Afaxys, INC.
Reporting payments is a legal requirement; large totals often reflect large product portfolios.
$86Kgeneral payments (2019-2025)
$1,925research payments (2019-2025)
33clinicians paid
General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.
General payments by year
General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.
Specialties it works with most
Clinicians with the largest reported totals
Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.
| Clinician | Location | Specialty | General payments (2019-2025) |
|---|---|---|---|
| Deborah Nucatola | Los Angeles, CA | Obstetrics & Gynecology | $8,911.22 |
| Antoinette Marengo Barbick | San Diego, CA | Obstetrics & Gynecology | $8,596.54 |
| Mark Hathaway | Washington, DC | Obstetrics & Gynecology | $5,962.50 |
| Scott Spear | Edinburg, TX | Adolescent Medicine (Pediatrics) | $5,700.00 |
| Elizabeth Talmont | Westfield, NJ | Adult Health (Nurse Practitioner) | $4,867.23 |
| Sarah Traxler | Saint Paul, MN | Obstetrics & Gynecology | $4,633.42 |
| Erica Smith | Houston, TX | Women'S Health (Nurse Practitioner) | $3,775.00 |
| Serina Floyd | Washington, DC | Obstetrics & Gynecology | $3,075.00 |
| Sarah Romer | Denver, CO | Family | $3,013.25 |
| Laura Spicer | Grand Forks, ND | Women'S Health (Nurse Practitioner) | $2,976.48 |
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.