Shelby Kyan Bearheels, PA-C

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.

• Chi Health St. Francis Hospital · Grand Island, NE · listed as Saint Francis Medical Center
• Grand Island Regional Medical Center Hospital · Grand Island, NE
• Howard County Medical Center Hospital · St Paul, NE

Colleagues at Central Nebraska Orthopedics and Sports Medicine PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

• Krista C Bauder Medical Physician Assistant · Saint Paul, NE
• Jake Bianco Orthopaedic Surgery Physician · Wichita, KS
• Philip M Cahoy, MD Orthopaedic Surgery Physician · Grand Island, NE
• Jason R Hadenfeldt, PA Surgical Physician Assistant · Grand Island, NE
• Dr. Derek John Hayden, DO Orthopaedic Surgery Physician · York, PA
• Joel D Jasa, PA-C Physician Assistant · Grand Island, NE
• Scott A Lemek, MD Orthopaedic Surgery Physician · Grand Island, NE
• Dr. Scott Bruce Lukens, MD Student in an Organized Health Care Education/Training Program · Grand Island, NE
• Sophie Joy Mellema Physician Assistant · Grand Island, NE
• Gregory S Sextro, MD Orthopaedic Surgery Physician · Grand Island, NE
• Dr. Seth Michael Wardyn, MD Student in an Organized Health Care Education/Training Program · Fargo, ND
• Dr. Tyler Christian White, MD Orthopaedic Surgery Physician · Grand Island, NE

Other providers in Grand Island

• Dr. Chandrakumaran Anchalia, MD

  Individual Student in an Organized Health Care Education/Training Program · NPI 1063942464

  Student / training record Grand Island, NE

• Haley Grizzle, OT

  Individual Student in an Organized Health Care Education/Training Program · NPI 1649716564

  Student / training record Grand Island, NE

• Dr. Scott Bruce Lukens, MD

  Individual Student in an Organized Health Care Education/Training Program · NPI 1396038956

  Student / training record Grand Island, NE

• Mr. Carlos Nedal Nasr El Nimer, MD

  Individual Student in an Organized Health Care Education/Training Program · NPI 1649706458

  Student / training record Grand Island, NE

• Mr. Aria Shakeri, MD

  Individual Student in an Organized Health Care Education/Training Program · NPI 1679101034

  Student / training record Grand Island, NE