Hylke Snieder, MD
Family Medicine · Eugene, ORNPI 1609301761
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 312 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 30 manufacturers, the largest accounting for just 14.4% — the pattern of someone who eats at a lot of different presentations. Among family medicine clinicians in OR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 312 payments — averaging $17.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$796
- Pfizer$695
- Exact Sciences$643
- AbbVie$512
- Amgen$333
- Lilly USA, LLC$331
- plus $2K from 24 others
What the payments were for
- Food & beverage$5,48799%
- Education$321%
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 |
|---|---|---|
| Abbott | 39 | $796 |
| Pfizer | 52 | $695 |
| Exact Sciences | 27 | $643 |
| AbbVie | 29 | $512 |
| Amgen | 24 | $333 |
| Lilly USA, LLC | 19 | $331 |
| Boehringer Ingelheim | 13 | $317 |
| AstraZeneca | 9 | $263 |
| Novo Nordisk | 24 | $204 |
| Kowa Pharmaceuticals America, Inc. | 12 | $182 |
| Dexcom, Inc. | 7 | $158 |
| Sanofi-aventis U.S. LLC | 9 | $156 |
| Aimmune Therapeutics, Inc. | 7 | $142 |
| Mannkind Corporation | 6 | $126 |
| Nestle Healthcare Nutrition Inc. | 6 | $119 |
| GSK | 5 | $90 |
| Johnson & Johnson | 4 | $65 |
| Edwards Lifesciences | 3 | $63 |
| Amarin Pharma, Inc. | 3 | $52 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $37 |
| Otsuka America Pharmaceutical, Inc. | 2 | $36 |
| Gilead | 2 | $34 |
| Madrigal Pharmaceuticals | 1 | $30 |
| Nalu Medical, Inc. | 1 | $29 |
| Viatris Specialty LLC | 1 | $22 |
| Bayer | 1 | $22 |
| Axsome Therapeutics, Inc. | 1 | $19 |
| Medtronic | 1 | $16 |
| Astellas Pharma US Inc | 1 | $14 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
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
$5,519 in reported general payments places this provider in the 95th percentile of 1,221 family medicine 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 |
|---|---|---|
| EliquisApixaban | 146 | $171,209 |
| OzempicSemaglutide | 31 | $35,584 |
| JardianceEmpagliflozin | 26 | $32,164 |
| XareltoRivaroxaban | 25 | $20,735 |
| MyrbetriqMirabegron | 14 | $17,210 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $7,972 |
| Repatha SureclickEvolocumab | 11 | $6,267 |
| DuleraMometasone/Formoterol | 14 | $6,130 |
| Arnuity ElliptaFluticasone Furoate | 28 | $5,343 |
| Levothyroxine Sodium | 425 | $5,200 |
| Rosuvastatin Calcium | 291 | $5,173 |
| Levemir FlexpenInsulin Detemir | 27 | $4,904 |
| Irbesartan | 187 | $4,389 |
| Atorvastatin Calcium | 375 | $4,197 |
| Clonidine | 15 | $3,798 |
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 | $695 | $171,209146 claims |
| Novo NordiskOzempic | $204 | $35,58431 claims |
| Boehringer IngelheimJardiance | $317 | $32,16426 claims |
| Johnson & JohnsonXarelto | $65 | $20,73525 claims |
| Astellas Pharma US IncMyrbetriq | $14 | $17,21014 claims |
| GSKTrelegy Ellipta, Arnuity Ellipta | $90 | $13,31540 claims |
| AbbVieSynthroid | $512 | $2,00651 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 95th percentile of 1,221 family medicine providers in Oregon.
Other family medicine in Eugene
- Randy ReeseEugene$5K
- David KobliskaEugene$4K
- Eden MillerBend$1.7M
- Anil RajaniHood River$325K
- Stephen NelsonMedford$101K
- Karen KahnAshland$86K
- Robert GobboPortland$53K
- Kevin MillerSisters$39K
- Morris MaizelsCentral Point$25K
- Maureen MaysPortland$24K
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.