Total Payments
$2,000
2024 Payments
$727.04
Companies
25
Transactions
115
Medicare Patients
2,025
Medicare Billing
$220,640
Payment Breakdown by Category
Food & Beverage$2,000 (100.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $2,000 | 115 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | $356.02 | 16 | $0 (2024) |
| PFIZER INC. | $319.26 | 26 | $0 (2024) |
| ABBVIE INC. | $233.02 | 12 | $0 (2024) |
| Novo Nordisk Inc | $169.36 | 10 | $0 (2024) |
| GlaxoSmithKline, LLC. | $148.49 | 11 | $0 (2023) |
| AIMMUNE THERAPEUTICS, INC. | $119.62 | 2 | $0 (2024) |
| Amgen Inc. | $109.98 | 7 | $0 (2024) |
| Janssen Pharmaceuticals, Inc | $70.31 | 1 | $0 (2022) |
| E.R. Squibb & Sons, L.L.C. | $58.00 | 4 | $0 (2023) |
| Lilly USA, LLC | $47.53 | 3 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $727.04 | 35 | AstraZeneca Pharmaceuticals LP ($153.67) |
| 2023 | $764.32 | 51 | AstraZeneca Pharmaceuticals LP ($151.99) |
| 2022 | $438.85 | 24 | Janssen Pharmaceuticals, Inc ($70.31) |
| 2021 | $69.60 | 5 | Lilly USA, LLC ($14.96) |
All Payment Transactions
115 individual payment records from CMS Open Payments — Page 1 of 5
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/09/2024 | Xeris Pharmaceuticals, Inc. | GVOKE HYPOPEN (Drug) | Food and Beverage | In-kind items and services | $16.28 | General |
| Category: Diabetes | ||||||
| 12/02/2024 | Corcept Therapeutics | Korlym (Drug) | Food and Beverage | In-kind items and services | $19.70 | General |
| Category: Endocrinology | ||||||
| 11/18/2024 | ABBVIE INC. | QULIPTA (Drug), UBRELVY | Food and Beverage | In-kind items and services | $16.00 | General |
| Category: NEUROSCIENCE | ||||||
| 11/12/2024 | PFIZER INC. | NURTEC ODT (Drug), ZAVZPRET | Food and Beverage | In-kind items and services | $17.69 | General |
| Category: PAIN | ||||||
| 10/16/2024 | Forte Bio-Pharma LLC | PROLATE (Drug), NALOCET, PROLATE | Food and Beverage | In-kind items and services | $21.03 | General |
| Category: PAIN | ||||||
| 10/08/2024 | Astellas Pharma US Inc | Veozah (Drug) | Food and Beverage | In-kind items and services | $13.21 | General |
| Category: Biological | ||||||
| 10/01/2024 | AstraZeneca Pharmaceuticals LP | — | Food and Beverage | In-kind items and services | $17.85 | General |
| 09/23/2024 | Amgen Inc. | EVENITY (Biological), Prolia | Food and Beverage | In-kind items and services | $16.78 | General |
| Category: Bone Health | ||||||
| 09/17/2024 | PFIZER INC. | NURTEC ODT (Drug), ZAVZPRET | Food and Beverage | In-kind items and services | $15.17 | General |
| Category: PAIN | ||||||
| 09/11/2024 | Salix Pharmaceuticals, a division of Bausch Health US, LLC | XIFAXAN (Drug) | Food and Beverage | In-kind items and services | $16.20 | General |
| Category: Gastroenterology | ||||||
| 09/10/2024 | AIMMUNE THERAPEUTICS, INC. | VOWST (Biological) | Food and Beverage | In-kind items and services | $50.99 | General |
| Category: GI | ||||||
| 08/26/2024 | PFIZER INC. | NURTEC ODT (Drug), ZAVZPRET | Food and Beverage | In-kind items and services | $8.55 | General |
| Category: PAIN | ||||||
| 08/20/2024 | Lilly USA, LLC | JARDIANCE (Drug) | Food and Beverage | In-kind items and services | $17.35 | General |
| Category: Diabetes | ||||||
| 07/25/2024 | Novo Nordisk Inc | Ozempic (Drug), Rybelsus | Food and Beverage | In-kind items and services | $18.57 | General |
| Category: Diabetes | ||||||
| 07/23/2024 | Astellas Pharma US Inc | Veozah (Drug) | Food and Beverage | In-kind items and services | $14.79 | General |
| Category: Biological | ||||||
| 07/22/2024 | PFIZER INC. | NURTEC ODT (Drug), ZAVZPRET | Food and Beverage | In-kind items and services | $14.85 | General |
| Category: PAIN | ||||||
| 07/17/2024 | Xeris Pharmaceuticals, Inc. | GVOKE HYPOPEN (Drug) | Food and Beverage | In-kind items and services | $15.42 | General |
| Category: Diabetes | ||||||
| 06/27/2024 | ABBVIE INC. | VRAYLAR (Drug) | Food and Beverage | In-kind items and services | $14.03 | General |
| Category: NEUROSCIENCE | ||||||
| 06/24/2024 | PFIZER INC. | NURTEC ODT (Drug), ZAVZPRET | Food and Beverage | In-kind items and services | $19.36 | General |
| Category: PAIN | ||||||
| 05/28/2024 | Novo Nordisk Inc | Ozempic (Drug), Rybelsus | Food and Beverage | In-kind items and services | $17.14 | General |
| Category: Diabetes | ||||||
| 05/16/2024 | PFIZER INC. | NURTEC ODT (Drug), ZAVZPRET | Food and Beverage | In-kind items and services | $7.80 | General |
| Category: PAIN | ||||||
| 05/08/2024 | AstraZeneca Pharmaceuticals LP | — | Food and Beverage | In-kind items and services | $16.81 | General |
| 05/06/2024 | Abbott Laboratories | ETERNA (Device) | Food and Beverage | In-kind items and services | $15.63 | General |
| Category: Neuromodulation | ||||||
| 05/06/2024 | PFIZER INC. | NURTEC ODT (Drug), ZAVZPRET | Food and Beverage | In-kind items and services | $12.71 | General |
| Category: PAIN | ||||||
| 04/22/2024 | Novo Nordisk Inc | Ozempic (Drug), Rybelsus | Food and Beverage | In-kind items and services | $14.83 | General |
| Category: Diabetes | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 24 | 1,002 | 3,509 | $340,157 | $130,973 |
| 2022 | 23 | 849 | 1,239 | $177,504 | $75,400 |
| 2021 | 7 | 174 | 212 | $30,437 | $14,267 |
Total Patients
2,025
Total Services
4,960
Medicare Billing
$220,640
Procedure Codes
54
All Medicare Procedures & Services
54 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | Office | 2023 | 20 | 1,800 | $111,300 | $33,509 | 30.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 133 | 254 | $52,578 | $21,569 | 41.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 148 | 273 | $40,131 | $16,763 | 41.8% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 49 | 81 | $22,842 | $10,201 | 44.7% |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office | 2023 | 37 | 117 | $20,709 | $8,533 | 41.2% |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | Office | 2023 | 28 | 28 | $16,209 | $7,897 | 48.7% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2023 | 44 | 44 | $8,536 | $5,254 | 61.6% |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | Office | 2023 | 25 | 25 | $7,200 | $3,814 | 53.0% |
| 90662 | Influenza vaccine split virus, preservative free | Office | 2023 | 49 | 51 | $3,810 | $3,658 | 96.0% |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | Office | 2023 | 33 | 75 | $9,675 | $3,443 | 35.6% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2023 | 145 | 324 | $4,536 | $2,700 | 59.5% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 18 | 18 | $7,002 | $2,679 | 38.3% |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | Office | 2023 | 15 | 16 | $5,088 | $2,157 | 42.4% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 22 | 22 | $6,798 | $2,038 | 30.0% |
| G0008 | Administration of influenza virus vaccine | Office | 2023 | 51 | 53 | $1,537 | $1,504 | 97.9% |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | Office | 2023 | 23 | 25 | $3,375 | $1,257 | 37.2% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 22 | 23 | $5,439 | $978.10 | 18.0% |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | Office | 2023 | 11 | 12 | $2,640 | $928.42 | 35.2% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2023 | 24 | 75 | $5,025 | $780.75 | 15.5% |
| G0009 | Administration of pneumococcal vaccine | Office | 2023 | 28 | 28 | $708.40 | $694.12 | 98.0% |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Office | 2023 | 24 | 25 | $3,275 | $251.76 | 7.7% |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | Office | 2023 | 13 | 14 | $574.00 | $227.08 | 39.6% |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Office | 2023 | 22 | 108 | $756.00 | $78.08 | 10.3% |
| 81002 | Urinalysis, manual test | Office | 2023 | 18 | 18 | $414.00 | $59.19 | 14.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 123 | 229 | $47,403 | $20,567 | 43.4% |
About Dr. Alan Spanel, MD
Dr. Alan Spanel, MD is a Internal Medicine healthcare provider based in Norfolk, Nebraska. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/16/2018. The National Provider Identifier (NPI) number assigned to this provider is 1023508892.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Alan Spanel, MD has received a total of $2,000 in payments from pharmaceutical and medical device companies, with $727.04 received in 2024. These payments were reported across 115 transactions from 25 companies. The most common payment nature is "Food and Beverage" ($2,000).
As a Medicare-enrolled provider, Spanel has provided services to 2,025 Medicare beneficiaries, totaling 4,960 services with total Medicare billing of $220,640. Data is available for 3 years (2021–2023), covering 54 distinct procedure/service records.
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Practice Information
- Specialty Internal Medicine
- Location Norfolk, NE
- Active Since 05/16/2018
- Last Updated 08/18/2021
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1023508892
Products in Payments
- NURTEC ODT (Drug) $205.60
- ELIQUIS (Drug) $188.15
- AIRSUPRA (Drug) $104.38
- QULIPTA (Drug) $101.54
- XIGDUO (Drug) $96.35
- FARXIGA (Drug) $89.74
- Ozempic (Drug) $78.74
- TRELEGY ELLIPTA (Drug) $75.94
- NUCALA (Biological) $72.55
- XARELTO (Drug) $70.31
- ZENPEP (Drug) $68.63
- Rybelsus (Drug) $65.64
- VRAYLAR (Drug) $62.88
- EVENITY (Biological) $59.76
- VOWST (Biological) $50.99
- UBRELVY (Drug) $48.77
- Veozah (Drug) $43.33
- GVOKE HYPOPEN (Drug) $31.70
- JARDIANCE (Drug) $31.10
- XIFAXAN (Drug) $30.73
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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