Covered recipient · General Payments record

TRACY LEE KAHL

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1104812783
CMS profile: 230874
Location: ONAWA, IA

General Payments · PY2018–2024

$8,069.74

Reported across 590 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,772.58

120 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,772.58	120

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$405.06	26
Acerta Pharma LLC	$192.51	4
Novo Nordisk AS	$155.34	12
Lilly USA, LLC	$138.89	20
E.R. Squibb & Sons, L.L.C.	$136.70	15
Lexicon Pharmaceuticals, Inc.	$110.70	5
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$85.68	5
Astellas Pharma US Inc	$79.20	5
Otsuka America Pharmaceutical, Inc.	$76.29	5
Amgen Inc.	$63.03	4
PFIZER INC.	$42.71	3
GlaxoSmithKline, LLC.	$40.80	3
Phathom Pharmaceuticals, Inc.	$38.32	2
Vanda Pharmaceuticals Inc.	$33.09	1
Bayer HealthCare Pharmaceuticals Inc.	$31.02	2
Merck Sharp & Dohme Corporation	$26.80	2
Seqirus USA Inc	$24.38	1
Lundbeck LLC	$20.80	1
NOVARTIS PHARMACEUTICALS CORPORATION	$19.43	1
Kyowa Kirin, Inc.	$19.09	1
DEXCOM, INC.	$17.44	1
Exact Sciences Corporation	$15.30	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,264.35	105
PY2019	$775.73	62
PY2020	$942.52	47
PY2021	$1,194.90	88
PY2022	$1,186.47	90
PY2023	$933.19	78
PY2024	$1,772.58	120

Payment records · PY2024 (120)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
ABBVIE INC.	$18.39	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1104019131	CMS
ABBVIE INC.	$10.06	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1104019133	CMS
ABBVIE INC.	$23.66	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1104019135	CMS
ABBVIE INC.	$10.61	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1104019137	CMS
ABBVIE INC.	$17.87	02/17/2024	Food and Beverage	Undisputed	01/23/2026	1104019139	CMS
ABBVIE INC.	$12.04	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1104019141	CMS
ABBVIE INC.	$9.40	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1104019143	CMS
ABBVIE INC.	$22.37	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1104019145	CMS
ABBVIE INC.	$13.69	03/23/2024	Food and Beverage	Undisputed	01/23/2026	1104019147	CMS
ABBVIE INC.	$16.36	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1104019149	CMS
ABBVIE INC.	$22.37	04/14/2024	Food and Beverage	Undisputed	01/23/2026	1104019151	CMS
ABBVIE INC.	$11.57	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1104019153	CMS
ABBVIE INC.	$14.63	05/18/2024	Food and Beverage	Undisputed	01/23/2026	1104019155	CMS
ABBVIE INC.	$27.58	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1104019157	CMS
ABBVIE INC.	$12.85	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1104019159	CMS
ABBVIE INC.	$27.30	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1104019161	CMS
ABBVIE INC.	$11.99	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1104019163	CMS
ABBVIE INC.	$17.42	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1104019165	CMS
ABBVIE INC.	$12.04	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1104019167	CMS
ABBVIE INC.	$19.79	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1104019169	CMS
ABBVIE INC.	$11.98	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1104019171	CMS
ABBVIE INC.	$26.76	09/15/2024	Food and Beverage	Undisputed	01/23/2026	1104019173	CMS
ABBVIE INC.	$10.51	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1104019175	CMS
ABBVIE INC.	$6.68	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1104019177	CMS
ABBVIE INC.	$9.86	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1104019179	CMS
ABBVIE INC.	$7.28	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1104019181	CMS
Amgen Inc.	$15.22	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1115780292	CMS
Amgen Inc.	$16.16	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1115780301	CMS
Amgen Inc.	$17.87	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1115780311	CMS
Amgen Inc.	$13.78	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1115780319	CMS
Astellas Pharma US Inc	$16.16	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1139291480	CMS
Astellas Pharma US Inc	$13.37	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1139342068	CMS
Astellas Pharma US Inc	$14.49	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1139367987	CMS
Astellas Pharma US Inc	$17.70	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1139394183	CMS
Astellas Pharma US Inc	$17.48	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1139390544	CMS
AstraZeneca Pharmaceuticals LP	$26.63	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1105757959	CMS
AstraZeneca Pharmaceuticals LP	$133.33	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1104559806	CMS
AstraZeneca Pharmaceuticals LP	$16.90	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1105571029	CMS
AstraZeneca Pharmaceuticals LP	$15.65	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1105311294	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.39	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1086237786	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.63	11/10/2024	Food and Beverage	Undisputed	01/23/2026	1086168032	CMS
Dexcom, Inc.	$17.44	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1153341663	CMS
E.R. Squibb & Sons, L.L.C.	$14.67	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1101614560	CMS
E.R. Squibb & Sons, L.L.C.	$5.35	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1101614572	CMS
E.R. Squibb & Sons, L.L.C.	$1.53	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1101614574	CMS
E.R. Squibb & Sons, L.L.C.	$3.78	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1101614577	CMS
E.R. Squibb & Sons, L.L.C.	$15.18	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1101614581	CMS
E.R. Squibb & Sons, L.L.C.	$9.07	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1101614588	CMS
E.R. Squibb & Sons, L.L.C.	$7.67	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1101614592	CMS
E.R. Squibb & Sons, L.L.C.	$9.05	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1101614596	CMS
E.R. Squibb & Sons, L.L.C.	$9.24	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1101614603	CMS
E.R. Squibb & Sons, L.L.C.	$14.41	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1101614607	CMS
E.R. Squibb & Sons, L.L.C.	$0.69	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1101614614	CMS
E.R. Squibb & Sons, L.L.C.	$7.98	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1101614618	CMS
E.R. Squibb & Sons, L.L.C.	$15.14	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1101614630	CMS
E.R. Squibb & Sons, L.L.C.	$4.46	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1101614637	CMS
E.R. Squibb & Sons, L.L.C.	$18.48	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1101614641	CMS
Exact Sciences Corporation	$15.30	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1114725168	CMS
GlaxoSmithKline, LLC.	$13.18	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1115835413	CMS
GlaxoSmithKline, LLC.	$13.37	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1116342024	CMS
GlaxoSmithKline, LLC.	$14.25	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1115889401	CMS
Kyowa Kirin, Inc.	$19.09	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1127044927	CMS
Lexicon Pharmaceuticals, Inc.	$23.25	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1081716496	CMS
Lexicon Pharmaceuticals, Inc.	$14.40	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1081716492	CMS
Lexicon Pharmaceuticals, Inc.	$24.13	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1081716498	CMS
Lexicon Pharmaceuticals, Inc.	$21.77	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1081716494	CMS
Lexicon Pharmaceuticals, Inc.	$27.15	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1081716500	CMS
Lilly USA, LLC	$11.80	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1135469931	CMS
Lilly USA, LLC	$7.77	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135468153	CMS
Lilly USA, LLC	$5.25	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1135469933	CMS
Lilly USA, LLC	$12.33	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1135439220	CMS
Lilly USA, LLC	$7.64	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1135450842	CMS
Lilly USA, LLC	$11.37	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1135489748	CMS
Lilly USA, LLC	$1.78	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1135500924	CMS
Lilly USA, LLC	$9.57	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1135500926	CMS
Lilly USA, LLC	$12.42	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1135489750	CMS
Lilly USA, LLC	$10.46	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1135489752	CMS
Lilly USA, LLC	$7.29	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1135468155	CMS
Lilly USA, LLC	$5.50	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1135500928	CMS
Lilly USA, LLC	$11.12	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1135439222	CMS
Lilly USA, LLC	$1.50	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1135500930	CMS
Lilly USA, LLC	$7.48	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1135500932	CMS
Lilly USA, LLC	$2.45	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1135500934	CMS
Lilly USA, LLC	$5.68	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1135489754	CMS
Lilly USA, LLC	$1.31	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1135500936	CMS
Lilly USA, LLC	$4.95	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1135468157	CMS
Lilly USA, LLC	$1.22	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1135450844	CMS
Lundbeck LLC	$20.80	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1145930553	CMS
Merck Sharp & Dohme LLC	$13.71	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1141974662	CMS
Merck Sharp & Dohme LLC	$13.09	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1141968937	CMS
Novartis Pharmaceuticals Corporation	$19.43	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1087077136	CMS
Novo Nordisk Inc	$16.30	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1097258139	CMS
Novo Nordisk Inc	$12.39	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1096623050	CMS
Novo Nordisk Inc	$11.52	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1097627575	CMS
Novo Nordisk Inc	$11.78	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1097813603	CMS
Novo Nordisk Inc	$13.77	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1096615832	CMS
Novo Nordisk Inc	$10.66	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1096809523	CMS
Novo Nordisk Inc	$16.73	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1097011179	CMS
Novo Nordisk Inc	$9.19	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1097623474	CMS
Novo Nordisk Inc	$10.28	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1096661377	CMS
Novo Nordisk Inc	$17.30	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1097782452	CMS
Novo Nordisk Inc	$10.31	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1096908517	CMS
Novo Nordisk Inc	$15.11	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1096797473	CMS
Otsuka America Pharmaceutical, Inc.	$14.67	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1118917806	CMS
Otsuka America Pharmaceutical, Inc.	$14.44	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1118917808	CMS
Otsuka America Pharmaceutical, Inc.	$15.50	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1118917810	CMS
Otsuka America Pharmaceutical, Inc.	$15.28	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1118917812	CMS
Otsuka America Pharmaceutical, Inc.	$16.40	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1118917814	CMS
PFIZER INC.	$14.09	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1131278803	CMS
PFIZER INC.	$14.97	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1131790255	CMS
PFIZER INC.	$13.65	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1131880863	CMS
Phathom Pharmaceuticals, Inc.	$13.10	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1151078708	CMS
Phathom Pharmaceuticals, Inc.	$25.22	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1151078710	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.88	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1153731371	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.44	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1153619655	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.73	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1153742016	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.82	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1153702743	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.81	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1153571450	CMS
Seqirus USA Inc	$24.38	12/30/2024	Food and Beverage	Undisputed	01/23/2026	1125631244	CMS
Vanda Pharmaceuticals Inc.	$33.09	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1133908147	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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