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

Juli Ackerman

Internal Medicine Sheridan, WY Medical Doctor

NPI 1619292927 CMS profile 1305202

1333 W 5Th St, Ste 112, Sheridan, WY 82801

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General payments

$3,034

169 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, Juli Ackerman of Sheridan, WY is reported in the CMS Open Payments database as having received $3,034 across 169 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 84th 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 $743 39
2024 General $504 26
2023 General $667 34
2022 General $386 22
2021 General $296 18
2020 General $217 14
2019 General $221 16

Beside peers

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

In program year 2025, general payments to Juli Ackerman were reported at $743. 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 Juli Ackerman Internal Medicine median Middle half National median
2019 $221 $159 $48–$570 $163
2020 $217 $119 $33–$402 $114
2021 $296 $135 $37–$521 $132
2022 $386 $141 $42–$496 $149
2023 $667 $149 $45–$519 $160
2024 $504 $154 $47–$537 $164
2025 $743 $156 $47–$551 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AstraZeneca Pharmaceuticals LP $554 30 payments
  2. GlaxoSmithKline, LLC. $419 21 payments
  3. Lilly USA, LLC $416 30 payments
  4. AbbVie, Inc. $262 11 payments
  5. Novo Nordisk Inc $189 12 payments
  6. Amgen Inc. $140 8 payments
  7. Boehringer Ingelheim Pharmaceuticals, Inc. $118 6 payments
  8. Astellas Pharma US Inc $114 4 payments
  9. Abbott Laboratories $75 4 payments
  10. Bayer HealthCare Pharmaceuticals Inc. $72 4 payments
  11. Other $675 39 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $3,034 169 payments
Products named General payments · program years 2019–2025
  1. MOUNJARO $293 22 payments
  2. TRELEGY ELLIPTA $284 13 payments
  3. ZEPBOUND $245 18 payments
  4. FARXIGA $239 11 payments
  5. BREZTRI $212 9 payments
  6. VRAYLAR $195 8 payments
  7. Ozempic $139 9 payments
  8. SHINGRIX $135 8 payments
  9. RYBELSUS $115 7 payments
  10. Veozah $114 4 payments
  11. Other $2,098 121 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 · 153 drugs

Part D claims

10,187

Median for Internal Medicine: 777

Drug cost

$1,076,599

Median for Internal Medicine: $73,373

Branded share of claims

20%

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
Eliquis Apixaban Brand 178 $204,404
Ozempic Semaglutide Brand 156 $184,332
Farxiga Dapagliflozin Propanediol Brand 86 $113,392
Xarelto Rivaroxaban Brand 49 $49,973
Trulicity Dulaglutide Brand 37 $45,260
Jardiance Empagliflozin Brand 34 $34,500
Mounjaro Tirzepatide Brand 32 $33,509
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 35 $28,169
Myrbetriq Mirabegron Brand 32 $23,597
Breztri Aerosphere Budesonide/Glycopyr/Formoterol Brand 18 $23,412

The 10 drugs with the highest cost, of 153 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 · 66 billing codes

Paid by Medicare

$278,376

Of which drugs: $111,588

Medicare patients

868

Average age 75

Services billed

6,369

674 women, 194 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 60%
Arthritis 34%
Osteoporosis 19%
Atrial fibrillation 18%
Diabetes 16%
Ischemic heart disease 16%
Depression 14%
Heart failure 13%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, denosumab, 1 mg J0897 Office 44 2,880 $57,269
Pcv20 vaccine im 90677 Office 160 160 $46,202
Vaccine for influenza for injection into muscle 90662 Office 80 80 $6,546
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 Office 46 239 $163
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420 Office 19 34 $25

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 20 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
ZEPBOUND
  • Lilly USA, LLC $50
$50 — —
FARXIGA
  • AstraZeneca Pharmaceuticals LP $36
$36 86 —
Kerendia
  • Bayer HealthCare Pharmaceuticals Inc. $34
$34 — —
MOUNJARO
  • Lilly USA, LLC $34
$34 32 —
OFEV
  • Boehringer Ingelheim Pharmaceuticals, Inc. $27
$27 — —

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 all 20 in the dashboard with a free account

Records

169 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 Wyoming

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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