Melanie Ortleb, MD
Dermatology · Omaha, NENPI 1154611622
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.6% of the total across 101 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by AbbVie at 28.9% of the total. Reporting peaked in 2022 at $557 and has fallen 60.7% since, to $219 in 2025. That places this record below the midpoint for dermatology clinicians in NE, where the typical reported total is $2,089.
Across 101 payments — averaging $20.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$603
- Johnson & Johnson$216
- Regeneron Healthcare Solutions, Inc.$188
- Pfizer$169
- LEO Pharma Inc.$143
- Dermavant Sciences, Inc.$121
- plus $650 from 16 others
What the payments were for
- Food & beverage$2,01997%
- Education$703%
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 |
|---|---|---|
| AbbVie(2 entities) | 33 | $603 |
| Johnson & Johnson | 10 | $216 |
| Regeneron Healthcare Solutions, Inc. | 7 | $188 |
| Pfizer | 11 | $169 |
| LEO Pharma Inc. | 4 | $143 |
| Dermavant Sciences, Inc. | 8 | $121 |
| Incyte Corporation | 3 | $73 |
| Sanofi-aventis U.S. LLC | 1 | $70 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $68 |
| Sun Pharmaceutical Industries Inc. | 4 | $67 |
| Almirall LLC | 2 | $61 |
| Sanofi | 2 | $59 |
| UCB, Inc. | 3 | $54 |
| Amgen | 2 | $46 |
| Novartis | 1 | $28 |
| Lilly USA, LLC | 2 | $23 |
| Arcutis Biotherapeutics, Inc. | 1 | $22 |
| Biofrontera Inc. | 1 | $22 |
| Dermira, Inc. | 1 | $19 |
| Bristol Myers Squibb | 1 | $14 |
| Galderma Laboratories, L.p. | 1 | $14 |
| Senseonics, Incorporated | 1 | $9 |
How this compares
$2,089 in reported general payments places this provider in the 50th percentile of 68 dermatology 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 |
|---|---|---|
| Ketoconazole | 68 | $962 |
| Mupirocin | 73 | $468 |
| Dutasteride | 11 | $395 |
| Triamcinolone Acetonide | 27 | $274 |
| Minoxidil | 43 | $262 |
| Doxycycline Monohydrate | 12 | $168 |
Paid to pharmacies, not to this prescriber.
Other dermatology in Omaha
- Rachel PersonOmaha$98K
- Erin BarrettOmaha$96K
- Joel SchlessingerOmaha$89K
- Mathew DaveyOmaha$35K
- Gage RenschOmaha$11K
- Herschel StollerOmaha$10K
- Deirdre StolmeierOmaha$10K
- Melissa DarlingOmaha$10K
- Christopher HuerterOmaha$7K
- Tina KinsleyOmaha$7K
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.