Nicholas Genrich, APRN
Nurse Practitioner · Lincoln, NENPI 1124645072
Payments from drug & device makers
Across 148 payments — averaging $23.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$839
- Grifols USA, LLC$453
- Boehringer Ingelheim$283
- Harmony Biosciences LLC$274
- Sanofi$222
- Inspire Medical Systems, Inc.$221
- plus $1K from 20 others
What the payments were for
- Food & beverage$3,26896%
- Education$1494%
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 |
|---|---|---|
| AstraZeneca | 11 | $839 |
| Grifols USA, LLC | 19 | $453 |
| Boehringer Ingelheim | 18 | $283 |
| Harmony Biosciences LLC | 15 | $274 |
| Sanofi | 14 | $222 |
| Inspire Medical Systems, Inc. | 8 | $221 |
| Amgen | 12 | $220 |
| Jazz Pharmaceuticals Inc. | 6 | $175 |
| Regeneron Healthcare Solutions, Inc. | 5 | $81 |
| Verona Pharma, Inc. | 4 | $79 |
| Insmed, Inc. | 5 | $78 |
| Baxter Healthcare | 4 | $71 |
| Electromed, Inc. | 7 | $69 |
| Actelion Pharmaceuticals US, Inc. | 4 | $62 |
| Sanofi-aventis U.S. LLC | 1 | $59 |
| GSK | 3 | $50 |
| Avadel CNS Pharmaceuticals, LLC | 2 | $27 |
| Johnson & Johnson | 2 | $26 |
| Sanofi Pasteur Inc. | 1 | $20 |
| Liquidia Technologies, Inc. | 1 | $19 |
| Azurity Pharmaceuticals, Inc. | 1 | $18 |
| Mallinckrodt Hospital Products Inc. | 1 | $15 |
| United Therapeutics Corporation | 1 | $15 |
| Lilly USA, LLC | 1 | $15 |
| Pfizer | 1 | $14 |
| Bayer | 1 | $14 |
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.
How this compares
$3,417 in reported general payments places this provider in the 90th percentile of 924 nurse practitioner 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 167 | $133,119 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 94 | $60,799 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 105 | $58,325 |
| Breo ElliptaFluticasone/Vilanterol | 34 | $22,533 |
| Spiriva RespimatTiotropium Bromide | 33 | $20,658 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 24 | $13,028 |
| Bevespi AerosphereGlycopyrrolate/Formoterol Fum | 24 | $10,528 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 17 | $8,938 |
| Roflumilast | 69 | $6,849 |
| Advair HfaFluticasone Propion/Salmeterol | 20 | $5,872 |
| Varenicline Tartrate | 19 | $5,820 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 36 | $5,497 |
| SymbicortBudesonide/Formoterol Fumarate | 16 | $5,385 |
| Wixela InhubFluticasone Propion/Salmeterol | 17 | $3,191 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 136 | $2,978 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta | $50 | $168,680225 claims |
| Boehringer IngelheimStiolto Respimat, Spiriva Respimat, Combivent Respimat | $283 | $87,920155 claims |
| AstraZenecaBreztri Aerosphere, Bevespi Aerosphere, Symbicort | $839 | $76,711134 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 90th percentile of 924 nurse practitioner providers in Nebraska.
Other nurse practitioner in Lincoln
- Lisa OstendorfLincoln$22K
- Jenna BeideckLincoln$9K
- Ann WalkerLincoln$5K
- Denise SpeichLincoln$5K
- Lindy VakocLincoln$5K
- Janice CunninghamLincoln$5K
- Kristen HammesOmaha$899K
- Amy MuchowiczOmaha$78K
- Winifred SchaedelPalmyra$64K
- Kari CunninghamOmaha$53K
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.