Jacob Wiesen, MD
General Practice · Fremont, NENPI 1831317346
Payments from drug & device makers
What this record shows
This record is dominated by education: $6,586 of the $9,450 with a category attached, or 69.7%. Intuitive Surgical accounts for 80.5% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2020 at $6,095 and has fallen 83.8% since, to $986 in 2025. Among general practice clinicians in NE 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 70 payments — averaging $135.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$8K
- Integra Lifesciences Corporation$647
- Davol Inc.$185
- Boston Scientific$148
- Heron Therapeutics, Inc.$123
- Johnson & Johnson$112
- plus $626 from 20 others
What the payments were for
- Travel & lodging$4014%
- Food & beverage$2,13923%
- Education$6,58670%
- Other$3253%
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 |
|---|---|---|
| Intuitive Surgical | 26 | $7,608 |
| Integra Lifesciences Corporation | 5 | $647 |
| Davol Inc. | 3 | $185 |
| Boston Scientific | 2 | $148 |
| Heron Therapeutics, Inc. | 1 | $123 |
| Johnson & Johnson | 5 | $112 |
| AbbVie | 5 | $96 |
| Monaghan Medical Corporation | 1 | $90 |
| Smith+Nephew | 2 | $48 |
| Medtronic | 3 | $47 |
| Hollister Incorporated | 1 | $29 |
| Molnlycke Health Care US, LLC | 2 | $28 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $27 |
| Aroa Biosurgery Incorporated | 1 | $26 |
| Kerecis Limited | 1 | $24 |
| BD | 1 | $23 |
| Ossur Americas, Inc. | 1 | $23 |
| Conetic Solutions, Inc. | 1 | $22 |
| Organogenesis Inc. | 1 | $22 |
| Polynovo North America LLC | 1 | $21 |
| Paratek Pharmaceuticals, Inc. | 1 | $21 |
| Hologic Sales And Service, LLC | 1 | $20 |
| Lifenet Health | 1 | $19 |
| KCI USA, Inc. | 1 | $15 |
| Hydrofera LLC | 1 | $12 |
| Myriad Genetic Laboratories, Inc. | 1 | $11 |
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.
- Da Vinci Surgical System$6,999
- INTEGRA$905
- INTEGRA DERMAL REGENERATION TEMPLATE$302
- PRIMATRIX$302
- CYTAL$178
- MICROMATRIX$147
- Zynrelef$123
- SpyGlass Discover$117
- Phasix Mesh$114
How this compares
$9,450 in reported general payments places this provider in the 95th percentile of 541 general practice 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 |
|---|---|---|
| Pantoprazole Sodium | 42 | $404 |
| Omeprazole | 14 | $399 |
| Ondansetron Hcl | 94 | $243 |
Paid to pharmacies, not to this prescriber.
Other general practice in Fremont
- Adam LamprechtFremont$6K
- Benjamin PetersFremont$3K
- Mark LattaOmaha$102K
- Michael SesemannOmaha$17K
- Stephanie VondrakElkhorn$14K
- Brian NewellBellevue$14K
- Timothy WalkerOmaha$10K
- Christopher BirkestrandMinden$9K
- Mark PannetonElkhorn$8K
- Craig VacekLincoln$8K
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.