Rebekah Costello, DO
Family Medicine · Kenosha, WINPI 1326452921
Payments from drug & device makers
Across 307 payments — averaging $17.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$705
- Pfizer$676
- AbbVie$553
- Boehringer Ingelheim$439
- Novo Nordisk$393
- Lilly USA, LLC$355
- plus $2K from 30 others
What the payments were for
- Food & beverage$5,30298%
- Education$1002%
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(2 entities) | 39 | $705 |
| Pfizer | 43 | $676 |
| AbbVie(2 entities) | 29 | $553 |
| Boehringer Ingelheim | 23 | $439 |
| Novo Nordisk | 32 | $393 |
| Lilly USA, LLC | 20 | $355 |
| Ferring Pharmaceuticals Inc. | 9 | $222 |
| Astellas Pharma US Inc | 9 | $202 |
| Amarin Pharma, Inc. | 10 | $179 |
| IBSA Pharma Inc. | 11 | $169 |
| Abbott | 6 | $168 |
| Novartis | 9 | $167 |
| GSK | 9 | $143 |
| Johnson & Johnson | 7 | $135 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 9 | $135 |
| Dexcom, Inc. | 5 | $102 |
| Sanofi-aventis U.S. LLC | 5 | $92 |
| Amgen | 5 | $91 |
| Bayer | 2 | $59 |
| Merck | 4 | $52 |
| Biohaven Pharmaceuticals, Inc. | 3 | $52 |
| Avanir Pharmaceuticals, Inc. | 2 | $32 |
| Dynavax Technologies Corporation | 2 | $26 |
| Paratek Pharmaceuticals, Inc. | 2 | $26 |
| Gilead | 1 | $26 |
| Melinta Therapeutics, LLC | 1 | $25 |
| Otsuka America Pharmaceutical, Inc. | 1 | $24 |
| Sumitomo Pharma America, Inc. | 1 | $22 |
| Exact Sciences | 1 | $22 |
| Biogen | 1 | $20 |
| Esperion Therapeutics, Inc. | 1 | $19 |
| Phathom Pharmaceuticals, Inc. | 1 | $18 |
| Calliditas Therapeutics US Inc. | 1 | $15 |
| Ardelyx, Inc. | 1 | $13 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
| Ironshore Pharmaceuticals Inc. | 1 | $12 |
How this compares
$5,402 in reported general payments places this provider in the 95th percentile of 1,482 family medicine providers in Wisconsin.
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 | 148 | $58,635 |
| OzempicSemaglutide | 14 | $14,059 |
| JardianceEmpagliflozin | 34 | $12,413 |
| FarxigaDapagliflozin Propanediol | 17 | $12,268 |
| TradjentaLinagliptin | 26 | $6,668 |
| BrilintaTicagrelor | 21 | $4,905 |
| LumiganBimatoprost | 13 | $3,405 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 17 | $2,325 |
| JanuviaSitagliptin Phosphate | 17 | $2,228 |
| Pantoprazole Sodium | 198 | $1,964 |
| Atorvastatin Calcium | 208 | $1,867 |
| Metoprolol Succinate | 135 | $1,829 |
| Levothyroxine Sodium | 194 | $1,745 |
| Tamsulosin Hcl | 93 | $1,393 |
| Duloxetine Hcl | 68 | $1,256 |
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 | $676 | $58,635148 claims |
| Boehringer IngelheimJardiance, Tradjenta | $439 | $19,08160 claims |
| AstraZenecaFarxiga, Brilinta | $705 | $17,17238 claims |
| Novo NordiskOzempic | $393 | $14,05914 claims |
| AbbVieLumigan | $553 | $3,40513 claims |
| MerckJanuvia | $52 | $2,22817 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 1,482 family medicine providers in Wisconsin.
Other family medicine in Kenosha
- John AgaibyKenosha$4M
- Neil SheplerKenosha$22K
- Taha El-ShahatMadison$15.6M
- Jonathan MeimanMadison$4.3M
- John LaabsShawano$3.6M
- Jennifer ParsleyElk Mound$1.4M
- William PalinMilwaukee$693K
- Jonathan TemteMadison$542K
- Ryan AndrewsStevens Point$429K
- Tara DallDelafield$230K
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.