Payment overview · 2025
General Payments
$15.77
1 reported records · 1 companies
Healthcare provider profile · identity verified
Roseller Libarnes, MD
Allopathic & Osteopathic Physicians|Internal Medicine · FORT MADISON, IA · NPI 1427028760
Verified facts
What the public records show
CMS Open Payments records show Roseller Libarnes, MD received $15.77 in general payments during 2025 across 1 reported records.
Dexcom, Inc. 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 |
|---|---|---|---|---|---|
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $15.77 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $15.77 | 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 |
|---|---|---|---|---|---|
| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $15.77 | 1 | 2025 |
Source payment records
|
|||||
* 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.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 702 | 119 |
| Atorvastatin Calcium | Atorvastatin Calcium | 646 | 150 |
| Lisinopril | Lisinopril | 608 | 122 |
| Amlodipine Besylate | Amlodipine Besylate | 442 | 109 |
| Losartan Potassium | Losartan Potassium | 419 | 97 |
| Metformin Hcl | Metformin Hcl | 383 | 81 |
| Metoprolol Succinate | Metoprolol Succinate | 379 | 87 |
| Furosemide | Furosemide | 373 | 82 |
| Simvastatin | Simvastatin | 370 | 73 |
| Omeprazole | Omeprazole | 320 | 80 |
| Potassium Chloride | Potassium Chloride | 270 | 57 |
| Gabapentin | Gabapentin | 257 | 52 |
| Metoprolol Tartrate | Metoprolol Tartrate | 246 | 49 |
| Warfarin Sodium | Warfarin Sodium | 211 | 44 |
| Eliquis | Apixaban | 204 | 39 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 183 | 44 |
| Tamsulosin Hcl | Tamsulosin Hcl | 159 | 42 |
| Ozempic | Semaglutide | 155 | 23 |
| Duloxetine Hcl | Duloxetine Hcl | 147 | 34 |
| Hydrochlorothiazide | Hydrochlorothiazide | 145 | 35 |
| Glipizide | Glipizide | 139 | 29 |
| Allopurinol | Allopurinol | 134 | 31 |
| Spironolactone | Spironolactone | 120 | 28 |
| Tramadol Hcl | Tramadol Hcl | 117 | 31 |
| Pravastatin Sodium | Pravastatin Sodium | 116 | 23 |
| Alprazolam | Alprazolam | 114 | 26 |
| Jardiance | Empagliflozin | 113 | 27 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 109 | 21 |
| Pantoprazole Sodium | Pantoprazole Sodium | 94 | 27 |
| Sertraline Hcl | Sertraline Hcl | 91 | 14 |
| Carvedilol | Carvedilol | 90 | 16 |
| Chlorthalidone | Chlorthalidone | 86 | 22 |
| Trazodone Hcl | Trazodone Hcl | 84 | 16 |
| Escitalopram Oxalate | Escitalopram Oxalate | 80 | 20 |
| Ezetimibe | Ezetimibe | 79 | 16 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 78 | 31 |
| Clopidogrel | Clopidogrel Bisulfate | 77 | 13 |
| Famotidine | Famotidine | 76 | 20 |
| Glimepiride | Glimepiride | 76 | 16 |
| Metformin Hcl Er | Metformin Hcl | 75 | 18 |
| Glipizide Er | Glipizide | 73 | 18 |
| Finasteride | Finasteride | 70 | 20 |
| Alendronate Sodium | Alendronate Sodium | 66 | 16 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 64 | 11 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 62 | suppressed |
| Atenolol | Atenolol | 61 | 13 |
| Montelukast Sodium | Montelukast Sodium | 61 | 15 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 54 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 52 | 13 |
| Pioglitazone Hcl | Pioglitazone Hcl | 52 | 13 |
| Amitriptyline Hcl | Amitriptyline Hcl | 50 | suppressed |
| Lorazepam | Lorazepam | 49 | 15 |
| Pregabalin | Pregabalin | 48 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 47 | 11 |
| Ropinirole Hcl | Ropinirole Hcl | 47 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 46 | 18 |
| Irbesartan | Irbesartan | 44 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 44 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 42 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 42 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 41 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 39 | suppressed |
| Xarelto | Rivaroxaban | 37 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 36 | suppressed |
| Baclofen | Baclofen | 35 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 34 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 32 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 31 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 31 | suppressed |
| Rybelsus | Semaglutide | 31 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 30 | suppressed |
| Meloxicam | Meloxicam | 30 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 29 | 22 |
| Novolog Flexpen | Insulin Aspart | 29 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 29 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 27 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 27 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 27 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 26 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 26 | suppressed |
| Azithromycin | Azithromycin | 24 | 21 |
| Celecoxib | Celecoxib | 24 | suppressed |
| Digoxin | Digoxin | 24 | suppressed |
| Januvia | Sitagliptin Phosphate | 24 | suppressed |
| Nitroglycerin | Nitroglycerin | 24 | 11 |
| Fenofibrate | Fenofibrate | 22 | suppressed |
| Flecainide Acetate | Flecainide Acetate | 22 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 22 | suppressed |
| Prednisone | Prednisone | 22 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 22 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 21 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 21 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 20 | suppressed |
| Topiramate | Topiramate | 19 | suppressed |
| Mirtazapine | Mirtazapine | 18 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 18 | suppressed |
| Synthroid | Levothyroxine Sodium | 17 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 16 | suppressed |
| Acetazolamide | Acetazolamide | 15 | suppressed |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 15 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 15 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 15 | suppressed |
| Memantine Hcl | Memantine Hcl | 15 | suppressed |
| Myrbetriq | Mirabegron | 15 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 13 |
| Bupropion Xl | Bupropion Hcl | 14 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 14 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 14 | suppressed |
| Ramipril | Ramipril | 14 | suppressed |
| Trulicity | Dulaglutide | 14 | suppressed |
| Bumetanide | Bumetanide | 13 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 13 | suppressed |
| Eletriptan Hbr | Eletriptan Hydrobromide | 13 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 13 | suppressed |
| Humalog | Insulin Lispro | 13 | suppressed |
| Nabumetone | Nabumetone | 13 | suppressed |
| Sucralfate | Sucralfate | 13 | suppressed |
| Captopril | Captopril | 12 | suppressed |
| Cephalexin | Cephalexin | 12 | 11 |
| Cevimeline Hcl | Cevimeline Hcl | 12 | suppressed |
| Colestipol Hcl | Colestipol Hcl | 12 | suppressed |
| Hydroxyurea | Hydroxyurea | 12 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 12 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Probenecid-Colchicine | Probenecid/Colchicine | 12 | suppressed |
| Serevent Diskus | Salmeterol Xinafoate | 12 | suppressed |
| Tolterodine Tartrate | Tolterodine Tartrate | 12 | suppressed |
| Abacavir-Lamivudine | Abacavir Sulfate/Lamivudine | 11 | suppressed |
| Atazanavir Sulfate | Atazanavir Sulfate | 11 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 11 | suppressed |
| Clonazepam | Clonazepam | 11 | suppressed |
| Efavirenz | Efavirenz | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 11 | suppressed |
| Tiadylt Er | Diltiazem Hcl | 11 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 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 | $15.77 · 1 records | Dexcom, Inc. | Dexcom G6 Transmitter | — | — |
| 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