Raoul Joubran, MD
Gastroenterology · Casper, WYNPI 1689784373
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.2% of the total across 248 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 33.1% of the total. Reporting peaked in 2022 at $972 and has fallen 52.2% since, to $465 in 2025.
Across 248 payments — averaging $18.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Takeda Pharmaceuticals U.S.A., Inc.$1K
- Gilead$344
- Sanofi$337
- Regeneron Healthcare Solutions, Inc.$279
- Pfizer$191
- plus $807 from 16 others
What the payments were for
- Food & beverage$4,52597%
- Education$241%
- Gifts$1072%
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 | 94 | $1,539 |
| Takeda Pharmaceuticals U.S.A., Inc. | 67 | $1,160 |
| Gilead | 20 | $344 |
| Sanofi | 8 | $337 |
| Regeneron Healthcare Solutions, Inc. | 13 | $279 |
| Pfizer | 9 | $191 |
| Braintree Laboratories, Inc. | 3 | $121 |
| Johnson & Johnson | 6 | $111 |
| Intercept Pharmaceuticals, Inc. | 7 | $109 |
| Actelion Pharmaceuticals US, Inc. | 1 | $87 |
| Merck | 4 | $79 |
| Aimmune Therapeutics, Inc. | 3 | $55 |
| Mauna Kea Technologies, Inc. | 2 | $51 |
| Phathom Pharmaceuticals, Inc. | 2 | $35 |
| Bristol Myers Squibb | 2 | $29 |
| Lilly USA, LLC | 1 | $29 |
| UCB, Inc. | 1 | $26 |
| Alfasigma USA, Inc. | 1 | $20 |
| Nestle Healthcare Nutrition Inc. | 1 | $16 |
| Novo Nordisk | 1 | $14 |
| Daiichi Sankyo Inc. | 1 | $12 |
| QOL Medical, LLC | 1 | $12 |
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.
- DUPIXENT$103
How this compares
Too few gastroenterology providers in Wyomingto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Pantoprazole Sodium | 441 | $5,211 |
| Lubiprostone | 21 | $4,307 |
| Omeprazole | 190 | $2,706 |
| Mesalamine | 13 | $1,969 |
| Famotidine | 156 | $1,927 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 14 | $933 |
| Sucralfate | 11 | $507 |
| Esomeprazole Magnesium | 16 | $392 |
| Hydrocortisone | 16 | $335 |
| Procto-Med HcHydrocortisone | 20 | $330 |
| Dicyclomine Hcl | 16 | $175 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in Casper
- Chad CooperCasper$5K
- Phillip KrmpotichCasper$5K
- Jeffrey CloudCasper$3K
- William ShearCasper$3K
- Kent KatzCasper$2K
- Luis ArmstrongCasper$2K
- Jamie SkroveCheyenne$5K
- Scott McRaeCheyenne$2K
- Charles KuckelCheyenne$440
- Kenneth KranzCheyenne$355
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.