Alexandra Gabriela Nunez Garbin

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Community Hospital Hospital · McCook, NE · listed as Community Hospital Association
• Cozad Community Hospital Hospital · Cozad, NE
• Great Plains Health Hospital · North Platte, NE · listed as Great Plains Pho
• Ogallala Community Hospital Hospital · Ogallala, NE
• The Nebraska Medical Center Hospital · Omaha, NE

Colleagues at North Platte Nebraska Hospital Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 236 clinicians in the practice; 12 are shown here.

• Dr. Amulya Abburi, MD Hospitalist Physician · North Platte, NE
• Ali Aldamen Internal Medicine Physician · Omaha, NE
• Dr. Christopher Alfonzo Psychiatry Physician · Encino, CA
• Evan Scott Correll, MD Orthopaedic Surgery Physician · North Platte, NE
• Jose Q. Deguzman, MD Urology Physician · Phoenix, AZ
• Eduardo Augusto Fonseca Freitas, MD Infectious Disease Physician · North Platte, NE
• Cynthia L Guggenmos Acute Care Nurse Practitioner · Brewster, NE
• Dr. David Clark Hatch, MD Diagnostic Radiology Physician · North Platte, NE
• Anil Kumar Neurology Physician · North Platte, NE
• Leslie William Makohoniuk, MD Anesthesiology Physician · Omaha, NE
• Sheena See, MSN, APRN, FNP-C Family Nurse Practitioner · North Platte, NE
• Mrs. Jovanka Vuksanovic, MD Hospitalist Physician · North Platte, NE

Other providers in North Platte

• Raj K Goje, MD

  Individual Hospitalist Physician · NPI 1255562039

  601 W Leota St, North Platte, NE 69101 · (308) 650-0530

• Inpatient Physician Associates North Platte, LLC

  Organization Hospitalist Physician · NPI 1912132036

  601 W Leota St, North Platte, NE 69101-6525 · (308) 696-8000

• Renu Kadian, MD

  Individual Hospitalist Physician · NPI 1558676296

  601 W Leota St, North Platte, NE 69101 · (308) 568-8000

• Nishanthika Navaratnarajah, MD

  Individual Hospitalist Physician · NPI 1104165620

  601 W Leota St, North Platte, NE 69103 · (308) 568-8000

• Norbert Alex Cinco Seidenschwarz, MD

  Individual Hospitalist Physician · NPI 1992128797

  601 W Leota St, North Platte, NE 69101 · (308) 568-8000

• Mrs. Jovanka Vuksanovic, MD

  Individual Hospitalist Physician · NPI 1487744710

  611 W Francis St, North Platte, NE 69101-0620 · (308) 568-3730

• Dr. Jiashan Wang, MD

  Individual Hospitalist Physician · NPI 1235513599

  601 W Leota St, North Platte, NE 69101 · (308) 568-8000