Mary Spivey, MD
Geriatric Medicine · Lincoln, NENPI 1073839981
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 46 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 23 manufacturers, the largest accounting for just 19.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $668, more than ten times the $37 reported in 2023. Among geriatric medicine 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 46 payments — averaging $20.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$183
- Otsuka America Pharmaceutical, Inc.$163
- AbbVie$71
- Bayer$51
- Takeda Pharmaceuticals U.S.A., Inc.$50
- Exact Sciences$46
- plus $373 from 17 others
What the payments were for
- Food & beverage$938100%
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 |
|---|---|---|
| Novo Nordisk | 10 | $183 |
| Otsuka America Pharmaceutical, Inc. | 6 | $163 |
| AbbVie | 3 | $71 |
| Bayer | 3 | $51 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $50 |
| Exact Sciences | 3 | $46 |
| Merck | 1 | $34 |
| Boehringer Ingelheim | 2 | $29 |
| Lilly USA, LLC | 2 | $27 |
| Novartis | 1 | $27 |
| AstraZeneca | 1 | $26 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $26 |
| Resmed Corp | 1 | $23 |
| Pfizer | 1 | $22 |
| Amgen | 1 | $22 |
| Radius Health, Inc. | 1 | $21 |
| Sanofi-aventis U.S. LLC | 1 | $18 |
| Esperion Therapeutics, Inc. | 1 | $18 |
| GSK | 1 | $18 |
| Axsome Therapeutics, Inc. | 1 | $17 |
| Boston Scientific | 1 | $16 |
| Ascensia Diabetes Care US Inc. | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $14 |
How this compares
$938 in reported general payments places this provider in the 95th percentile of 21 geriatric medicine 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 |
|---|---|---|
| EliquisApixaban | 47 | $29,161 |
| XareltoRivaroxaban | 34 | $18,613 |
| JardianceEmpagliflozin | 27 | $16,368 |
| Tiotropium Bromide | 43 | $12,703 |
| Pantoprazole Sodium | 149 | $9,512 |
| Restasis MultidoseCyclosporine | 13 | $8,938 |
| MyrbetriqMirabegron | 13 | $6,856 |
| Duloxetine Hcl | 112 | $6,268 |
| Atorvastatin Calcium | 111 | $5,109 |
| Donepezil Hcl | 81 | $3,075 |
| Aripiprazole | 21 | $2,399 |
| Gabapentin | 98 | $2,379 |
| Omeprazole | 37 | $2,293 |
| Memantine Hcl | 54 | $1,999 |
| Sertraline Hcl | 127 | $1,918 |
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 |
|---|---|---|
| PfizerEliquis | $22 | $29,16147 claims |
| Boehringer IngelheimJardiance | $29 | $16,36827 claims |
| AbbVieRestasis Multidose | $71 | $8,93813 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 95th percentile of 21 geriatric medicine providers in Nebraska.
Other geriatric medicine in Lincoln
- Heather MorganOmaha$9K
- Monica SarawagiGering$592
- Kilie DonovanOmaha$561
- Rebecca ReillyOmaha$115
- Shamia HassanOmaha$50
- Jane PotterOmaha$49
- Chandrakumaran AnchaliaGrand Island$44
- Mandy ByersOmaha$39
- William LyonsOmaha$19
- Natalie ManleyOmaha$16
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.