Payment overview · 2025
General Payments
$18.73
1 reported records · 1 companies
Healthcare provider profile · identity verified
Howard Larry Mitchell, MD
Allopathic & Osteopathic Physicians|Internal Medicine · LINCOLN, NE · NPI 1912015751
Verified facts
What the public records show
CMS Open Payments records show Howard Larry Mitchell, MD received $18.73 in general payments during 2025 across 1 reported records.
Medtronic, 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 |
|---|---|---|---|---|---|
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$18.73 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $18.73 | 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 |
|---|---|---|---|---|---|
| KYPHON EXPRESS II KYPHOPAK TRAY Normalized: kyphon express ii kyphopak tray |
Device | Medtronic, Inc. | $18.73 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 488 | 127 |
| Levothyroxine Sodium | Levothyroxine Sodium | 466 | 96 |
| Amlodipine Besylate | Amlodipine Besylate | 441 | 113 |
| Lisinopril | Lisinopril | 308 | 79 |
| Omeprazole | Omeprazole | 306 | 80 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 303 | 72 |
| Metformin Hcl Er | Metformin Hcl | 208 | 56 |
| Losartan Potassium | Losartan Potassium | 204 | 49 |
| Furosemide | Furosemide | 188 | 45 |
| Tamsulosin Hcl | Tamsulosin Hcl | 188 | 43 |
| Escitalopram Oxalate | Escitalopram Oxalate | 172 | 43 |
| Spironolactone | Spironolactone | 171 | 47 |
| Valsartan | Valsartan | 167 | 46 |
| Eliquis | Apixaban | 157 | 24 |
| Pravastatin Sodium | Pravastatin Sodium | 153 | 39 |
| Pantoprazole Sodium | Pantoprazole Sodium | 148 | 41 |
| Tramadol Hcl | Tramadol Hcl | 146 | 31 |
| Carvedilol | Carvedilol | 145 | 30 |
| Gabapentin | Gabapentin | 129 | 30 |
| Metoprolol Succinate | Metoprolol Succinate | 126 | 41 |
| Simvastatin | Simvastatin | 103 | 27 |
| Potassium Chloride | Potassium Chloride | 91 | 19 |
| Glimepiride | Glimepiride | 84 | 23 |
| Duloxetine Hcl | Duloxetine Hcl | 83 | 17 |
| Meloxicam | Meloxicam | 77 | 20 |
| Ezetimibe | Ezetimibe | 75 | 23 |
| Xarelto | Rivaroxaban | 74 | 19 |
| Hydrochlorothiazide | Hydrochlorothiazide | 69 | 19 |
| Montelukast Sodium | Montelukast Sodium | 68 | 18 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 65 | 18 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 63 | 16 |
| Clopidogrel | Clopidogrel Bisulfate | 63 | 16 |
| Allopurinol | Allopurinol | 61 | 17 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 59 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 58 | 14 |
| Alprazolam | Alprazolam | 57 | 17 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 57 | 15 |
| Synthroid | Levothyroxine Sodium | 54 | 14 |
| Memantine Hcl | Memantine Hcl | 53 | suppressed |
| Metformin Hcl | Metformin Hcl | 50 | 14 |
| Trazodone Hcl | Trazodone Hcl | 50 | 15 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 49 | 14 |
| Sertraline Hcl | Sertraline Hcl | 49 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 45 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 45 | suppressed |
| Jardiance | Empagliflozin | 44 | suppressed |
| Ketoconazole | Ketoconazole | 44 | 13 |
| Ozempic | Semaglutide | 44 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 42 | 13 |
| Alendronate Sodium | Alendronate Sodium | 39 | 11 |
| Benazepril Hcl | Benazepril Hcl | 39 | suppressed |
| Mirtazapine | Mirtazapine | 39 | 13 |
| Pregabalin | Pregabalin | 38 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 37 | suppressed |
| Prednisone | Prednisone | 36 | 27 |
| Famotidine | Famotidine | 35 | suppressed |
| Irbesartan | Irbesartan | 35 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 34 | 13 |
| Fluoxetine Hcl | Fluoxetine Hcl | 33 | suppressed |
| Lorazepam | Lorazepam | 33 | 12 |
| Ventolin Hfa | Albuterol Sulfate | 32 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 31 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 31 | suppressed |
| Finasteride | Finasteride | 30 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 26 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 26 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 25 | 16 |
| Cephalexin | Cephalexin | 24 | 23 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 23 | suppressed |
| Cefdinir | Cefdinir | 23 | 21 |
| Mometasone Furoate | Mometasone Furoate | 23 | 17 |
| Tizanidine Hcl | Tizanidine Hcl | 23 | suppressed |
| Latanoprost | Latanoprost | 22 | suppressed |
| Chlorthalidone | Chlorthalidone | 21 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 20 | 20 |
| Ramipril | Ramipril | 20 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 19 | 15 |
| Colchicine | Colchicine | 19 | suppressed |
| Lovastatin | Lovastatin | 19 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 19 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 19 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 19 | suppressed |
| Atenolol | Atenolol | 18 | suppressed |
| Bupropion Xl | Bupropion Hcl | 18 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 18 | suppressed |
| Eplerenone | Eplerenone | 18 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 18 | suppressed |
| Temazepam | Temazepam | 18 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 17 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 17 | suppressed |
| Testosterone | Testosterone | 17 | suppressed |
| Baclofen | Baclofen | 16 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 16 | suppressed |
| Mounjaro | Tirzepatide | 16 | suppressed |
| Estradiol | Estradiol | 15 | suppressed |
| Levetiracetam | Levetiracetam | 15 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 15 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 15 | suppressed |
| Alcohol Swabs | Alcohol Antiseptic Pads | 14 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 14 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 14 | suppressed |
| Combigan | Brimonidine Tartrate/Timolol | 14 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 14 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 14 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 14 | suppressed |
| Amoxicillin | Amoxicillin | 13 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 13 | 13 |
| Roflumilast | Roflumilast | 13 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 13 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 12 | suppressed |
| Telmisartan | Telmisartan | 12 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 12 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 11 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 11 | suppressed |
| Glipizide Er | Glipizide | 11 | suppressed |
| Glycopyrrolate | Glycopyrrolate | 11 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 11 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 11 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 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 | $18.73 · 1 records | Medtronic, Inc. | KYPHON EXPRESS II KYPHOPAK TRAY | — | — |
| 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