Payment overview · 2025
General Payments
$22.86
1 reported records · 1 companies
Healthcare provider profile · identity verified
Spencer M. Steffen, MD
Allopathic & Osteopathic Physicians|Family Medicine · LINCOLN, NE · NPI 1104318641
Verified facts
What the public records show
CMS Open Payments records show Spencer M. Steffen, MD received $22.86 in general payments during 2025 across 1 reported records.
Novartis Pharmaceuticals Corporation accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $22.86 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $22.86 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $22.86 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 642 | 178 |
| Atorvastatin Calcium | Atorvastatin Calcium | 605 | 143 |
| Losartan Potassium | Losartan Potassium | 517 | 139 |
| Lisinopril | Lisinopril | 509 | 125 |
| Levothyroxine Sodium | Levothyroxine Sodium | 496 | 103 |
| Amlodipine Besylate | Amlodipine Besylate | 461 | 124 |
| Tamsulosin Hcl | Tamsulosin Hcl | 408 | 116 |
| Metoprolol Succinate | Metoprolol Succinate | 278 | 76 |
| Simvastatin | Simvastatin | 257 | 71 |
| Omeprazole | Omeprazole | 237 | 64 |
| Finasteride | Finasteride | 210 | 58 |
| Hydrochlorothiazide | Hydrochlorothiazide | 207 | 61 |
| Gabapentin | Gabapentin | 175 | 45 |
| Metformin Hcl Er | Metformin Hcl | 168 | 58 |
| Allopurinol | Allopurinol | 164 | 39 |
| Potassium Chloride | Potassium Chloride | 151 | 38 |
| Metformin Hcl | Metformin Hcl | 150 | 40 |
| Eliquis | Apixaban | 145 | 30 |
| Trazodone Hcl | Trazodone Hcl | 137 | 39 |
| Pantoprazole Sodium | Pantoprazole Sodium | 135 | 39 |
| Jardiance | Empagliflozin | 133 | 30 |
| Sertraline Hcl | Sertraline Hcl | 119 | 34 |
| Tramadol Hcl | Tramadol Hcl | 104 | 25 |
| Furosemide | Furosemide | 103 | 25 |
| Carvedilol | Carvedilol | 100 | 29 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 90 | 33 |
| Zolpidem Tartrate | Zolpidem Tartrate | 89 | 22 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 88 | 26 |
| Mounjaro | Tirzepatide | 88 | 15 |
| Metoprolol Tartrate | Metoprolol Tartrate | 80 | 22 |
| Montelukast Sodium | Montelukast Sodium | 78 | 21 |
| Pravastatin Sodium | Pravastatin Sodium | 77 | 21 |
| Alendronate Sodium | Alendronate Sodium | 74 | 17 |
| Spironolactone | Spironolactone | 69 | 19 |
| Alprazolam | Alprazolam | 66 | 14 |
| Synthroid | Levothyroxine Sodium | 66 | 15 |
| Benazepril Hcl | Benazepril Hcl | 65 | 15 |
| Ezetimibe | Ezetimibe | 64 | 23 |
| Lansoprazole | Lansoprazole | 63 | 13 |
| Famotidine | Famotidine | 62 | 17 |
| Duloxetine Hcl | Duloxetine Hcl | 61 | 14 |
| Meloxicam | Meloxicam | 54 | 21 |
| Celecoxib | Celecoxib | 53 | 12 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 53 | 12 |
| Amitriptyline Hcl | Amitriptyline Hcl | 52 | 12 |
| Estradiol | Estradiol | 52 | 16 |
| Fluoxetine Hcl | Fluoxetine Hcl | 51 | suppressed |
| Bupropion Xl | Bupropion Hcl | 50 | 13 |
| Clonazepam | Clonazepam | 50 | 12 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 50 | 13 |
| Clopidogrel | Clopidogrel Bisulfate | 48 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 45 | 15 |
| Oxycodone Hcl | Oxycodone Hcl | 44 | suppressed |
| Ozempic | Semaglutide | 42 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 37 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 36 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 35 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 33 | suppressed |
| Verapamil Er | Verapamil Hcl | 33 | suppressed |
| Chlorthalidone | Chlorthalidone | 31 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 31 | suppressed |
| Memantine Hcl | Memantine Hcl | 31 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 31 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 31 | 15 |
| Topiramate | Topiramate | 30 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 29 | suppressed |
| Prednisone | Prednisone | 28 | 25 |
| Quetiapine Fumarate | Quetiapine Fumarate | 28 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 28 | suppressed |
| Valsartan | Valsartan | 28 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 27 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 27 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 26 | suppressed |
| Ondansetron Odt | Ondansetron | 26 | 12 |
| Paroxetine Hcl | Paroxetine Hcl | 25 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 25 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 24 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 24 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 24 | suppressed |
| Xarelto | Rivaroxaban | 24 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 23 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 23 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 23 | suppressed |
| Myrbetriq | Mirabegron | 23 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 23 | 15 |
| Bumetanide | Bumetanide | 22 | suppressed |
| Mirtazapine | Mirtazapine | 22 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 22 | suppressed |
| Rybelsus | Semaglutide | 22 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 21 | suppressed |
| Lorazepam | Lorazepam | 21 | suppressed |
| Lovastatin | Lovastatin | 21 | suppressed |
| Pregabalin | Pregabalin | 21 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 20 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 19 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 19 | suppressed |
| Levetiracetam | Levetiracetam | 18 | suppressed |
| Torsemide | Torsemide | 18 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 17 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 17 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 17 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 17 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 16 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 16 | suppressed |
| Dutasteride | Dutasteride | 16 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 16 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 16 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 16 | suppressed |
| Sucralfate | Sucralfate | 16 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 15 | suppressed |
| Atenolol | Atenolol | 15 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 15 | suppressed |
| Fenofibrate | Fenofibrate | 15 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 15 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 14 | suppressed |
| Calcitriol | Calcitriol | 14 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 14 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 14 | suppressed |
| Klor-Con M20 | Potassium Chloride | 14 | suppressed |
| Primidone | Primidone | 14 | suppressed |
| Irbesartan | Irbesartan | 13 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 13 | suppressed |
| Cephalexin | Cephalexin | 12 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 12 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 12 | suppressed |
| Glipizide Er | Glipizide | 12 | suppressed |
| Januvia | Sitagliptin Phosphate | 12 | suppressed |
| Methocarbamol | Methocarbamol | 12 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 12 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 12 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 12 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $22.86 · 1 records | Novartis Pharmaceuticals Corporation | LEQVIO | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error