Rachel Ramm
Nurse Practitioner · Omaha, NENPI 1689830440
Payments from drug & device makers
Across 165 payments — averaging $21.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$624
- Mayne Pharma Commercial LLC$474
- AbbVie$382
- Exeltis, USA Inc.$260
- Avion Pharmaceuticals$241
- Bayer$222
- plus $1K from 19 others
What the payments were for
- Food & beverage$3,563100%
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 |
|---|---|---|
| Astellas Pharma US Inc | 24 | $624 |
| Mayne Pharma Commercial LLC | 29 | $474 |
| AbbVie | 22 | $382 |
| Exeltis, USA Inc. | 13 | $260 |
| Avion Pharmaceuticals | 2 | $241 |
| Bayer | 11 | $222 |
| Sumitomo Pharma America, Inc. | 10 | $211 |
| Daiichi Sankyo Inc. | 15 | $208 |
| Biogen | 7 | $147 |
| Astellas Pharma Global Development | 1 | $122 |
| Organon | 5 | $97 |
| Myovant Sciences Inc. | 5 | $87 |
| Myriad Women's Health, Inc. | 1 | $74 |
| Evofem Biosciences, Inc. | 1 | $69 |
| Agile Therapeutics, Inc. | 3 | $56 |
| Medicem Inc. | 2 | $46 |
| Coopersurgical, Inc. | 2 | $44 |
| Merck | 3 | $44 |
| Olympus America Inc. | 2 | $34 |
| Sanofi Pasteur Inc. | 1 | $31 |
| Exact Sciences | 2 | $27 |
| Baxter Healthcare | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $17 |
| Pfizer | 1 | $13 |
| Scynexis, Inc. | 1 | $13 |
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
$3,563 in reported general payments places this provider in the 90th percentile of 924 nurse practitioner providers in Nebraska.
Other nurse practitioner in Omaha
- Kristen HammesOmaha$899K
- Amy MuchowiczOmaha$78K
- Kari CunninghamOmaha$53K
- Laura DonovanOmaha$49K
- Kathleen HealeyOmaha$36K
- Katie RuchOmaha$26K
- Amanda GuggenmosOmaha$23K
- Amy YagerOmaha$15K
- Cara SchiesslerOmaha$14K
- Lindsay OneilOmaha$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.