Brett Mikeska, MD
Nephrology · Salem, ORNPI 1003915869
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.2% of the total across 19 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Baxter Healthcare at 27.1% of the total. Reporting peaked in 2024 at $125 and has fallen 75.4% since, to $31 in 2025.
Across 19 payments — averaging $24.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$125
- Vifor Pharma, Inc.$112
- Amgen$54
- Otsuka America Pharmaceutical, Inc.$51
- Bayer$45
- Travere Therapeutics, Inc.$35
- plus $39 from 2 others
What the payments were for
- Food & beverage$45899%
- Education$41%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Baxter Healthcare | 1 | $125 |
| Vifor Pharma, Inc. | 6 | $112 |
| Amgen(2 entities) | 3 | $54 |
| Otsuka America Pharmaceutical, Inc. | 2 | $51 |
| Bayer | 2 | $45 |
| Travere Therapeutics, Inc. | 3 | $35 |
| AstraZeneca | 1 | $24 |
| Fresenius USA Marketing, Inc. | 1 | $15 |
How this compares
$461 in reported general payments places this provider in the 65th percentile of 120 nephrology providers in Oregon.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| VelphoroSucroferric Oxyhydroxide | 11 | $25,362 |
| FarxigaDapagliflozin Propanediol | 11 | $19,549 |
| LokelmaSodium Zirconium Cyclosilicate | 15 | $11,038 |
| Sevelamer Carbonate | 25 | $9,522 |
| JardianceEmpagliflozin | 11 | $8,803 |
| Cinacalcet Hcl | 57 | $8,480 |
| Calcium Acetate | 58 | $6,420 |
| Torsemide | 62 | $2,222 |
| Tacrolimus | 25 | $2,102 |
| Metoprolol Succinate | 114 | $1,643 |
| Potassium Chloride | 78 | $1,558 |
| Calcitriol | 71 | $1,557 |
| Midodrine Hcl | 17 | $1,531 |
| Mycophenolate Mofetil | 17 | $1,425 |
| Nifedipine ErNifedipine | 45 | $1,128 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AstraZenecaFarxiga, Lokelma | $24 | $30,58726 claims |
| Fresenius USA Marketing, Inc.Velphoro | $15 | $25,36211 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 65th percentile of 120 nephrology providers in Oregon.
Other nephrology in Salem
- Lance DickerSalem$2K
- Misha MohindraSalem$681
- Kumar RohitSalem$604
- Sitalakshmi IyerSalem$460
- Andreea AndoneSalem$392
- Denis PrivalovSalem$361
- Ken ParkSalem$361
- Eva LeeSalem$276
- Neil KumarRoseburg$532K
- Robert ProvenzanoPortland$45K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.