Payment overview · 2025
General Payments
$133.17
6 reported records · 4 companies
Healthcare provider profile · identity verified
Birjis K Alam, MD
Allopathic & Osteopathic Physicians|Internal Medicine · MIRAMAR, FL · NPI 1033211313
Verified facts
What the public records show
CMS Open Payments records show Birjis K Alam, MD received $133.17 in general payments during 2025 across 6 reported records.
AstraZeneca Pharmaceuticals LP accounted for 33.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Jardiance.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 57 claims for Farxiga by this doctor in 2024.
Lilly USA, 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 35 claims for Jardiance 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $44.17 | 33.2% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $43.91 | 33.0% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $25.92 | 19.5% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $19.17 | 14.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $133.17 | 6 |
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 |
|---|---|---|---|---|---|
| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $44.17 | 2 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $25.92 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $25.45 | 1 | 2025 |
Source payment records
|
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| FREESTYLE LIBRE Normalized: freestyle libre |
Device | Abbott Laboratories | $19.17 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $18.46 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 57 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 35 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
57 | 15 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
35 | 16 |
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 |
|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 889 | 250 |
| Atorvastatin Calcium | Atorvastatin Calcium | 596 | 168 |
| Losartan Potassium | Losartan Potassium | 568 | 162 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 442 | 139 |
| Metformin Hcl | Metformin Hcl | 418 | 124 |
| Levothyroxine Sodium | Levothyroxine Sodium | 314 | 93 |
| Metoprolol Succinate | Metoprolol Succinate | 193 | 59 |
| Nifedipine Er | Nifedipine | 188 | 54 |
| Glipizide | Glipizide | 164 | 60 |
| Carvedilol | Carvedilol | 162 | 45 |
| Lisinopril | Lisinopril | 159 | 46 |
| Gabapentin | Gabapentin | 150 | 63 |
| Hydrochlorothiazide | Hydrochlorothiazide | 148 | 45 |
| Potassium Chloride | Potassium Chloride | 142 | 48 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 126 | 35 |
| Furosemide | Furosemide | 121 | 39 |
| Lovastatin | Lovastatin | 121 | 35 |
| Glimepiride | Glimepiride | 120 | 38 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 110 | 54 |
| Azithromycin | Azithromycin | 105 | 86 |
| Pantoprazole Sodium | Pantoprazole Sodium | 104 | 41 |
| Alendronate Sodium | Alendronate Sodium | 93 | 30 |
| Eliquis | Apixaban | 85 | 25 |
| Clopidogrel | Clopidogrel Bisulfate | 84 | 26 |
| Allopurinol | Allopurinol | 82 | 22 |
| Alprazolam | Alprazolam | 81 | 24 |
| Pravastatin Sodium | Pravastatin Sodium | 81 | 25 |
| Metoprolol Tartrate | Metoprolol Tartrate | 80 | 22 |
| Omeprazole | Omeprazole | 72 | 25 |
| Tamsulosin Hcl | Tamsulosin Hcl | 69 | 25 |
| Valsartan | Valsartan | 68 | 17 |
| Fluticasone Propionate | Fluticasone Propionate | 65 | 38 |
| Spironolactone | Spironolactone | 65 | 19 |
| Glipizide Er | Glipizide | 63 | 18 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 61 | 19 |
| Sertraline Hcl | Sertraline Hcl | 61 | 16 |
| Simvastatin | Simvastatin | 59 | 23 |
| Temazepam | Temazepam | 59 | 12 |
| Farxiga | Dapagliflozin Propanediol | 57 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 53 | 19 |
| Sildenafil Citrate | Sildenafil Citrate | 51 | 16 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 51 | 31 |
| Diclofenac Sodium | Diclofenac Sodium | 50 | 20 |
| Novolog Flexpen | Insulin Aspart | 49 | 20 |
| Atenolol | Atenolol | 48 | 14 |
| Ezetimibe | Ezetimibe | 47 | 17 |
| Azelastine Hcl | Azelastine Hcl | 43 | 22 |
| Benazepril Hcl | Benazepril Hcl | 41 | 11 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 41 | 35 |
| Meclizine Hcl | Meclizine Hcl | 40 | 19 |
| Donepezil Hcl | Donepezil Hcl | 39 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 39 | 16 |
| Methylprednisolone | Methylprednisolone | 39 | 35 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 37 | 26 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 36 | suppressed |
| Jardiance | Empagliflozin | 35 | 16 |
| Amoxicillin | Amoxicillin | 34 | 30 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 34 | 15 |
| Ozempic | Semaglutide | 34 | suppressed |
| Famotidine | Famotidine | 33 | 16 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 30 | 17 |
| Latanoprost | Latanoprost | 29 | 12 |
| Metformin Hcl Er | Metformin Hcl | 29 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 29 | 24 |
| Pioglitazone Hcl | Pioglitazone Hcl | 29 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 29 | 15 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 28 | 24 |
| Droplet Pen Needle | Pen Needle, Diabetic | 26 | 11 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 26 | suppressed |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 25 | suppressed |
| Memantine Hcl | Memantine Hcl | 24 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 24 | 12 |
| Ciclopirox | Ciclopirox | 23 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | 16 |
| Meloxicam | Meloxicam | 23 | 11 |
| Warfarin Sodium | Warfarin Sodium | 23 | suppressed |
| Torsemide | Torsemide | 22 | suppressed |
| Mupirocin | Mupirocin | 21 | 19 |
| Synthroid | Levothyroxine Sodium | 20 | suppressed |
| Entresto | Sacubitril/Valsartan | 19 | suppressed |
| Mirtazapine | Mirtazapine | 19 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 19 | suppressed |
| Methotrexate | Methotrexate Sodium | 18 | suppressed |
| Ofloxacin | Ofloxacin | 18 | 17 |
| Fenofibrate | Fenofibrate | 17 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 17 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 16 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 16 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 15 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 14 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 14 | suppressed |
| Olanzapine | Olanzapine | 14 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 14 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 14 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 13 | suppressed |
| Finasteride | Finasteride | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 13 | suppressed |
| Prednisone | Prednisone | 13 | suppressed |
| Prolia | Denosumab | 13 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 12 |
| Chlorthalidone | Chlorthalidone | 12 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 12 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 12 | suppressed |
| Ketoconazole | Ketoconazole | 12 | suppressed |
| Metronidazole | Metronidazole | 12 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 12 | suppressed |
| Pradaxa | Dabigatran Etexilate Mesylate | 12 | suppressed |
| Xarelto | Rivaroxaban | 12 | suppressed |
| Calcitriol | Calcitriol | 11 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 11 | suppressed |
| Januvia | Sitagliptin Phosphate | 11 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 11 | suppressed |
| Tradjenta | Linagliptin | 11 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 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 | $133.17 · 6 records | AstraZeneca Pharmaceuticals LP | Cologuard Collection Kit, FARXIGA, FREESTYLE LIBRE, JARDIANCE, ZEPBOUND | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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