Payment overview · 2025
General Payments
$67.58
4 reported records · 2 companies
Healthcare provider profile · identity verified
Sheila Rae Holcomb, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · LE MARS, IA · NPI 1043206089
Verified facts
What the public records show
CMS Open Payments records show Sheila Rae Holcomb, M.D. received $67.58 in general payments during 2025 across 4 reported records.
PFIZER INC. accounted for 72.3% 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: Eliquis.
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 130 claims for Eliquis 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 |
|---|---|---|---|---|---|
| PFIZER INC. | Unresolved — no canonical attribution shown | $48.85 | 72.3% | 3 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $18.73 | 27.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $67.58 | 4 |
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 |
|---|---|---|---|---|---|
| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $48.85 | 3 | 2025 |
Source payment records
|
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $18.73 | 1 | 2025 |
Source payment records
|
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| ENFLONSIA Normalized: enflonsia |
Drug | Merck Sharp & Dohme LLC | $18.73 | 1 | 2025 |
Source payment records
|
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| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $18.73 | 1 | 2025 |
Source payment records
|
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| VAXNEUVANCE Normalized: vaxneuvance |
Biological | Merck Sharp & Dohme LLC | $18.73 | 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 |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 130 | 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 |
|---|---|---|---|---|---|---|
| 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 |
130 | 15 |
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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 679 | 114 |
| Warfarin Sodium | Warfarin Sodium | 362 | 14 |
| Atorvastatin Calcium | Atorvastatin Calcium | 350 | 63 |
| Metformin Hcl | Metformin Hcl | 287 | 52 |
| Losartan Potassium | Losartan Potassium | 251 | 47 |
| Omeprazole | Omeprazole | 243 | 44 |
| Metoprolol Succinate | Metoprolol Succinate | 242 | 45 |
| Simvastatin | Simvastatin | 222 | 41 |
| Lisinopril | Lisinopril | 208 | 30 |
| Pioglitazone Hcl | Pioglitazone Hcl | 177 | 31 |
| Potassium Chloride | Potassium Chloride | 176 | 31 |
| Hydrochlorothiazide | Hydrochlorothiazide | 173 | 31 |
| Tramadol Hcl | Tramadol Hcl | 150 | 34 |
| Furosemide | Furosemide | 147 | 24 |
| Amlodipine Besylate | Amlodipine Besylate | 144 | 27 |
| Eliquis | Apixaban | 130 | 15 |
| Gabapentin | Gabapentin | 117 | 13 |
| Myrbetriq | Mirabegron | 105 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 98 | 22 |
| Montelukast Sodium | Montelukast Sodium | 81 | suppressed |
| Spironolactone | Spironolactone | 81 | 13 |
| Tamsulosin Hcl | Tamsulosin Hcl | 72 | 12 |
| Allopurinol | Allopurinol | 69 | suppressed |
| Meloxicam | Meloxicam | 69 | 11 |
| Levetiracetam | Levetiracetam | 65 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 64 | 15 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 63 | suppressed |
| Lorazepam | Lorazepam | 60 | 16 |
| Benazepril Hcl | Benazepril Hcl | 58 | 12 |
| Glimepiride | Glimepiride | 57 | 11 |
| Sertraline Hcl | Sertraline Hcl | 57 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 56 | 18 |
| Alprazolam | Alprazolam | 55 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 53 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 53 | 12 |
| Famotidine | Famotidine | 52 | suppressed |
| Ozempic | Semaglutide | 52 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 48 | 11 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 48 | suppressed |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 47 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 47 | suppressed |
| Indapamide | Indapamide | 46 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 46 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 44 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 44 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 43 | suppressed |
| Baclofen | Baclofen | 42 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 42 | 11 |
| Propranolol Hcl | Propranolol Hcl | 42 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 41 | suppressed |
| Celecoxib | Celecoxib | 40 | suppressed |
| Trulicity | Dulaglutide | 40 | suppressed |
| Mirtazapine | Mirtazapine | 39 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 38 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 36 | suppressed |
| Rybelsus | Semaglutide | 36 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 34 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 34 | suppressed |
| Aripiprazole | Aripiprazole | 33 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 33 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 32 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 32 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 32 | suppressed |
| Fenofibrate | Fenofibrate | 31 | suppressed |
| Glipizide Er | Glipizide | 31 | suppressed |
| Ibuprofen | Ibuprofen | 31 | suppressed |
| Lacosamide | Lacosamide | 31 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 30 | suppressed |
| Gemfibrozil | Gemfibrozil | 30 | suppressed |
| Glipizide | Glipizide | 29 | suppressed |
| Lovastatin | Lovastatin | 29 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 29 | suppressed |
| Scopolamine | Scopolamine | 29 | suppressed |
| Topiramate | Topiramate | 29 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 28 | suppressed |
| Pregabalin | Pregabalin | 28 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 27 | suppressed |
| Ingrezza | Valbenazine Tosylate | 26 | suppressed |
| Nuedexta | Dextromethorphan Hbr/Quinidine | 26 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 25 | suppressed |
| Xarelto | Rivaroxaban | 25 | suppressed |
| Januvia | Sitagliptin Phosphate | 24 | suppressed |
| Methocarbamol | Methocarbamol | 24 | suppressed |
| Ezetimibe | Ezetimibe | 23 | suppressed |
| Nifedipine Er | Nifedipine | 23 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 22 | suppressed |
| Finasteride | Finasteride | 22 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 22 | suppressed |
| Vilazodone Hcl | Vilazodone Hcl | 22 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 21 | suppressed |
| Benazepril-Hydrochlorothiazide | Benazepril/Hydrochlorothiazide | 20 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 20 | suppressed |
| Primidone | Primidone | 20 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 20 | suppressed |
| Bupropion Hcl | Bupropion Hcl | 19 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 19 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 19 | suppressed |
| Torsemide | Torsemide | 19 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 18 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 18 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 18 | suppressed |
| Jardiance | Empagliflozin | 17 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 17 | suppressed |
| Novolog Flexpen | Insulin Aspart | 17 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 17 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 17 | 11 |
| Amitriptyline Hcl | Amitriptyline Hcl | 16 | suppressed |
| Nabumetone | Nabumetone | 16 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 16 | suppressed |
| Levemir Flexpen | Insulin Detemir | 15 | suppressed |
| Memantine Hcl | Memantine Hcl | 15 | suppressed |
| Prednisone | Prednisone | 15 | 12 |
| Memantine Hcl Er | Memantine Hcl | 14 | suppressed |
| Nystop | Nystatin | 14 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 13 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Nitroglycerin | Nitroglycerin | 13 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 13 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 13 | suppressed |
| Ramipril | Ramipril | 13 | suppressed |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 13 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 12 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 12 | suppressed |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 12 | suppressed |
| Lamotrigine | Lamotrigine | 12 | suppressed |
| Moexipril Hcl | Moexipril Hcl | 12 | suppressed |
| Naproxen | Naproxen | 12 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 12 | suppressed |
| Roflumilast | Roflumilast | 12 | suppressed |
| Ultra-Fine Original Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Azithromycin | Azithromycin | 11 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 11 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 11 | suppressed |
| Estradiol | Estradiol | 11 | suppressed |
| Ipratropium-Albuterol | Ipratropium/Albuterol Sulfate | 11 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 11 | suppressed |
| Nyamyc | Nystatin | 11 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 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 | $67.58 · 4 records | PFIZER INC. | CAPVAXIVE, ELIQUIS, ENFLONSIA, GARDASIL 9, VAXNEUVANCE | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with PFIZER 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