Payment overview · 2025
General Payments
$454.34
8 reported records · 4 companies
Healthcare provider profile · identity verified
Earl Don Fernando, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · FRESNO, CA · NPI 1033255021
Verified facts
What the public records show
CMS Open Payments records show Earl Don Fernando, M.D. received $454.34 in general payments during 2025 across 8 reported records.
AstraZeneca Pharmaceuticals LP accounted for 59.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Kerendia.
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 72 claims for Farxiga by this doctor in 2024.
Bayer Healthcare Pharmaceuticals 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 Kerendia as an associated drug or biological on 138674 records involving 48458 distinct recipient NPIs. Public Medicare Part D data also shows 60 claims for Kerendia by this doctor in 2024.
GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 63 claims for Trelegy Ellipta 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 | $268.81 | 59.2% | 3 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $79.10 | 17.4% | 3 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $63.93 | 14.1% | 1 | 2025 |
| Mannkind Corporation | Unresolved — no canonical attribution shown | $42.50 | 9.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $411.84 | 7 |
| Education | $42.50 | 1 |
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 |
|---|---|---|---|---|---|
| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $268.81 | 3 | 2025 |
Source payment records
|
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $79.10 | 3 | 2025 |
Source payment records
|
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $63.93 | 1 | 2025 |
Source payment records
|
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| AFREZZA Normalized: afrezza |
Drug | Mannkind Corporation | $42.50 | 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 |
|---|---|---|---|---|---|---|
| Kerendia kerendia |
2025 | Kerendia | 2024 | 60 | 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 |
72 | 21 |
| Bayer Healthcare Pharmaceuticals Inc. Exact reporting entity; no affiliate inference |
2025 | Kerendia open payments reported associated product |
CMS Open Payments — General Payments 138674 supporting records · 48458 recipient NPIs · example record 1225434663 |
Kerendia · 2024 Exact normalized brand match · 1 Part D row |
60 | 18 |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
63 | 21 |
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 602 | 201 |
| Jardiance | Empagliflozin | 348 | 98 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 343 | 114 |
| Losartan Potassium | Losartan Potassium | 312 | 98 |
| Gabapentin | Gabapentin | 268 | 92 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 262 | 73 |
| Azelastine Hcl | Azelastine Hcl | 258 | 105 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 252 | 62 |
| Amlodipine Besylate | Amlodipine Besylate | 240 | 88 |
| Lisinopril | Lisinopril | 220 | 77 |
| Meclizine Hcl | Meclizine Hcl | 216 | 81 |
| Metformin Hcl | Metformin Hcl | 215 | 76 |
| Famotidine | Famotidine | 188 | 84 |
| Rybelsus | Semaglutide | 174 | 51 |
| Metoprolol Succinate | Metoprolol Succinate | 158 | 51 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 141 | 49 |
| Allopurinol | Allopurinol | 137 | 50 |
| Omeprazole | Omeprazole | 129 | 47 |
| Tradjenta | Linagliptin | 120 | 38 |
| Icosapent Ethyl | Icosapent Ethyl | 118 | 44 |
| Baclofen | Baclofen | 115 | 46 |
| Diclofenac Sodium | Diclofenac Sodium | 105 | 43 |
| Ezetimibe | Ezetimibe | 105 | 36 |
| Linzess | Linaclotide | 102 | 39 |
| Levothyroxine Sodium | Levothyroxine Sodium | 95 | 30 |
| Trulicity | Dulaglutide | 91 | 20 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 87 | 28 |
| Meloxicam | Meloxicam | 84 | 33 |
| Vascepa | Icosapent Ethyl | 82 | 31 |
| Xarelto | Rivaroxaban | 78 | 18 |
| Farxiga | Dapagliflozin Propanediol | 72 | 21 |
| Furosemide | Furosemide | 69 | 27 |
| Glipizide | Glipizide | 67 | 27 |
| Pantoprazole Sodium | Pantoprazole Sodium | 65 | 25 |
| Fluticasone Propionate | Fluticasone Propionate | 64 | 27 |
| Tramadol Hcl | Tramadol Hcl | 63 | 20 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 63 | 21 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 61 | 25 |
| Mirtazapine | Mirtazapine | 61 | 27 |
| Tresiba Flextouch U-200 | Insulin Degludec | 61 | suppressed |
| Alcohol Pads | Alcohol Antiseptic Pads | 60 | 19 |
| Kerendia | Finerenone | 60 | 18 |
| Tamsulosin Hcl | Tamsulosin Hcl | 57 | 24 |
| Pioglitazone Hcl | Pioglitazone Hcl | 55 | 18 |
| Hydralazine Hcl | Hydralazine Hcl | 50 | 18 |
| Acarbose | Acarbose | 49 | 17 |
| Januvia | Sitagliptin Phosphate | 49 | 12 |
| Mounjaro | Tirzepatide | 49 | suppressed |
| Ibuprofen | Ibuprofen | 47 | 25 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 46 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 44 | 15 |
| Ozempic | Semaglutide | 42 | 12 |
| Ondansetron Odt | Ondansetron | 40 | 25 |
| Belsomra | Suvorexant | 38 | 14 |
| Benazepril Hcl | Benazepril Hcl | 38 | 15 |
| Eliquis | Apixaban | 38 | 11 |
| Carvedilol | Carvedilol | 37 | 12 |
| Loperamide | Loperamide Hcl | 37 | 27 |
| Metoprolol Tartrate | Metoprolol Tartrate | 36 | 15 |
| Ventolin Hfa | Albuterol Sulfate | 35 | 13 |
| Breo Ellipta | Fluticasone/Vilanterol | 34 | 11 |
| Gemtesa | Vibegron | 34 | 13 |
| Omeprazole-Sodium Bicarbonate | Omeprazole/Sodium Bicarbonate | 34 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 31 | suppressed |
| Lorazepam | Lorazepam | 29 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 29 | suppressed |
| Azithromycin | Azithromycin | 28 | 21 |
| Simvastatin | Simvastatin | 27 | suppressed |
| Alcohol Prep Pads | Alcohol Antiseptic Pads | 26 | 12 |
| Alendronate Sodium | Alendronate Sodium | 26 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 26 | 11 |
| Entresto | Sacubitril/Valsartan | 26 | suppressed |
| Myrbetriq | Mirabegron | 26 | 14 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 25 | suppressed |
| Breyna | Budesonide/Formoterol Fumarate | 24 | suppressed |
| Bumetanide | Bumetanide | 24 | suppressed |
| Cilostazol | Cilostazol | 24 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 24 | suppressed |
| Colchicine | Colchicine | 22 | 13 |
| Escitalopram Oxalate | Escitalopram Oxalate | 22 | suppressed |
| Amoxicillin | Amoxicillin | 21 | 17 |
| Glimepiride | Glimepiride | 21 | suppressed |
| Lovastatin | Lovastatin | 21 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 20 | suppressed |
| Nitroglycerin | Nitroglycerin | 20 | 14 |
| Sertraline Hcl | Sertraline Hcl | 20 | suppressed |
| Metformin Er Gastric | Metformin Hcl | 19 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 18 | suppressed |
| Naproxen | Naproxen | 18 | suppressed |
| Pregabalin | Pregabalin | 18 | suppressed |
| Febuxostat | Febuxostat | 16 | suppressed |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 16 | suppressed |
| Novolog Flexpen | Insulin Aspart | 16 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 16 | suppressed |
| Carisoprodol | Carisoprodol | 15 | suppressed |
| Dapagliflozin | Dapagliflozin Propanediol | 15 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 15 | suppressed |
| Sucralfate | Sucralfate | 15 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 14 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 14 | suppressed |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 14 | 13 |
| Nystatin | Nystatin | 14 | suppressed |
| Trijardy Xr | Empaglifloz/Linaglip/Metformin | 14 | suppressed |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 14 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 13 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 13 | suppressed |
| Easy Comfort Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 13 | suppressed |
| Memantine Hcl | Memantine Hcl | 13 | suppressed |
| Methimazole | Methimazole | 13 | suppressed |
| Prednisone | Prednisone | 13 | suppressed |
| Procto-Med Hc | Hydrocortisone | 13 | suppressed |
| Repatha Sureclick | Evolocumab | 13 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 13 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 12 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 12 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 12 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 12 | suppressed |
| Xigduo Xr | Dapaglifloz Propaned/Metformin | 12 | suppressed |
| Finasteride | Finasteride | 11 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 11 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 11 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 11 | suppressed |
| Xultophy 100-3.6 | Insulin Degludec/Liraglutide | 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 | $454.34 · 8 records | AstraZeneca Pharmaceuticals LP | AFREZZA, AIRSUPRA, AREXVY, Kerendia | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Kerendia 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