Who Paid My Doc
Matthew Samec
Rheumatology Decorah, IA Medical Doctor
NPI 1447782735 CMS profile 5448876
901 Montgomery St, Decorah, IA 52101
General payments
$19
Research payments
$0
Ownership & investment interest
$0
Through program year 2023, Matthew Samec of Decorah, IA is reported in the CMS Open Payments database as having received $19 across 1 general payment 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 2nd percentile of Rheumatology profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
1 row| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2023 | General | $19 | 1 |
Beside peers
- Matthew Samec
- Rheumatology median
- Middle half of Rheumatology
- National median
In program year 2025, general payments to Matthew Samec were reported at $0. Among 4,454 Rheumatology profiles paid that year, the median was $903 and the middle half received between $171 and $2,775.
Show as a table
| Year | Matthew Samec | Rheumatology median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | $744 | $153–$2,687 | $163 |
| 2020 | $0 | $462 | $98–$2,027 | $114 |
| 2021 | $0 | $531 | $101–$2,153 | $132 |
| 2022 | $0 | $627 | $125–$2,303 | $149 |
| 2023 | $19 | $741 | $145–$2,524 | $160 |
| 2024 | $0 | $830 | $166–$2,660 | $164 |
| 2025 | $0 | $903 | $171–$2,775 | $169 |
Breakdown
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 · 23 drugsPart D claims
1,112
Drug cost
$561,795
Branded share of claims
33.7%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Enbrel Sureclick Etanercept | Brand | 25 | $181,095 | |
| Enbrel Etanercept | Brand | 11 | $95,984 | |
| Cyltezo(Cf) Pen Adalimumab-Adbm | Brand | 12 | $91,715 | |
| Humira(Cf) Adalimumab | Brand | 14 | $91,212 | |
| Forteo Teriparatide | Brand | 15 | $61,454 | |
| Teriparatide | Generic | 12 | $20,764 | |
| Methotrexate Methotrexate Sodium | Brand | 237 | $5,502 | |
| Leflunomide | Generic | 26 | $3,721 | |
| Hydroxychloroquine Sulfate | Generic | 99 | $2,886 | |
| Prednisone | Generic | 245 | $1,455 |
The 10 drugs with the highest cost, of 23 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 5,224 Part D prescribers listed as Rheumatology; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 102 billing codesPaid by Medicare
$760,001
Medicare patients
512
Services billed
71,506
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 65% | |
| Arthritis | 65% | |
| Osteoporosis | 53% | |
| Depression | 28% | |
| Chronic kidney disease | 21% | |
| Diabetes | 17% | |
| Ischemic heart disease | 17% | |
| Atrial fibrillation | 14% |
| Drug given in the clinic | Where | Patients | Services | Paid by Medicare |
|---|---|---|---|---|
| Injection, romosozumab-aqqg, 1 mg J3111 | Office | 29 | 16,590 | $140,396 |
| Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129 | Office | 13 | 3,450 | $117,044 |
| Injection, denosumab, 1 mg J0897 | Office | 47 | 3,480 | $71,911 |
| Injection, golimumab, 1 mg, for intravenous use J1602 | Office | 16 | 7,000 | $63,288 |
| Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717 | Office | 14 | 16,800 | $60,876 |
| Injection, infliximab, excludes biosimilar, 10 mg J1745 | Office | 18 | 2,010 | $50,130 |
| Injection, zoledronic acid, 1 mg J3489 | Office | 48 | 240 | $1,121 |
| Injection, methylprednisolone acetate, 1 mg J1010 | Office | 15 | 1,120 | $109 |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 | Office | 11 | 84 | $58 |
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.
Records
1 reportedEvery 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.
Related records
Rheumatology in Iowa
Practitioners in the same specialty and state, ranked by reported value.
All Rheumatology
Everyone recorded under this specialty, nationwide.
Doctors in Iowa
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.