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

Paul Wibbels

Internal Medicine Hastings, NE Medical Doctor

NPI 1336142900 CMS profile 60446

2115 N Kansas Ave, Ste 105A, Hastings, NE 68901

Open in the dashboard

General payments

$9,085

591 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, Paul Wibbels of Hastings, NE is reported in the CMS Open Payments database as having received $9,085 across 591 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 94th 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 $358 21
2024 General $1,821 91
2023 General $1,596 103
2022 General $1,603 105
2021 General $1,674 116
2020 General $810 45
2019 General $1,224 110

Beside peers

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

In program year 2025, general payments to Paul Wibbels were reported at $358. 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 Paul Wibbels Internal Medicine median Middle half National median
2019 $1,224 $159 $48–$570 $163
2020 $810 $119 $33–$402 $114
2021 $1,674 $135 $37–$521 $132
2022 $1,603 $141 $42–$496 $149
2023 $1,596 $149 $45–$519 $160
2024 $1,821 $154 $47–$537 $164
2025 $358 $156 $47–$551 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. AstraZeneca Pharmaceuticals LP $1,285 13 payments
  2. Novo Nordisk Inc $984 70 payments
  3. Lilly USA, LLC $928 64 payments
  4. AbbVie, Inc. $867 51 payments
  5. Pfizer Inc. $661 84 payments
  6. Amgen Inc. $591 47 payments
  7. Boehringer Ingelheim Pharmaceuticals, Inc. $564 50 payments
  8. Aimmune Therapeutics, Inc. $353 4 payments
  9. Janssen Pharmaceuticals, Inc $313 15 payments
  10. GlaxoSmithKline, LLC. $301 33 payments
  11. Other $2,239 160 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $9,085 591 payments
Products named General payments · program years 2019–2025
  1. FARXIGA $1,221 8 payments
  2. BREZTRI $876 8 payments
  3. Ozempic $866 61 payments
  4. RYBELSUS $603 41 payments
  5. AIRSUPRA $482 3 payments
  6. MOUNJARO $443 32 payments
  7. UBRELVY $421 23 payments
  8. JARDIANCE $382 25 payments
  9. ZENPEP $381 6 payments
  10. SYMBICORT $372 2 payments
  11. Other $8,975 717 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 · 193 drugs

Part D claims

17,391

Median for Internal Medicine: 777

Drug cost

$1,257,798

Median for Internal Medicine: $73,373

Branded share of claims

18.2%

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 280 $230,719
Ozempic Semaglutide Brand 149 $150,833
Tresiba Flextouch U-200 Insulin Degludec Brand 53 $112,353
Toujeo Solostar Insulin Glargine,hum.Rec.Anlog Brand 78 $45,401
Tresiba Flextouch U-100 Insulin Degludec Brand 45 $45,273
Mounjaro Tirzepatide Brand 33 $45,104
Xarelto Rivaroxaban Brand 43 $38,884
Trelegy Ellipta Fluticasone/Umeclidin/Vilanter Brand 47 $37,376
Toujeo Max Solostar Insulin Glargine,hum.Rec.Anlog Brand 14 $35,194
Rybelsus Semaglutide Brand 23 $32,319

The 10 drugs with the highest cost, of 193 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 · 93 billing codes

Paid by Medicare

$549,153

Of which drugs: $59,762

Medicare patients

649

Average age 76

Services billed

32,543

314 women, 335 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%
Arthritis 45%
Chronic kidney disease 36%
Diabetes 30%
Ischemic heart disease 27%
COPD 25%
Atrial fibrillation 22%
Heart failure 18%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Pcv20 vaccine im 90677 Office 150 150 $43,803
Vaccine for influenza for injection into muscle 90662 Office 151 152 $12,168
Sarscv2 vac 30mcg trs-suc im 91320 Office 25 25 $3,149
Injection, methylprednisolone acetate, 1 mg J1010 Office 18 2,282 $215
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420 Office 16 97 $83

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 30 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
ZENPEP
  • AIMMUNE THERAPEUTICS, INC. $353
$353 — —
MOUNJARO
  • Lilly USA, LLC $129
$129 33 —
FARXIGA
  • AstraZeneca Pharmaceuticals LP $110
$110 34 —
Ozempic
  • Novo Nordisk Inc $110
$110 149 —
AIRSUPRA
  • AstraZeneca Pharmaceuticals LP $106
$106 — —

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 30 with Patron

Records

591 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 Nebraska

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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