Shelby Bruening, PA
Physician Assistant · Lincoln, NENPI 1881284966
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,409 of the $5,225 with a category attached, or 65.2%. 30 manufacturers reported payments, led by Nevro Corp. at 46.4% of the total. Reporting peaked in 2023 at $2,813 and has fallen 56.0% since, to $1,238 in 2025. Among physician assistant clinicians in NE with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 162 payments — averaging $32.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$2K
- AbbVie$746
- Collegium Pharmaceutical, Inc.$295
- Pfizer$288
- Lundbeck LLC$228
- Globus Medical$204
- plus $1K from 24 others
What the payments were for
- Travel & lodging$81116%
- Food & beverage$3,40965%
- Education$1,00619%
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 |
|---|---|---|
| Nevro Corp. | 26 | $2,424 |
| AbbVie | 35 | $746 |
| Collegium Pharmaceutical, Inc. | 19 | $295 |
| Pfizer | 15 | $288 |
| Lundbeck LLC | 11 | $228 |
| Globus Medical | 3 | $204 |
| Lilly USA, LLC | 14 | $191 |
| SPR Therapeutics, Inc | 6 | $145 |
| Relievant Medsystems, Inc. | 3 | $137 |
| Vertex | 4 | $87 |
| Impel Pharmaceuticals Inc. | 2 | $38 |
| Fidia Pharma USA Inc. | 2 | $37 |
| Medtronic | 1 | $36 |
| Axsome Therapeutics, Inc. | 2 | $35 |
| MML US, Inc. | 2 | $33 |
| Teva Pharmaceuticals USA, Inc. | 2 | $31 |
| Azurity Pharmaceuticals, Inc. | 2 | $27 |
| Forte Bio-pharma LLC | 1 | $24 |
| Averitas Pharma Inc. | 1 | $24 |
| Boston Scientific | 1 | $23 |
| DJO, LLC | 1 | $22 |
| GRT US Holding, Inc. | 1 | $22 |
| Vertos Medical, Inc. | 1 | $21 |
| Protega Pharmaceutials Inc | 1 | $18 |
| Biohaven Pharmaceuticals, Inc. | 1 | $17 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $16 |
| Si-bone, Inc. | 1 | $15 |
| Tonix Medicines, Inc. | 1 | $15 |
| Scilex Pharmaceuticals Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, 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
$5,225 in reported general payments places this provider in the 90th percentile of 1,127 physician assistant providers in Nebraska.
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 |
|---|---|---|
| BelbucaBuprenorphine Hcl | 27 | $24,635 |
| Buprenorphine | 84 | $20,860 |
| Duloxetine Hcl | 206 | $5,099 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 218 | $5,093 |
| Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl | 24 | $3,988 |
| Pregabalin | 174 | $3,040 |
| Gabapentin | 204 | $2,412 |
| Fentanyl | 13 | $1,842 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 65 | $1,804 |
| Morphine Sulfate ErMorphine Sulfate | 40 | $1,182 |
| Buprenorphine Hcl | 20 | $994 |
| Tramadol Hcl | 152 | $910 |
| Oxycodone Hcl | 26 | $514 |
| Tizanidine Hcl | 41 | $488 |
| Venlafaxine Hcl | 20 | $474 |
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.Belbuca | $295 | $24,63527 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 90th percentile of 1,127 physician assistant providers in Nebraska.
Other physician assistant in Lincoln
- Courtney MaresLincoln$13K
- Jacklynn KmentLincoln$10K
- Bethany LambertLincoln$9K
- Kelsey WerginLincoln$8K
- Makayla DoolittleLincoln$7K
- Christina MeyerLincoln$7K
- Ashley JohnsonLincoln$7K
- Shaun RingLincoln$7K
- Katelyn EspinozaLincoln$7K
- Bailee CookLincoln$6K
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.