Elvira Rios, MD
Family Medicine · Omaha, NENPI 1285788307
Payments from drug & device makers
Across 139 payments — averaging $19.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$697
- Amgen$451
- Novo Nordisk$416
- AstraZeneca$242
- Lilly USA, LLC$178
- Otsuka America Pharmaceutical, Inc.$94
- plus $587 from 18 others
What the payments were for
- Food & beverage$2,664100%
- Education$20%
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 |
|---|---|---|
| AbbVie | 43 | $697 |
| Amgen | 18 | $451 |
| Novo Nordisk | 14 | $416 |
| AstraZeneca | 3 | $242 |
| Lilly USA, LLC | 19 | $178 |
| Otsuka America Pharmaceutical, Inc. | 5 | $94 |
| Astellas Pharma US Inc | 4 | $76 |
| Gilead | 2 | $70 |
| Pfizer | 3 | $54 |
| Mayne Pharma Commercial LLC | 4 | $47 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $41 |
| Abbott | 2 | $41 |
| Pulmonx Corporation | 1 | $40 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $36 |
| Bayer | 2 | $28 |
| Boehringer Ingelheim | 2 | $27 |
| Sanofi Pasteur Inc. | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $22 |
| Axsome Therapeutics, Inc. | 1 | $19 |
| Boston Scientific | 1 | $17 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $16 |
| Merck | 1 | $14 |
| Phathom Pharmaceuticals, Inc. | 4 | $14 |
| Travere Therapeutics, Inc. | 3 | $2 |
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
$2,666 in reported general payments places this provider in the 80th percentile of 981 family 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 |
|---|---|---|
| MounjaroTirzepatide | 94 | $94,723 |
| OzempicSemaglutide | 66 | $72,333 |
| JardianceEmpagliflozin | 36 | $32,143 |
| JanuviaSitagliptin Phosphate | 20 | $29,818 |
| RybelsusSemaglutide | 12 | $18,581 |
| EliquisApixaban | 13 | $17,030 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 17 | $13,543 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 14 | $10,277 |
| SymbicortBudesonide/Formoterol Fumarate | 24 | $7,204 |
| Omeprazole | 254 | $3,942 |
| Levothyroxine Sodium | 479 | $3,689 |
| Atorvastatin Calcium | 516 | $3,026 |
| SynthroidLevothyroxine Sodium | 32 | $2,780 |
| Gabapentin | 141 | $2,665 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 16 | $2,290 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro | $178 | $94,72394 claims |
| Novo NordiskOzempic, Rybelsus | $416 | $90,91478 claims |
| Boehringer IngelheimJardiance | $27 | $32,14336 claims |
| MerckJanuvia | $14 | $29,81820 claims |
| PfizerEliquis | $54 | $17,03013 claims |
| AstraZenecaSymbicort | $242 | $7,20424 claims |
| AbbVieSynthroid | $697 | $2,78032 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 80th percentile of 981 family medicine providers in Nebraska.
Other family medicine in Omaha
- Kenneth BladOmaha$1.6M
- Ralph HaukeOmaha$657K
- Darin GregoryOmaha$423K
- Gregston NelsonOmaha$147K
- Birgit KhandalavalaOmaha$107K
- John HallgrenOmaha$94K
- Gerard StanleyOmaha$50K
- Kent JohnsonOmaha$16K
- Yongge LiuOmaha$15K
- M DadaOmaha$14K
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.