 123 | 34 |
| Metoprolol Succinate | Metoprolol Succinate | 122 | 40 |
| Hydrochlorothiazide | Hydrochlorothiazide | 112 | 36 |
| Diclofenac Sodium | Diclofenac Sodium | 106 | 33 |
| Potassium Chloride | Potassium Chloride | 102 | 41 |
| Mounjaro | Tirzepatide | 101 | 26 |
| Furosemide | Furosemide | 100 | 39 |
| Metformin Hcl | Metformin Hcl | 100 | 32 |
| Amlodipine Besylate | Amlodipine Besylate | 99 | 36 |
| Ozempic | Semaglutide | 89 | 21 |
| Citalopram Hbr | Citalopram Hydrobromide | 87 | 23 |
| Metoprolol Tartrate | Metoprolol Tartrate | 84 | 24 |
| Simvastatin | Simvastatin | 84 | 23 |
| Trazodone Hcl | Trazodone Hcl | 83 | 25 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 79 | 38 |
| Montelukast Sodium | Montelukast Sodium | 77 | 24 |
| Fluticasone Propionate | Fluticasone Propionate | 76 | 32 |
| Pravastatin Sodium | Pravastatin Sodium | 75 | 22 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 73 | 24 |
| Amitriptyline Hcl | Amitriptyline Hcl | 71 | 21 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 71 | 17 |
| Clopidogrel | Clopidogrel Bisulfate | 70 | 21 |
| Buspirone Hcl | Buspirone Hcl | 61 | 18 |
| Carvedilol | Carvedilol | 58 | 15 |
| Ibuprofen | Ibuprofen | 51 | 20 |
| Ondansetron Hcl | Ondansetron Hcl | 49 | 29 |
| Tamsulosin Hcl | Tamsulosin Hcl | 48 | 16 |
| Baclofen | Baclofen | 47 | 16 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 47 | 16 |
| Clonazepam | Clonazepam | 46 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 45 | suppressed |
| Ezetimibe | Ezetimibe | 44 | suppressed |
| Pregabalin | Pregabalin | 44 | suppressed |
| Celecoxib | Celecoxib | 43 | 13 |
| Meloxicam | Meloxicam | 43 | 15 |
| Duloxetine Hcl | Duloxetine Hcl | 42 | 13 |
| Ropinirole Hcl | Ropinirole Hcl | 42 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 40 | 11 |
| Eliquis | Apixaban | 39 | 11 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 39 | 15 |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 38 | 12 |
| Jardiance | Empagliflozin | 38 | 11 |
| Meclizine Hcl | Meclizine Hcl | 37 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 37 | suppressed |
| Januvia | Sitagliptin Phosphate | 36 | 12 |
| Atenolol | Atenolol | 34 | 11 |
| Ventolin Hfa | Albuterol Sulfate | 34 | 16 |
| Donepezil Hcl | Donepezil Hcl | 33 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 33 | suppressed |
| Lorazepam | Lorazepam | 31 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 31 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 28 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 27 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 27 | suppressed |
| Azithromycin | Azithromycin | 26 | 25 |
| Methylprednisolone | Methylprednisolone | 26 | 26 |
| Tramadol Hcl | Tramadol Hcl | 26 | suppressed |
| Cefdinir | Cefdinir | 24 | 23 |
| Linzess | Linaclotide | 24 | suppressed |
| Prednisone | Prednisone | 24 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 23 | suppressed |
| Chlorthalidone | Chlorthalidone | 23 | suppressed |
| Diazepam | Diazepam | 23 | suppressed |
| Spironolactone | Spironolactone | 23 | suppressed |
| Bupropion Xl | Bupropion Hcl | 22 | suppressed |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 22 | suppressed |
| Amoxicillin | Amoxicillin | 21 | 20 |
| Cephalexin | Cephalexin | 21 | 18 |
| Finasteride | Finasteride | 21 | suppressed |
| Levetiracetam | Levetiracetam | 21 | suppressed |
| Memantine Hcl | Memantine Hcl | 20 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 20 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 19 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 19 | suppressed |
| Naproxen | Naproxen | 19 | suppressed |
| Vascepa | Icosapent Ethyl | 19 | suppressed |
| Sucralfate | Sucralfate | 18 | 11 |
| Trulicity | Dulaglutide | 18 | suppressed |
| Allopurinol | Allopurinol | 17 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 17 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 17 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 17 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 16 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 16 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 15 | suppressed |
| Glipizide | Glipizide | 15 | suppressed |
| Nystatin | Nystatin | 15 | 12 |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 14 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 14 | suppressed |
| Synthroid | Levothyroxine Sodium | 14 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 14 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 13 | suppressed |
| Dapagliflozin | Dapagliflozin Propanediol | 13 | suppressed |
| Levofloxacin | Levofloxacin | 13 | 12 |
| Metformin Hcl Er | Metformin Hcl | 13 | suppressed |
| Entresto | Sacubitril/Valsartan | 12 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 12 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 12 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 11 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 11 | suppressed |
| Nifedipine Er | Nifedipine | 11 | suppressed |
| Potassium Citrate Er | Potassium Citrate | 11 | suppressed |
| Ranolazine Er | Ranolazine | 11 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 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 | $31.20 · 1 records | Dexcom, Inc. | Dexcom G6 Transmitter | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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