RxDoctor Payments Data

Shawn Nesbo, MD

Hospitalist · Conrad, MTNPI 1457340457

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 21 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Imbed Biosciences Inc. at 58.4% of the total. Reporting peaked in 2023 at $561 and has fallen 71.5% since, to $160 in 2025. Among hospitalist clinicians in MT 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.

$913in general payments, 2019–2025

Across 21 payments — averaging $43.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Imbed Biosciences Inc.$534
  • Amgen$104
  • AstraZeneca$103
  • Sanofi$76
  • Merck$28
  • Johnson & Johnson$27
  • plus $42 from 3 others

What the payments were for

  • Food & beverage$913100%

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

19
22
23
24
25

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.

CompanyPaymentsTotal
Imbed Biosciences Inc.11$534
Amgen1$104
AstraZeneca2$103
Sanofi1$76
Merck1$28
Johnson & Johnson2$27
Gilead1$16
Novartis1$14
E.r. Squibb & Sons, L.L.C.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.

How this compares

$913 in reported general payments places this provider in the 95th percentile of 87 hospitalist providers in Montana.

See all hospitalist providers in Montana

Medicare billing

Part B allowed, 2024
$56,889
Medicare patients
222
Services billed
743

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

DrugClaimsCost to plans & patients
EliquisApixaban12$7,522
Levetiracetam28$1,133
Montelukast Sodium46$629
Pantoprazole Sodium20$242
Propranolol Hcl22$205
Atorvastatin Calcium33$181
Metoprolol Succinate13$156
ClopidogrelClopidogrel Bisulfate18$120

Paid to pharmacies, not to this prescriber.

Other hospitalist in Conrad

See the full list for Montana

Where these figures come from

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