Rita Fowler
Physician Assistant · Fremont, NENPI 1356579478
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,299 of the $7,249 with a category attached, or 86.9%. It is spread thinly across 39 manufacturers, the largest accounting for just 23.7% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,510, 2.3 times the $1,102 reported in 2021. Among physician assistant clinicians in NE with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 325 payments — averaging $22.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- Boston Scientific$2K
- Lundbeck LLC$520
- Scilex Pharmaceuticals Inc.$408
- Collegium Pharmaceutical, Inc.$354
- Biohaven Pharmaceutical Holding Company Ltd.$269
- plus $2K from 33 others
What the payments were for
- Travel & lodging$93813%
- Food & beverage$6,29987%
- Education$120%
- Gifts$00%
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.
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.
- GENERAL - THERAPIES$1,126
- WaveWriter Alpha Prime 16$206
- VYEPTI$125
- AIMOVIG$122
- QULIPTA$114
How this compares
$7,249 in reported general payments places this provider in the 95th percentile of 1,127 physician assistant providers in Nebraska.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OxycontinOxycodone Hcl | 133 | $110,427 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 548 | $78,318 |
| UbrelvyUbrogepant | 46 | $76,033 |
| Xtampza ErOxycodone Myristate | 96 | $68,819 |
| Nurtec OdtRimegepant Sulfate | 17 | $29,140 |
| Levorphanol Tartrate | 13 | $27,021 |
| Hysingla ErHydrocodone Bitartrate | 25 | $23,347 |
| BotoxOnabotulinumtoxina | 14 | $18,335 |
| BelbucaBuprenorphine Hcl | 16 | $17,616 |
| Buprenorphine | 86 | $16,867 |
| Emgality PenGalcanezumab-Gnlm | 16 | $16,152 |
| Nucynta ErTapentadol Hcl | 12 | $15,801 |
| QuliptaAtogepant | 11 | $13,989 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 516 | $12,990 |
| NucyntaTapentadol Hcl | 12 | $11,955 |
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc.Xtampza Er, Belbuca, Nucynta Er, Nucynta | $354 | $114,190136 claims |
| AbbVieUbrelvy, Botox, Qulipta | $1,715 | $108,35871 claims |
| PfizerNurtec Odt | $247 | $29,14017 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 1,127 physician assistant providers in Nebraska.
Other physician assistant in Fremont
- Ami JonesFremont$8K
- Ronald KmiecikFremont$6K
- Kimberly GatesOmaha$109K
- Kandice DoleshOmaha$106K
- Ronda FoleyElkhorn$64K
- Kathryn KestiOmaha$34K
- Sarah GretemanOmaha$24K
- Joel JasaGrand Island$18K
- Christopher BeasleyOmaha$15K
- Courtney MaresLincoln$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.