Karen Betjacob, APRN
Nurse Practitioner · Omaha, NENPI 1407285851
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 340 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 46 manufacturers, the largest accounting for just 16.2% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,632, 5.2 times the $316 reported in 2021. Among nurse practitioner 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 340 payments — averaging $15.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$839
- Lilly USA, LLC$663
- Novo Nordisk$492
- Pfizer$462
- Bayer$249
- Boehringer Ingelheim$210
- plus $2K from 40 others
What the payments were for
- Food & beverage$5,183100%
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
$5,183 in reported general payments places this provider in the 90th percentile of 924 nurse practitioner 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 |
|---|---|---|
| MyrbetriqMirabegron | 29 | $22,340 |
| MounjaroTirzepatide | 18 | $19,436 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 15 | $10,663 |
| JardianceEmpagliflozin | 13 | $9,719 |
| Aimovig AutoinjectorErenumab-Aooe | 12 | $8,712 |
| SynthroidLevothyroxine Sodium | 27 | $2,024 |
| Omeprazole | 102 | $1,969 |
| Gabapentin | 47 | $963 |
| Metoprolol Succinate | 85 | $922 |
| Levothyroxine Sodium | 138 | $885 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 12 | $866 |
| ValacyclovirValacyclovir Hcl | 18 | $783 |
| Atorvastatin Calcium | 111 | $750 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 21 | $714 |
| Losartan Potassium | 94 | $660 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $113 | $22,34029 claims |
| Lilly USA, LLCMounjaro | $663 | $19,43618 claims |
| GSKTrelegy Ellipta | $39 | $10,66315 claims |
| Boehringer IngelheimJardiance | $210 | $9,71913 claims |
| AbbVieSynthroid | $839 | $2,02427 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $14 | $885138 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 924 nurse practitioner providers in Nebraska.
Other nurse practitioner in Omaha
- Kristen HammesOmaha$899K
- Amy MuchowiczOmaha$78K
- Kari CunninghamOmaha$53K
- Laura DonovanOmaha$49K
- Kathleen HealeyOmaha$36K
- Katie RuchOmaha$26K
- Amanda GuggenmosOmaha$23K
- Amy YagerOmaha$15K
- Cara SchiesslerOmaha$14K
- Lindsay OneilOmaha$13K
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.