Spencer Borns, APRN
Adult Health · Omaha, NENPI 1215387907
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,332 of the $4,273 with a category attached, or 78.0%. 32 manufacturers reported payments, led by Inspire Medical Systems, Inc. at 38.5% of the total. 2025 is the largest year on record at $2,118, 7.6 times the $277 reported in 2021. Among adult health 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 127 payments — averaging $33.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Inspire Medical Systems, Inc.$2K
- AstraZeneca$618
- Jazz Pharmaceuticals Inc.$270
- Regeneron Healthcare Solutions, Inc.$236
- Amgen$165
- Boehringer Ingelheim$158
- plus $1K from 26 others
What the payments were for
- Travel & lodging$73117%
- Food & beverage$3,33278%
- Education$2095%
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 |
|---|---|---|
| Inspire Medical Systems, Inc. | 16 | $1,644 |
| AstraZeneca | 23 | $618 |
| Jazz Pharmaceuticals Inc. | 5 | $270 |
| Regeneron Healthcare Solutions, Inc. | 11 | $236 |
| Amgen | 9 | $165 |
| Boehringer Ingelheim | 3 | $158 |
| Johnson & Johnson | 3 | $133 |
| Pfizer | 6 | $122 |
| Insmed, Inc. | 5 | $95 |
| Harmony Biosciences LLC | 6 | $93 |
| Grifols USA, LLC | 5 | $88 |
| Mallinckrodt Hospital Products Inc. | 3 | $77 |
| E.r. Squibb & Sons, L.L.C. | 4 | $69 |
| Merck | 2 | $67 |
| Electromed, Inc. | 5 | $62 |
| Actelion Pharmaceuticals US, Inc. | 3 | $56 |
| Axsome Therapeutics, Inc. | 2 | $32 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $30 |
| Mylan Specialty L.p. | 2 | $30 |
| ZOLL Respicardia, Inc. | 1 | $26 |
| ANI Pharmaceuticals, Inc. | 1 | $26 |
| UCB, Inc. | 1 | $20 |
| CSL Behring | 1 | $20 |
| Verona Pharma, Inc. | 1 | $19 |
| Sanofi | 1 | $19 |
| Bayer | 1 | $15 |
| Lilly USA, LLC | 1 | $15 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $15 |
| Novartis | 1 | $14 |
| Viatris Specialty LLC | 1 | $14 |
| Genentech USA, Inc. | 1 | $13 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, 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.
How this compares
$4,273 in reported general payments places this provider in the 90th percentile of 58 adult health 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 68 | $45,182 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 25 | $12,498 |
| Breo ElliptaFluticasone/Vilanterol | 19 | $11,002 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 16 | $2,032 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 45 | $1,056 |
| Azithromycin | 36 | $260 |
| Prednisone | 64 | $141 |
| Doxycycline Hyclate | 12 | $98 |
Paid to pharmacies, not to this prescriber.
Other adult health in Omaha
- Sheri FrenchOmaha$5K
- Kyoko SternsOmaha$2K
- Debra ReegOmaha$1K
- Joseph TarimanOmaha$1K
- Debra BraunOmaha$658
- Courtney SmithOmaha$420
- Cynthe Oliver DumlerOmaha$387
- Rhonda VanceOmaha$362
- Haley WilliamsOmaha$330
- Sev LinderOmaha$323
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.