Laura Graeff-Armas, MD
Endocrinology, Diabetes & Metabolism · Omaha, NENPI 1750470118
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $7,375 of the $10,711 with a category attached, or 68.9%. AstraZeneca accounts for 83.2% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2024 at $9,302 and has fallen 93.1% since, to $641 in 2025.
Across 30 payments — averaging $357.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$9K
- Amgen$524
- Dexcom, Inc.$341
- Kyowa Kirin, Inc.$326
- BETA Bionics, Inc.$148
- Lilly USA, LLC$143
- plus $316 from 4 others
What the payments were for
- Consulting fees$7,37569%
- Travel & lodging$1,42213%
- Food & beverage$1,90718%
- Education$80%
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 | 11 | $8,914 |
| Amgen | 5 | $524 |
| Dexcom, Inc. | 3 | $341 |
| Kyowa Kirin, Inc. | 3 | $326 |
| BETA Bionics, Inc. | 1 | $148 |
| Lilly USA, LLC | 1 | $143 |
| Sanofi-aventis U.S. LLC | 1 | $96 |
| Ascendis Pharma Endocrinology Inc | 1 | $88 |
| Insulet Corporation | 1 | $79 |
| Abbott | 3 | $53 |
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.
- Strensiq$8,668
- iLet Bionic Pancreas$445
- EVENITY$341
- CRYSVITA$234
- Prolia$175
- DEXCOM G6 TRANSMITTER$151
- MOUNJARO$143
How this compares
$10,711 in reported general payments places this provider in the 80th percentile of 43 endocrinology, diabetes & metabolism providers in Nebraska.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| ForteoTeriparatide | 133 | $527,719 |
| Teriparatide | 44 | $118,652 |
| OzempicSemaglutide | 30 | $38,922 |
| TymlosAbaloparatide | 15 | $35,995 |
| JardianceEmpagliflozin | 14 | $17,490 |
| TrulicityDulaglutide | 18 | $16,307 |
| Humalog Kwikpen U-100Insulin Lispro | 22 | $6,721 |
| Testosterone | 27 | $5,283 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 11 | $3,879 |
| Ultra-Fine Nano Pen NeedlePen Needle, Diabetic | 42 | $2,378 |
| SynthroidLevothyroxine Sodium | 16 | $1,867 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 24 | $1,495 |
| Ibandronate Sodium | 36 | $1,097 |
| Levothyroxine Sodium | 83 | $990 |
| Ultra-Fine Short Pen NeedlePen Needle, Diabetic | 15 | $879 |
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 |
|---|---|---|
| Lilly USA, LLCForteo, Trulicity | $143 | $544,026151 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 80th percentile of 43 endocrinology, diabetes & metabolism providers in Nebraska.
Other endocrinology, diabetes & metabolism in Omaha
- Marium IlahiOmaha$170K
- Cyrus DesouzaOmaha$86K
- Timothy WahlOmaha$41K
- Leslie EilandOmaha$17K
- Anupam KotwalOmaha$17K
- John GallagherOmaha$15K
- Andjela DrincicOmaha$14K
- Claire BakerOmaha$6K
- Alain TaylonOmaha$4K
- Mohsen ZenaOmaha$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.