Tanya Hrabal, MD
Family Medicine · Colorado Springs, CONPI 1619912227
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 70 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 18.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,762 and has fallen 91.1% since, to $245 in 2025. Among family medicine clinicians in CO 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 70 payments — averaging $82.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AstraZeneca$840
- Amgen$800
- GSK$500
- Sanofi-aventis U.S. LLC$458
- Pfizer$283
- plus $2K from 15 others
What the payments were for
- Food & beverage$5,760100%
- Education$40%
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 |
|---|---|---|
| Novo Nordisk | 16 | $1,042 |
| AstraZeneca | 10 | $840 |
| Amgen | 9 | $800 |
| GSK | 5 | $500 |
| Sanofi-aventis U.S. LLC | 4 | $458 |
| Pfizer | 6 | $283 |
| Biohaven Pharmaceuticals, Inc. | 2 | $249 |
| Merck | 2 | $164 |
| Medtronic | 2 | $161 |
| W. L. Gore & Associates, Inc. | 1 | $148 |
| Eisai Inc. | 2 | $128 |
| Esperion Therapeutics, Inc. | 1 | $125 |
| Janssen Scientific Affairs, LLC | 1 | $111 |
| Bayer | 1 | $106 |
| Kowa Pharmaceuticals America, Inc. | 1 | $105 |
| Therapeuticsmd, Inc. | 1 | $105 |
| Amarin Pharma, Inc. | 1 | $94 |
| Boehringer Ingelheim | 1 | $92 |
| Sunovion Pharmaceuticals Inc. | 2 | $89 |
| AbbVie | 1 | $84 |
| Novartis | 1 | $80 |
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.
- TRELEGY ELLIPTA$369
- FARXIGA$349
- EUCRISA$252
- NURTEC ODT$249
- RYBELSUS$244
- Ozempic$243
- DISEASE STATE$239
- Repatha$226
- QUADCUT$154
- EXCLUDER AAA Endoprosthesis$148
- BREZTRI$126
- ANORO$125
- Tresiba$125
- NEXLETOL$125
- NEXLIZET$125
- Dayvigo$125
- Wegovy$121
- FASENRA$112
- XARELTO$111
- EVENITY$109
How this compares
$5,764 in reported general payments places this provider in the 95th percentile of 2,079 family medicine providers in Colorado.
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 |
|---|---|---|
| Amoxicillin | 14 | $39 |
Paid to pharmacies, not to this prescriber.
Other family medicine in Colorado Springs
- Matthew YoungColorado Springs$270K
- Lawrence AndrewsColorado Springs$102K
- Elizabeth EricksonColorado Springs$31K
- Daniel RohwederColorado Springs$21K
- Gary TarshisColorado Springs$10K
- Jeremy BrownColorado Springs$8K
- Ethan LazarusDenver$688K
- Michael de NardisLarkspur$335K
- Mark DeutchmanDenver$258K
- Kari UusinarkausWoodland Park$254K
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.