Payment overview · 2025
General Payments
2 reported records · 2 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Family Medicine · NEW BRAUNFELS, TX · NPI 1063411940
Verified facts
CMS Open Payments records show Gerald Snyder, M.D. received $41.80 in general payments during 2025 across 2 reported records.
Novo Nordisk Inc accounted for 57.3% 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: Ozempic, Rybelsus.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Ozempic by this doctor in 2024.
Novo Nordisk 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Rybelsus by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
2 reported records · 2 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $23.94 | 57.3% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $17.86 | 42.7% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $41.80 | 2 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $23.94 | 1 | 2025 |
Source payment records
|
|||||
| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $23.94 | 1 | 2025 |
Source payment records
|
|||||
| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $17.86 | 1 | 2025 |
Source payment records
|
|||||
| VAXNEUVANCE Normalized: vaxneuvance |
Biological | Merck Sharp & Dohme LLC | $17.86 | 1 | 2025 |
Source payment records
|
|||||
* 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.
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 31 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 18 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
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 |
|---|---|---|---|---|---|---|
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
31 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
18 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 287 | 79 |
| Levothyroxine Sodium | Levothyroxine Sodium | 178 | 50 |
| Meloxicam | Meloxicam | 177 | 40 |
| Gabapentin | Gabapentin | 160 | 34 |
| Lisinopril | Lisinopril | 157 | 45 |
| Amlodipine Besylate | Amlodipine Besylate | 149 | 42 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 113 | 26 |
| Metoprolol Succinate | Metoprolol Succinate | 106 | 26 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 103 | 25 |
| Pantoprazole Sodium | Pantoprazole Sodium | 103 | 28 |
| Tramadol Hcl | Tramadol Hcl | 102 | 27 |
| Metformin Hcl | Metformin Hcl | 99 | 25 |
| Tamsulosin Hcl | Tamsulosin Hcl | 99 | 26 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 96 | 23 |
| Sertraline Hcl | Sertraline Hcl | 87 | 20 |
| Celecoxib | Celecoxib | 86 | 25 |
| Duloxetine Hcl | Duloxetine Hcl | 85 | 19 |
| Losartan Potassium | Losartan Potassium | 82 | 22 |
| Quetiapine Fumarate | Quetiapine Fumarate | 73 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 68 | 19 |
| Potassium Chloride | Potassium Chloride | 67 | 23 |
| Hydrochlorothiazide | Hydrochlorothiazide | 66 | 16 |
| Furosemide | Furosemide | 65 | 20 |
| Simvastatin | Simvastatin | 64 | 17 |
| Citalopram Hbr | Citalopram Hydrobromide | 59 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 59 | 14 |
| Clonazepam | Clonazepam | 50 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 48 | suppressed |
| Xarelto | Rivaroxaban | 47 | 11 |
| Trazodone Hcl | Trazodone Hcl | 45 | 13 |
| Alprazolam | Alprazolam | 44 | suppressed |
| Glipizide | Glipizide | 44 | suppressed |
| Omeprazole | Omeprazole | 44 | 14 |
| Prednisone | Prednisone | 44 | 23 |
| Montelukast Sodium | Montelukast Sodium | 39 | 12 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 37 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 36 | suppressed |
| Bupropion Xl | Bupropion Hcl | 35 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 31 | 12 |
| Ozempic | Semaglutide | 31 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 30 | suppressed |
| Carvedilol | Carvedilol | 30 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 30 | suppressed |
| Jardiance | Empagliflozin | 30 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 30 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 29 | suppressed |
| Diazepam | Diazepam | 29 | suppressed |
| Temazepam | Temazepam | 28 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 27 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 27 | 11 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 26 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 25 | suppressed |
| Finasteride | Finasteride | 25 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 24 | 24 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 24 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 23 | suppressed |
| Ondansetron Odt | Ondansetron | 23 | 13 |
| Atenolol | Atenolol | 22 | suppressed |
| Eliquis | Apixaban | 22 | suppressed |
| Memantine Hcl | Memantine Hcl | 22 | suppressed |
| Mirtazapine | Mirtazapine | 20 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 20 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 19 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 19 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 19 | suppressed |
| Nitroglycerin | Nitroglycerin | 19 | 14 |
| Pregabalin | Pregabalin | 19 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 18 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 18 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 18 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 18 | suppressed |
| Rybelsus | Semaglutide | 18 | suppressed |
| Dabigatran Etexilate | Dabigatran Etexilate Mesylate | 17 | suppressed |
| Lamotrigine | Lamotrigine | 17 | suppressed |
| Trulicity | Dulaglutide | 17 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 17 | suppressed |
| Famotidine | Famotidine | 16 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 16 | suppressed |
| Synthroid | Levothyroxine Sodium | 16 | suppressed |
| Acyclovir | Acyclovir | 15 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 15 | suppressed |
| Allopurinol | Allopurinol | 15 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 15 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 13 |
| Azithromycin | Azithromycin | 14 | 12 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 13 |
| Estradiol | Estradiol | 14 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 14 | suppressed |
| Methocarbamol | Methocarbamol | 14 | suppressed |
| Nifedipine Er | Nifedipine | 14 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 14 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 14 | 13 |
| Testosterone Cypionate | Testosterone Cypionate | 14 | suppressed |
| Tolterodine Tartrate Er | Tolterodine Tartrate | 14 | suppressed |
| Valsartan | Valsartan | 14 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 13 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 13 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 13 | suppressed |
| Ibuprofen | Ibuprofen | 13 | suppressed |
| Lorazepam | Lorazepam | 13 | suppressed |
| Spironolactone | Spironolactone | 13 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 12 | suppressed |
| Desmopressin Acetate | Desmopressin Acetate | 12 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 12 | suppressed |
| Levetiracetam | Levetiracetam | 12 | suppressed |
| Levofloxacin | Levofloxacin | 12 | 12 |
| Methylprednisolone | Methylprednisolone | 12 | 12 |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 11 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 11 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 11 | suppressed |
| Myrbetriq | Mirabegron | 11 | suppressed |
| Topiramate | Topiramate | 11 | suppressed |
Timeline
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 | $41.80 · 2 records | Novo Nordisk Inc | CAPVAXIVE, Ozempic, Rybelsus, VAXNEUVANCE | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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