Karla Lessman, PA
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.6% of the total across 236 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 27 manufacturers, the largest accounting for just 19.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,526, 4.5 times the $339 reported in 2021.
Across 236 payments — averaging $19.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$861
- Jazz Pharmaceuticals Inc.$403
- Grifols USA, LLC$373
- GSK$339
- Boehringer Ingelheim$327
- Regeneron Healthcare Solutions, Inc.$319
- plus $2K from 21 others
What the payments were for
- Food & beverage$4,33596%
- Education$1994%
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 |
|---|---|---|
| AstraZeneca | 28 | $861 |
| Jazz Pharmaceuticals Inc. | 17 | $403 |
| Grifols USA, LLC | 21 | $373 |
| GSK | 33 | $339 |
| Boehringer Ingelheim | 18 | $327 |
| Regeneron Healthcare Solutions, Inc. | 16 | $319 |
| Insmed, Inc. | 14 | $234 |
| Electromed, Inc. | 8 | $222 |
| Amgen | 11 | $211 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $183 |
| Harmony Biosciences LLC | 10 | $174 |
| United Therapeutics Corporation | 9 | $158 |
| Actelion Pharmaceuticals US, Inc. | 6 | $102 |
| Baxter Healthcare | 5 | $94 |
| Philips North America LLC | 5 | $91 |
| Verona Pharma, Inc. | 4 | $70 |
| Sanofi | 4 | $59 |
| Avadel CNS Pharmaceuticals, LLC | 3 | $44 |
| Johnson & Johnson | 3 | $42 |
| Bayer | 2 | $42 |
| Axsome Therapeutics, Inc. | 3 | $40 |
| Inspire Medical Systems, Inc. | 1 | $39 |
| Mylan Specialty L.p. | 2 | $29 |
| Pharming Healthcare, Inc. | 1 | $24 |
| Lantheus Medical Imaging, Inc. | 1 | $24 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Lilly USA, LLC | 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
$4,535 in reported general payments places this provider in the 85th percentile of 216 medical 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 179 | $136,097 |
| Breo ElliptaFluticasone/Vilanterol | 102 | $48,661 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 35 | $21,994 |
| Spiriva RespimatTiotropium Bromide | 20 | $14,591 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 22 | $12,102 |
| Incruse ElliptaUmeclidinium Bromide | 30 | $10,844 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 23 | $10,491 |
| SymbicortBudesonide/Formoterol Fumarate | 38 | $10,344 |
| EliquisApixaban | 11 | $6,974 |
| Arnuity ElliptaFluticasone Furoate | 28 | $6,303 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 52 | $5,298 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 153 | $3,606 |
| Ventolin HfaAlbuterol Sulfate | 44 | $3,256 |
| Montelukast Sodium | 62 | $933 |
| Ipratropium Bromide | 30 | $814 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta, Arnuity Ellipta | $339 | $214,007361 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $861 | $32,33873 claims |
| Boehringer IngelheimSpiriva Respimat, Stiolto Respimat | $327 | $25,08143 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 85th percentile of 216 medical providers in Nebraska.
Other medical in Omaha
- Kelly HooverOmaha$16K
- Jacob RidderOmaha$12K
- Angelika StevensOmaha$8K
- Jennelea MontanezOmaha$8K
- Kristina DadaOmaha$7K
- Saundra BrennanOmaha$6K
- Collin HortonOmaha$6K
- Lynn McLaughlinOmaha$4K
- Hannah PickOmaha$4K
- Rebecca BertucciOmaha$4K
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.