Pravardhan Rajashekar Birthi, MD

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.

• Brodstone Healthcare Hospital · Superior, NE · listed as Brodstone Memorial Hospital
• Chi Health St. Francis Hospital · Grand Island, NE · listed as Saint Francis Medical Center
• Howard County Medical Center Hospital · St Paul, NE
• Kearney County Health Services Hospital Hospital · Minden, NE · listed as Kearney Co Health Services

Colleagues at Howard County Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 29 clinicians in the practice; 12 are shown here.

• Dr. Angela Sue Brennan, MD Family Medicine Physician · Saint Paul, NE
• Erica Eberle, PA-C Physician Assistant · Saint Paul, NE
• Dr. Thomas N Fennessy, MD Family Medicine Physician · Norfolk, NE
• Jessica Ann Forbes, DNP, FNP Family Nurse Practitioner · Grand Island, NE
• Mr. Neal John Hahn, PA-C Medical Physician Assistant · Saint Paul, NE
• Dr. Jared S Kramer, MD Family Medicine Physician · St Paul, NE
• Santosh Kumar, MD Family Medicine Physician · Blair, NE
• Jennifer Marie Leiting, APRN Family Nurse Practitioner · Benkelman, NE
• Nekita Nicole Powell Mental Health Counselor · Saint Paul, NE
• Dr. Sriram Ramaswamy, MD Specialist · Omaha, NE
• Adam Rensch, MD Family Medicine Physician · Saint Paul, NE
• Lori Jean Smith Psychiatric/Mental Health Nurse Practitioner · Hastings, NE