Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Brian Schack

Internal Medicine Butler, KY Medical Doctor

NPI 1790721918 CMS profile 171554

79 Country Club Drive, Butler, KY 41006

Open in the dashboard

General payments

$12,457

779 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Brian Schack of Butler, KY is reported in the CMS Open Payments database as having received $12,457 across 779 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 95th percentile of Internal Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,776 91
2024 General $2,211 119
2023 General $2,063 130
2022 General $1,686 110
2021 General $1,927 130
2020 General $1,491 95
2019 General $1,303 104

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Brian Schack
  • Internal Medicine median
  • Middle half of Internal Medicine
  • National median

In program year 2025, general payments to Brian Schack were reported at $1,776. Among 52,115 Internal Medicine profiles paid that year, the median was $156 and the middle half received between $47 and $551.

Show as a table
Year Brian Schack Internal Medicine median Middle half National median
2019 $1,303 $159 $48–$570 $163
2020 $1,491 $119 $33–$402 $114
2021 $1,927 $135 $37–$521 $132
2022 $1,686 $141 $42–$496 $149
2023 $2,063 $149 $45–$519 $160
2024 $2,211 $154 $47–$537 $164
2025 $1,776 $156 $47–$551 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AbbVie, Inc. $2,019 123 payments
  2. GlaxoSmithKline, LLC. $1,637 107 payments
  3. Novo Nordisk Inc $1,252 96 payments
  4. AstraZeneca Pharmaceuticals LP $1,041 27 payments
  5. Lilly USA, LLC $905 64 payments
  6. Pfizer Inc. $695 51 payments
  7. Bayer HealthCare Pharmaceuticals Inc. $469 34 payments
  8. Allergan Inc. $446 34 payments
  9. Amgen Inc. $307 22 payments
  10. Salix Pharmaceuticals, a division of Bausch Health US, LLC $282 19 payments
  11. Other $3,406 202 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $12,424 777 payments
  2. Education $33 2 payments
Products named General payments · program years 2019–2025
  1. TRELEGY ELLIPTA $1,473 95 payments
  2. VRAYLAR Neuroscience $1,156 66 payments
  3. FARXIGA $925 18 payments
  4. Ozempic $646 47 payments
  5. VRAYLAR Neuroscience $554 36 payments
  6. RYBELSUS $522 39 payments
  7. Kerendia $469 34 payments
  8. MOUNJARO $433 30 payments
  9. UBRELVY $391 29 payments
  10. YUPELRI $366 14 payments
  11. Other $9,490 597 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 165 drugs

Part D claims

10,927

Median for Internal Medicine: 777

Drug cost

$727,994

Median for Internal Medicine: $73,373

Branded share of claims

22.4%

Median for Internal Medicine: 19.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Mounjaro Tirzepatide Brand 98 $109,383
Jardiance Empagliflozin Brand 84 $85,368
Ozempic Semaglutide Brand 53 $78,270
Eliquis Apixaban Brand 93 $65,265
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 80 $60,821
Rybelsus Semaglutide Brand 31 $31,723
Farxiga Dapagliflozin Propanediol Brand 41 $30,675
Xarelto Rivaroxaban Brand 34 $22,982
Breo Ellipta Fluticasone/Vilanterol Brand 36 $18,264
Breztri Aerosphere Budesonide/Glycopyr/Formoterol Brand 23 $17,645

The 10 drugs with the highest cost, of 165 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 104,182 Part D prescribers listed as Internal Medicine; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 41 billing codes

Paid by Medicare

$47,051

Of which drugs: $5,514

Medicare patients

197

Average age 73

Services billed

2,300

110 women, 87 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 65%
Arthritis 44%
Diabetes 36%
Ischemic heart disease 35%
Chronic kidney disease 28%
Depression 25%
COPD 24%
Heart failure 20%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Vaccine for influenza for injection into muscle 90662 Office 32 33 $2,690
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702 Office 14 38 $178

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 36 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
VRAYLAR
$323 — —
TRELEGY ELLIPTA
$231 80 —
YUPELRI
$190 — —
Kerendia
$159 — —
Auvelity
$135 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 36 with Patron

Records

779 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Internal Medicine in Kentucky

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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