Marvin Bittner
Infectious Disease · Omaha, NENPI 1215041959
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (52.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Sanofi Pasteur Inc. accounts for 72.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $37,070 and has fallen 69.6% since, to $11,268 in 2025. Among infectious disease 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 160 payments — averaging $624.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi Pasteur Inc.$72K
- Bavarian Nordic A/s$11K
- GSK$10K
- Valneva USA, Inc.$4K
- Seqirus USA Inc$1K
- Merck$1K
- plus $169 from 3 others
What the payments were for
- Consulting fees$26,31026%
- Speaking & faculty fees$52,82853%
- Travel & lodging$16,66217%
- Food & beverage$3,2273%
- Education$9011%
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 |
|---|---|---|
| Sanofi Pasteur Inc. | 130 | $72,484 |
| Bavarian Nordic A/s | 6 | $11,268 |
| GSK | 13 | $9,648 |
| Valneva USA, Inc. | 5 | $3,659 |
| Seqirus USA Inc | 1 | $1,375 |
| Merck | 2 | $1,326 |
| Sanofi-aventis U.S. LLC | 1 | $75 |
| Amgen | 1 | $61 |
| Paratek Pharmaceuticals, Inc. | 1 | $33 |
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.
- FLUZONE HIGH-DOSE$45,454
- FLUBLOK QUADRIVALENT$20,044
- FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE$14,283
- MENQUADFI$11,863
- SHINGRIX$8,288
- FLUZONE QUADRIVALENT NORTHERN HEMISPHERE$305
- NO PRODUCT DISCUSSED$103
How this compares
$99,928 in reported general payments places this provider in the 95th percentile of 55 infectious disease providers in Nebraska.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Atovaquone-Proguanil HclAtovaquone/Proguanil Hcl | 12 | $865 |
| LoperamideLoperamide Hcl | 12 | $92 |
| Azithromycin | 12 | $36 |
Paid to pharmacies, not to this prescriber.
Other infectious disease in Omaha
- Rudolf KotulaOmaha$221K
- Mark RuppOmaha$76K
- Trevor VanschooneveldOmaha$56K
- Nada FadulOmaha$26K
- Alison FreifeldOmaha$15K
- Amir GholamiOmaha$12K
- Andre KalilOmaha$11K
- Kelly CawcuttOmaha$11K
- Diana FlorescuOmaha$11K
- Jeffrey SartinOmaha$10K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.