Payment overview · 2025
General Payments
$2,718.08
139 reported records · 30 companies
Healthcare provider profile · identity verified
Julio A Meza
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant · RENO, NV · NPI 1013678036
Verified facts
What the public records show
CMS Open Payments records show Julio A Meza received $2,718.08 in general payments during 2025 across 139 reported records.
UCB, Inc. accounted for 16.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 37 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Nurtec Odt, Rexulti, Vumerity.
Biogen, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported VUMERITY as an associated drug or biological on 16193 records involving 4044 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Vumerity by this doctor in 2024.
Lundbeck LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported REXULTI as an associated drug or biological on 71829 records involving 25812 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Rexulti by this doctor in 2024.
Otsuka America Pharmaceutical, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported REXULTI as an associated drug or biological on 160756 records involving 46288 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Rexulti by this doctor in 2024.
PFIZER INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 36 claims for Eliquis by this doctor in 2024.
PFIZER INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported NURTEC ODT as an associated drug or biological on 217574 records involving 54025 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Nurtec Odt by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| UCB, Inc. | Unresolved — no canonical attribution shown | $447.32 | 16.5% | 25 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $274.77 | 10.1% | 13 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $269.29 | 9.9% | 17 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $193.43 | 7.1% | 9 | 2025 |
| Biogen, Inc. | Unresolved — no canonical attribution shown | $167.73 | 6.2% | 9 | 2025 |
| Lundbeck LLC | Unresolved — no canonical attribution shown | $158.61 | 5.8% | 8 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $136.92 | 5.0% | 8 | 2025 |
| Neurelis, Inc. |
Neurelis, Inc. exact · evidence 2025-02-20 |
$129.45 | 4.8% | 7 | 2025 |
| Axsome Therapeutics, Inc. | Unresolved — no canonical attribution shown | $90.65 | 3.3% | 3 | 2025 |
| MDD US Operations, LLC | Unresolved — no canonical attribution shown | $81.44 | 3.0% | 2 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $79.18 | 2.9% | 3 | 2025 |
| JAZZ PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $79.17 | 2.9% | 4 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $78.06 | 2.9% | 3 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $69.61 | 2.6% | 4 | 2025 |
| SCILEX PHARMACEUTICALS INC. | Unresolved — no canonical attribution shown | $63.71 | 2.3% | 3 | 2025 |
| ANI Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $58.90 | 2.2% | 3 | 2025 |
| Alexion Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $55.69 | 2.0% | 3 | 2025 |
| Cala Health, Inc. | Unresolved — no canonical attribution shown | $33.42 | 1.2% | 2 | 2025 |
| Avadel CNS Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $32.04 | 1.2% | 1 | 2025 |
| CATALYST PHARMACEUTICALS, INC. | Unresolved — no canonical attribution shown | $31.15 | 1.1% | 2 | 2025 |
| MicroTransponder, Inc. | Unresolved — no canonical attribution shown | $23.74 | 0.9% | 1 | 2025 |
| SK Life Science, Inc. |
SK Life Science, Inc. exact · evidence 2025-04-03 |
$23.22 | 0.8% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $22.33 | 0.8% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $20.84 | 0.8% | 1 | 2025 |
| TerSera Therapeutics LLC | Unresolved — no canonical attribution shown | $19.27 | 0.7% | 1 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $18.51 | 0.7% | 1 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $17.64 | 0.7% | 1 | 2025 |
| TG Therapeutics, Inc. | Unresolved — no canonical attribution shown | $14.36 | 0.5% | 1 | 2025 |
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $14.08 | 0.5% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $13.55 | 0.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,718.08 | 139 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $274.77 | 13 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $274.77 | 13 | 2025 |
Source payment records
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| Zilbrysq Normalized: zilbrysq |
Drug | UCB, Inc. | $264.38 | 12 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $236.92 | 15 | 2025 |
Source payment records
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| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $193.43 | 9 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $192.09 | 13 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Lundbeck LLC, Otsuka America Pharmaceutical, Inc. | $164.92 | 6 | 2025 |
Source payment records
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| Briviact Normalized: briviact |
Drug | UCB, Inc. | $147.34 | 10 | 2025 |
Source payment records
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| TYSABRI Normalized: tysabri |
Biological | Biogen, Inc. | $146.04 | 8 | 2025 |
Source payment records
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| VUMERITY Normalized: vumerity |
Drug | Biogen, Inc. | $146.04 | 8 | 2025 |
Source payment records
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| VYVGART HYTRULO Normalized: vyvgart hytrulo |
Drug | ARGENX US, INC. | $136.92 | 8 | 2025 |
Source payment records
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| VALTOCO Normalized: valtoco |
Drug | Neurelis, Inc. | $129.45 | 7 | 2025 |
Source payment records
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| Symbravo Normalized: symbravo |
Drug | Axsome Therapeutics, Inc. | $90.65 | 3 | 2025 |
Source payment records
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| EPIDIOLEX Normalized: epidiolex |
Drug | JAZZ PHARMACEUTICALS INC. | $79.17 | 4 | 2025 |
Source payment records
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| VYEPTI Normalized: vyepti |
Biological | Lundbeck LLC | $71.75 | 5 | 2025 |
Source payment records
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| PONVORY Normalized: ponvory |
Drug | Vanda Pharmaceuticals Inc. | $69.61 | 4 | 2025 |
Source payment records
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| ZTLido Normalized: ztlido |
Drug | SCILEX PHARMACEUTICALS INC. | $63.71 | 3 | 2025 |
Source payment records
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| PURIFIED CORTROPHIN GEL Normalized: purified cortrophin gel |
Drug | ANI Pharmaceuticals, Inc. | $58.90 | 3 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $57.95 | 2 | 2025 |
Source payment records
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| ULTOMIRIS Normalized: ultomiris |
Biological | Alexion Pharmaceuticals, Inc. | $55.69 | 3 | 2025 |
Source payment records
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| Gocovri Normalized: gocovri |
Drug | MDD US Operations, LLC | $42.73 | 1 | 2025 |
Source payment records
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| LEQEMBI Normalized: leqembi |
Drug | Biogen, Inc., Eisai Inc. | $39.33 | 2 | 2025 |
Source payment records
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| Qelbree Normalized: qelbree |
Drug | MDD US Operations, LLC | $38.71 | 1 | 2025 |
Source payment records
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| Cala kIQ Normalized: cala kiq |
Device | Cala Health, Inc. | $33.42 | 2 | 2025 |
Source payment records
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| LUMRYZ Normalized: lumryz |
Drug | Avadel CNS Pharmaceuticals, LLC | $32.04 | 1 | 2025 |
Source payment records
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| FYCOMPA Normalized: fycompa |
Drug | CATALYST PHARMACEUTICALS, INC. | $31.15 | 2 | 2025 |
Source payment records
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| Fintepla Normalized: fintepla |
Drug | UCB, Inc. | $26.32 | 2 | 2025 |
Source payment records
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| KESIMPTA Normalized: kesimpta |
Drug | Novartis Pharmaceuticals Corporation | $22.33 | 1 | 2025 |
Source payment records
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| AJOVY Normalized: ajovy |
Biological | Teva Pharmaceuticals USA, Inc. | $21.23 | 1 | 2025 |
Source payment records
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| UPLIZNA Normalized: uplizna |
Biological | Amgen Inc. | $20.84 | 1 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $20.49 | 1 | 2025 |
Source payment records
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| Quzyttir Normalized: quzyttir |
Drug | TerSera Therapeutics LLC | $19.27 | 1 | 2025 |
Source payment records
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| BRIUMVI Normalized: briumvi |
Drug | TG Therapeutics, Inc. | $14.36 | 1 | 2025 |
Source payment records
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| Gamunex-C Normalized: gamunex c |
Biological | Grifols USA, LLC | $14.08 | 1 | 2025 |
Source payment records
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| PROCLAIM Normalized: proclaim |
Device | Abbott Laboratories | $13.55 | 1 | 2025 |
Source payment records
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| Nayzilam Normalized: nayzilam |
Drug | UCB, Inc. | $9.28 | 1 | 2025 |
Source payment records
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| VYALEV Normalized: vyalev |
Drug | ABBVIE INC. | $8.29 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| NURTEC ODT nurtec odt |
2025 | Nurtec Odt | 2024 | 24 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| REXULTI rexulti |
2025 | Rexulti | 2024 | 13 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| VUMERITY vumerity |
2025 | Vumerity | 2024 | 16 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Biogen, Inc. Exact reporting entity; no affiliate inference |
2025 | VUMERITY open payments reported associated product |
CMS Open Payments — General Payments 16193 supporting records · 4044 recipient NPIs · example record 1208299697 |
Vumerity · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| Lundbeck LLC Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 71829 supporting records · 25812 recipient NPIs · example record 1251759986 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
13 | suppressed by CMS |
| Otsuka America Pharmaceutical, Inc. Exact reporting entity; no affiliate inference |
2025 | REXULTI open payments reported associated product |
CMS Open Payments — General Payments 160756 supporting records · 46288 recipient NPIs · example record 1227267708 |
Rexulti · 2024 Exact normalized brand match · 1 Part D row |
13 | suppressed by CMS |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
36 | 12 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | NURTEC ODT open payments reported associated product |
CMS Open Payments — General Payments 217574 supporting records · 54025 recipient NPIs · example record 1228794063 |
Nurtec Odt · 2024 Exact normalized brand match · 1 Part D row |
24 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Memantine Hcl | Memantine Hcl | 105 | 42 |
| Baclofen | Baclofen | 100 | 44 |
| Gabapentin | Gabapentin | 75 | 30 |
| Amitriptyline Hcl | Amitriptyline Hcl | 72 | 22 |
| Lamotrigine | Lamotrigine | 70 | 27 |
| Prednisone | Prednisone | 69 | 52 |
| Donepezil Hcl | Donepezil Hcl | 66 | 26 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 63 | 24 |
| Propranolol Hcl | Propranolol Hcl | 56 | 18 |
| Levetiracetam | Levetiracetam | 54 | 25 |
| Pregabalin | Pregabalin | 43 | 12 |
| Atorvastatin Calcium | Atorvastatin Calcium | 39 | 16 |
| Primidone | Primidone | 39 | 17 |
| Eliquis | Apixaban | 36 | 12 |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 35 | 17 |
| Quetiapine Fumarate | Quetiapine Fumarate | 35 | 16 |
| Rizatriptan | Rizatriptan Benzoate | 35 | 21 |
| Carbamazepine | Carbamazepine | 31 | 17 |
| Lacosamide | Lacosamide | 30 | 12 |
| Famotidine | Famotidine | 27 | 18 |
| Trazodone Hcl | Trazodone Hcl | 26 | 11 |
| Divalproex Sodium | Divalproex Sodium | 25 | suppressed |
| Nurtec Odt | Rimegepant Sulfate | 24 | suppressed |
| Amantadine | Amantadine Hcl | 21 | 12 |
| Clonazepam | Clonazepam | 19 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 19 | suppressed |
| Dexamethasone | Dexamethasone | 18 | 17 |
| Valproic Acid | Valproic Acid | 18 | suppressed |
| Ezetimibe | Ezetimibe | 17 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | suppressed |
| Vumerity | Diroximel Fumarate | 16 | suppressed |
| Oxcarbazepine | Oxcarbazepine | 15 | suppressed |
| Avonex (4 Pack) | Interferon Beta-1a | 14 | suppressed |
| Zonisamide | Zonisamide | 14 | suppressed |
| Rexulti | Brexpiprazole | 13 | suppressed |
| Rivastigmine | Rivastigmine Tartrate | 13 | suppressed |
| Topiramate | Topiramate | 13 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 12 | suppressed |
| Lamictal | Lamotrigine | 12 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 12 | suppressed |
| Keppra Xr | Levetiracetam | 11 | suppressed |
| Levetiracetam Er | Levetiracetam | 11 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $2,718.08 · 139 records | UCB, Inc. | AJOVY, AUSTEDO XR, BOTOX, BRIUMVI, Briviact, Cala kIQ, EPIDIOLEX, FYCOMPA, Fintepla, Gamunex-C, Gocovri, INGREZZA, KESIMPTA, LEQEMBI, LUMRYZ, NURTEC ODT, Nayzilam, PONVORY, PROCLAIM, PURIFIED CORTROPHIN GEL, QULIPTA, Qelbree, Quzyttir, REXULTI, Symbravo, TYSABRI, UBRELVY, ULTOMIRIS, UPLIZNA, VALTOCO, VUMERITY, VYALEV, VYEPTI, VYVGART HYTRULO, ZAVZPRET, ZTLido, Zilbrysq | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Nurtec Odt play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Biogen, Inc.?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error