Payment overview · 2025
General Payments
We did not find matching Open Payments records for this doctor in the selected program year.
Healthcare provider profile · identity verified
Robert James Learch, DO
Internal Medicine · ELKHORN, NE · NPI 1174882658
Verified facts
What the public records show
We did not find matching Open Payments records for this doctor in 2025.
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.
Analysis 1 · Payment-linked products
Products named in Open Payments records
No payment-linked product analysis is available because no matching General Payment records were found for the selected year.
Public prescribing for products named in payments
There is no explicit payment-product set available for a Part D comparison.
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.
There is no payer-company set available for this comparison.
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 506 | 192 |
| Amlodipine Besylate | Amlodipine Besylate | 277 | 113 |
| Lisinopril | Lisinopril | 270 | 97 |
| Losartan Potassium | Losartan Potassium | 175 | 74 |
| Pantoprazole Sodium | Pantoprazole Sodium | 169 | 66 |
| Gabapentin | Gabapentin | 158 | 44 |
| Levothyroxine Sodium | Levothyroxine Sodium | 132 | 58 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 128 | 46 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 120 | 50 |
| Fluticasone Propionate | Fluticasone Propionate | 120 | 55 |
| Ozempic | Semaglutide | 101 | 36 |
| Alendronate Sodium | Alendronate Sodium | 99 | 34 |
| Jardiance | Empagliflozin | 95 | 24 |
| Omeprazole | Omeprazole | 94 | 42 |
| Hydrochlorothiazide | Hydrochlorothiazide | 90 | 41 |
| Clopidogrel | Clopidogrel Bisulfate | 79 | 21 |
| Farxiga | Dapagliflozin Propanediol | 79 | 26 |
| Metformin Hcl Er | Metformin Hcl | 78 | 21 |
| Metoprolol Succinate | Metoprolol Succinate | 76 | 26 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 74 | 29 |
| Metformin Hcl | Metformin Hcl | 70 | 31 |
| Carvedilol | Carvedilol | 68 | 23 |
| Eliquis | Apixaban | 68 | 25 |
| Citalopram Hbr | Citalopram Hydrobromide | 64 | 26 |
| Meloxicam | Meloxicam | 62 | 27 |
| Escitalopram Oxalate | Escitalopram Oxalate | 61 | 24 |
| Tamsulosin Hcl | Tamsulosin Hcl | 60 | 23 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 59 | 30 |
| Famotidine | Famotidine | 57 | 22 |
| Duloxetine Hcl | Duloxetine Hcl | 54 | 20 |
| Diclofenac Sodium | Diclofenac Sodium | 53 | 23 |
| Montelukast Sodium | Montelukast Sodium | 53 | 19 |
| Potassium Chloride | Potassium Chloride | 53 | 19 |
| Bupropion Xl | Bupropion Hcl | 52 | 18 |
| Tizanidine Hcl | Tizanidine Hcl | 52 | 20 |
| Furosemide | Furosemide | 50 | 23 |
| Trazodone Hcl | Trazodone Hcl | 49 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 47 | 24 |
| Sertraline Hcl | Sertraline Hcl | 44 | 17 |
| Tresiba Flextouch U-200 | Insulin Degludec | 43 | 14 |
| Nifedipine Er | Nifedipine | 39 | 15 |
| Spironolactone | Spironolactone | 39 | 13 |
| Pravastatin Sodium | Pravastatin Sodium | 38 | 17 |
| Dicyclomine Hcl | Dicyclomine Hcl | 37 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 37 | 15 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 36 | 16 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 36 | 13 |
| Buspirone Hcl | Buspirone Hcl | 35 | 11 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 35 | 11 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 35 | suppressed |
| Allopurinol | Allopurinol | 34 | 15 |
| Azelastine Hcl | Azelastine Hcl | 33 | 15 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 33 | 11 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 33 | 13 |
| Alprazolam | Alprazolam | 32 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 29 | 15 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 29 | 15 |
| Ondansetron Odt | Ondansetron | 29 | 18 |
| Atenolol | Atenolol | 28 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 27 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 27 | 13 |
| Donepezil Hcl | Donepezil Hcl | 26 | suppressed |
| Mirtazapine | Mirtazapine | 26 | 11 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 25 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 25 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 25 | suppressed |
| Synthroid | Levothyroxine Sodium | 25 | 11 |
| Amitriptyline Hcl | Amitriptyline Hcl | 24 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 24 | 12 |
| Nystatin | Nystatin | 24 | 13 |
| Paroxetine Hcl | Paroxetine Hcl | 24 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 23 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 23 | suppressed |
| Naproxen | Naproxen | 23 | 13 |
| Nortriptyline Hcl | Nortriptyline Hcl | 23 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 23 | suppressed |
| Chlorthalidone | Chlorthalidone | 22 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 20 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 20 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 20 | 11 |
| Ibuprofen | Ibuprofen | 19 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 18 | suppressed |
| Glimepiride | Glimepiride | 18 | suppressed |
| Prednisone | Prednisone | 17 | 14 |
| Rybelsus | Semaglutide | 17 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 16 | suppressed |
| Novolog Flexpen | Insulin Aspart | 16 | suppressed |
| Pregabalin | Pregabalin | 16 | suppressed |
| Azithromycin | Azithromycin | 15 | 12 |
| Bumetanide | Bumetanide | 15 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 14 |
| Finasteride | Finasteride | 14 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 14 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 14 | suppressed |
| Roflumilast | Roflumilast | 14 | suppressed |
| Larin Fe | Norethindrone-E.Estradiol-Iron | 13 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 13 | suppressed |
| Ramipril | Ramipril | 13 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 13 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 12 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 12 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 12 | suppressed |
| Januvia | Sitagliptin Phosphate | 12 | suppressed |
| Loperamide | Loperamide Hcl | 12 | suppressed |
| Lovastatin | Lovastatin | 12 | suppressed |
| Risperidone | Risperidone | 12 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 12 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Prazosin Hcl | Prazosin Hcl | 11 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 11 | suppressed |
| Tramadol Hcl-Acetaminophen | Tramadol Hcl/Acetaminophen | 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 | — | — | — | — | — |
| 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