RxDoctor Payments Data

Keith Leatherbury, MD

Surgery · Fremont, NENPI 1780682153

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 8 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Smith+Nephew at 24.3% of the total. 2025 is the largest year on record at $40, 2.3 times the $17 reported in 2021. That places this record below the midpoint for surgery clinicians in NE, where the typical reported total is $1,000.

$161in general payments, 2019–2025

Across 8 payments — averaging $20.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$39
  • Hydrofera LLC$29
  • Solventum Corporation$21
  • Vertex$19
  • Acacia Pharma Inc$18
  • Johnson & Johnson$18
  • plus $17 from 1 others

What the payments were for

  • Food & beverage$161100%

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

21
22
23
24
25

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.

CompanyPaymentsTotal
Smith+Nephew2$39
Hydrofera LLC1$29
Solventum Corporation1$21
Vertex1$19
Acacia Pharma Inc1$18
Johnson & Johnson1$18
Organogenesis Inc.1$17

How this compares

$161 in reported general payments places this provider in the 25th percentile of 197 surgery providers in Nebraska.

See all surgery providers in Nebraska →

Medicare billing

Part B allowed, 2024
$64,464
Medicare patients
249
Services billed
711

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

DrugClaimsCost to plans & patients
Tramadol Hcl31$55

Paid to pharmacies, not to this prescriber.

Other surgery in Fremont

See the full list for Nebraska →

Where these figures come from

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