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

Karol Rosner

Nephrology Hannibal, MO Medical Doctor

NPI 1053425884 CMS profile 319630

6500 Hospital Dr, Hannibal, MO 63401

Open in the dashboard

General payments

$1,263

61 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, Karol Rosner of Hannibal, MO is reported in the CMS Open Payments database as having received $1,263 across 61 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 54th percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

5 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $550 29
2024 General $439 21
2022 General $60 3
2021 General $58 3
2019 General $156 5

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Karol Rosner
  • Nephrology median
  • Middle half of Nephrology
  • National median

In program year 2025, general payments to Karol Rosner were reported at $550. Among 8,186 Nephrology profiles paid that year, the median was $310 and the middle half received between $104 and $880.

Show as a table
Year Karol Rosner Nephrology median Middle half National median
2019 $156 $236 $90–$588 $163
2020 $0 $135 $46–$364 $114
2021 $58 $202 $67–$551 $132
2022 $60 $242 $77–$695 $149
2023 $0 $254 $84–$766 $160
2024 $439 $300 $99–$852 $164
2025 $550 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Amgen Inc. $164 8 payments
  2. Retrophin, Inc. $158 11 payments
  3. Calliditas Therapeutics US Inc. $137 3 payments
  4. Novartis Pharmaceuticals Corporation $121 6 payments
  5. Bayer HealthCare Pharmaceuticals Inc. $116 6 payments
  6. Relypsa, Inc. $83 4 payments
  7. Biotronik Inc. $82 1 payment
  8. Otsuka America Pharmaceutical, Inc. $76 4 payments
  9. Fresenius USA Marketing, Inc. $62 3 payments
  10. Scpharmaceuticals Inc. $53 3 payments
  11. Other $210 12 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $1,243 60 payments
  2. Education $20 1 payment
Products named General payments · program years 2019–2025
  1. TARPEYO $137 3 payments
  2. KRYSTEXXA $132 6 payments
  3. Fabhalta $121 6 payments
  4. Kerendia $116 6 payments
  5. Veltassa $64 3 payments
  6. FUROSCIX $53 3 payments
  7. LOKELMA $51 3 payments
  8. JYNARQUE $37 2 payments
  9. VIDAS NEPHROCHECK $33 2 payments
  10. IBSRELA $31 2 payments
  11. Other $247 13 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 · 12 drugs

Part D claims

340

Median for Internal Medicine: 777

Drug cost

$13,755

Median for Internal Medicine: $73,373

Branded share of claims

0%

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
Paricalcitol Generic 50 $5,035
Sevelamer Carbonate Generic 12 $4,845
Bumetanide Generic 37 $1,432
Potassium Chloride Generic 25 $642
Spironolactone Generic 34 $409
Lisinopril Generic 44 $301
Losartan Potassium Generic 22 $248
Amlodipine Besylate Generic 25 $220
Metoprolol Succinate Generic 13 $207
Tamsulosin Hcl Generic 21 $165

The 10 drugs with the highest cost, of 12 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 · 17 billing codes

Paid by Medicare

$76,299

Medicare's payments for the services billed

Medicare patients

254

Average age 73

Services billed

894

118 women, 136 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 75%
Chronic kidney disease 75%
Diabetes 61%
Ischemic heart disease 53%
Heart failure 51%
Arthritis 50%
COPD 43%
Atrial fibrillation 33%

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 9 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
TARPEYO
  • CALLIDITAS THERAPEUTICS US INC. $137
$137 — —
Kerendia
  • Bayer HealthCare Pharmaceuticals Inc. $52
$52 — —
KRYSTEXXA
  • Amgen Inc. $39
$39 — —
Veltassa
  • Relypsa, Inc. $19
$19 — —
Fabhalta
  • Novartis Pharmaceuticals Corporation $19
$19 — —

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 9 in the dashboard with a free account

Records

61 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 Nephrology in Missouri

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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