Carolyn Manhart, MD
Internal Medicine · Omaha, NENPI 1073619458
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 377 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 47 manufacturers, the largest accounting for just 13.2% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in NE with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 377 payments — averaging $16.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$824
- AstraZeneca$531
- Novo Nordisk$479
- Amgen$442
- Sanofi-aventis U.S. LLC$360
- Bayer$355
- plus $3K from 41 others
What the payments were for
- Food & beverage$6,245100%
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.
How this compares
$6,245 in reported general payments places this provider in the 90th percentile of 570 internal medicine providers in Nebraska.
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 |
|---|---|---|
| EliquisApixaban | 214 | $208,362 |
| MounjaroTirzepatide | 96 | $103,389 |
| OzempicSemaglutide | 87 | $84,940 |
| JardianceEmpagliflozin | 58 | $56,272 |
| XareltoRivaroxaban | 32 | $36,023 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 13 | $24,319 |
| TrulicityDulaglutide | 21 | $21,953 |
| FarxigaDapagliflozin Propanediol | 33 | $21,488 |
| WegovySemaglutide | 11 | $16,756 |
| Xtampza ErOxycodone Myristate | 12 | $13,463 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 16 | $12,370 |
| MyrbetriqMirabegron | 20 | $11,208 |
| Breo ElliptaFluticasone/Vilanterol | 27 | $10,871 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 14 | $10,768 |
| Bydureon BciseExenatide Microspheres | 13 | $9,818 |
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 |
|---|---|---|
| PfizerEliquis | $253 | $208,362214 claims |
| Lilly USA, LLCMounjaro, Trulicity | $824 | $125,341117 claims |
| Novo NordiskOzempic, Wegovy | $479 | $101,69698 claims |
| Boehringer IngelheimJardiance, Stiolto Respimat, Combivent Respimat | $336 | $70,15585 claims |
| Johnson & JohnsonXarelto | $64 | $36,02332 claims |
| GSKBreo Ellipta, Trelegy Ellipta, Arnuity Ellipta, Incruse Ellipta | $50 | $30,25966 claims |
| AstraZenecaFarxiga, Symbicort | $531 | $24,89947 claims |
| AbbVieLinzess, Restasis | $189 | $16,81428 claims |
| Astellas Pharma US IncMyrbetriq | $70 | $11,20820 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $92 | $9,75014 claims |
| MerckJanuvia | $55 | $6,46812 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 90th percentile of 570 internal medicine providers in Nebraska.
Other internal medicine in Omaha
- Brian BoerOmaha$142K
- Adam BurdorfOmaha$29K
- David SharpOmaha$26K
- David ShinOmaha$26K
- Nikhil JaganOmaha$20K
- Clayton SchroederOmaha$14K
- Ali NayfehOmaha$12K
- Kirtibala GuptaOmaha$12K
- Chad VokounOmaha$11K
- Joel MichalskiOmaha$10K
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.