RxDoctor Payments Data

Bryce Lund, MD

Nephrology · Fremont, NENPI 1992924443

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $414 of the $627 with a category attached, or 66.1%. 5 manufacturers reported payments, led by Bayer at 52.6% of the total. That places this record below the midpoint for nephrology clinicians in NE, where the typical reported total is $1,214.

$627in general payments, 2019–2025

Across 16 payments — averaging $39.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Bayer$329
  • Vifor Pharma, Inc.$200
  • AstraZeneca$71
  • Takeda Pharmaceuticals U.S.A., Inc.$14
  • Travere Therapeutics, Inc.$12

What the payments were for

  • Speaking & faculty fees$20032%
  • Food & beverage$41466%
  • Education$122%

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

19
20
21
22
23
24
25

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.

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$627 in reported general payments places this provider in the 35th percentile of 60 nephrology providers in Nebraska.

See all nephrology providers in Nebraska

Medicare billing

Part B allowed, 2024
$211,275
Medicare patients
665
Services billed
1,816

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

DrugClaimsCost to plans & patients
JardianceEmpagliflozin361$290,063
KerendiaFinerenone163$132,706
FarxigaDapagliflozin Propanediol174$121,755
AuryxiaFerric Citrate11$15,153
EntrestoSacubitril/Valsartan14$13,381
VeltassaPatiromer Calcium Sorbitex17$11,229
MyrbetriqMirabegron27$11,007
LokelmaSodium Zirconium Cyclosilicate16$10,975
Sevelamer Carbonate57$7,424
Valsartan392$7,285
ProsolParenteral Amino Acid 20% No.129$7,072
Torsemide270$5,324
Calcium Acetate52$4,536
RetacritEpoetin Alfa-Epbx15$4,248
Potassium Chloride122$2,520

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.

CompanyPaid to this providerPart D cost of their drugs
AstraZenecaFarxiga, Lokelma$71$132,731190 claims
BayerKerendia$329$132,706163 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 35th percentile of 60 nephrology providers in Nebraska.

Other nephrology in Fremont

See the full list for Nebraska

Where these figures come from

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