Payment overview · 2025
General Payments
$594.69
13 reported records · 8 companies
Healthcare provider profile · identity verified
Mariam Robert Manoukian, MD
Allopathic & Osteopathic Physicians|Internal Medicine · MOUNTAIN VIEW, CA · NPI 1063582948
Verified facts
What the public records show
CMS Open Payments records show Mariam Robert Manoukian, MD received $594.69 in general payments during 2025 across 13 reported records.
Lundbeck LLC accounted for 29.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 9 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic, Rybelsus.
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 13 claims for Farxiga 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 162 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 21 claims for Rybelsus 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 |
|---|---|---|---|---|---|
| Lundbeck LLC | Unresolved — no canonical attribution shown | $176.23 | 29.6% | 3 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $157.87 | 26.6% | 3 | 2025 |
| Madrigal Pharmaceuticals | Unresolved — no canonical attribution shown | $124.99 | 21.0% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $55.11 | 9.3% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $28.23 | 4.8% | 1 | 2025 |
| Echosens North America, Inc. | Unresolved — no canonical attribution shown | $21.14 | 3.5% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $15.99 | 2.7% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $15.13 | 2.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $578.70 | 12 |
| Education | $15.99 | 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 |
|---|---|---|---|---|---|
| VYEPTI Normalized: vyepti |
Biological | Lundbeck LLC | $176.23 | 3 | 2025 |
Source payment records
|
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $141.97 | 2 | 2025 |
Source payment records
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| REZDIFFRA Normalized: rezdiffra |
Drug | Madrigal Pharmaceuticals | $124.99 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $55.11 | 2 | 2025 |
Source payment records
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| TEPEZZA Normalized: tepezza |
Biological | Amgen Inc. | $28.23 | 1 | 2025 |
Source payment records
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| Fibroscan Normalized: fibroscan |
Device | Echosens North America, Inc. | $21.14 | 1 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $16.99 | 1 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $15.99 | 1 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $15.13 | 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 |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 162 | exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 21 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 |
|---|---|---|---|---|---|---|
| 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 |
13 | suppressed by CMS |
| 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 |
162 | 34 |
| 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 |
21 | 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 |
|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 380 | 108 |
| Atorvastatin Calcium | Atorvastatin Calcium | 321 | 109 |
| Amlodipine Besylate | Amlodipine Besylate | 315 | 103 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 213 | 66 |
| Losartan Potassium | Losartan Potassium | 211 | 70 |
| Metformin Hcl | Metformin Hcl | 207 | 72 |
| Ozempic | Semaglutide | 162 | 34 |
| Lisinopril | Lisinopril | 150 | 43 |
| Estradiol | Estradiol | 134 | 62 |
| Metoprolol Succinate | Metoprolol Succinate | 125 | 39 |
| Gabapentin | Gabapentin | 116 | 38 |
| Mounjaro | Tirzepatide | 110 | 21 |
| Fluticasone Propionate | Fluticasone Propionate | 103 | 52 |
| Lorazepam | Lorazepam | 94 | 27 |
| Hydrochlorothiazide | Hydrochlorothiazide | 93 | 30 |
| Zolpidem Tartrate | Zolpidem Tartrate | 89 | 23 |
| Omeprazole | Omeprazole | 84 | 32 |
| Synthroid | Levothyroxine Sodium | 84 | 24 |
| Tramadol Hcl | Tramadol Hcl | 82 | 22 |
| Furosemide | Furosemide | 80 | 33 |
| Tamsulosin Hcl | Tamsulosin Hcl | 78 | 26 |
| Potassium Chloride | Potassium Chloride | 77 | 22 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 72 | 14 |
| Atenolol | Atenolol | 70 | 23 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 68 | 24 |
| Escitalopram Oxalate | Escitalopram Oxalate | 65 | 23 |
| Famotidine | Famotidine | 64 | 31 |
| Eliquis | Apixaban | 61 | 17 |
| Diclofenac Sodium | Diclofenac Sodium | 59 | 20 |
| Jardiance | Empagliflozin | 58 | 21 |
| Liothyronine Sodium | Liothyronine Sodium | 57 | 15 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 54 | 20 |
| Donepezil Hcl | Donepezil Hcl | 53 | 13 |
| Valsartan | Valsartan | 53 | 17 |
| Allopurinol | Allopurinol | 52 | 16 |
| Sertraline Hcl | Sertraline Hcl | 50 | 16 |
| Simvastatin | Simvastatin | 48 | 15 |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 48 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 47 | 16 |
| Colchicine | Colchicine | 44 | 16 |
| Alprazolam | Alprazolam | 43 | suppressed |
| Memantine Hcl | Memantine Hcl | 42 | 12 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 41 | 15 |
| Ezetimibe | Ezetimibe | 39 | 12 |
| Metformin Hcl Er | Metformin Hcl | 38 | 14 |
| Topiramate | Topiramate | 38 | 11 |
| Clopidogrel | Clopidogrel Bisulfate | 37 | 11 |
| Trazodone Hcl | Trazodone Hcl | 37 | 16 |
| Celecoxib | Celecoxib | 35 | 14 |
| Fluoxetine Hcl | Fluoxetine Hcl | 35 | 11 |
| Montelukast Sodium | Montelukast Sodium | 34 | suppressed |
| Mirtazapine | Mirtazapine | 32 | 11 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 30 | suppressed |
| Hydrocortisone | Hydrocortisone | 29 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 29 | 11 |
| Carvedilol | Carvedilol | 28 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 28 | 18 |
| Bupropion Xl | Bupropion Hcl | 27 | 11 |
| Finasteride | Finasteride | 26 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 25 | 25 |
| Valacyclovir | Valacyclovir Hcl | 25 | 11 |
| Cephalexin | Cephalexin | 24 | 19 |
| Clonidine Hcl | Clonidine Hcl | 24 | suppressed |
| Glimepiride | Glimepiride | 24 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 24 | 21 |
| Raloxifene Hcl | Raloxifene Hcl | 24 | 11 |
| Janumet | Sitagliptin Phos/Metformin Hcl | 22 | suppressed |
| Ramipril | Ramipril | 22 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 21 | 15 |
| Bisoprolol Fumarate | Bisoprolol Fumarate | 21 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 21 | 18 |
| Novolog Flexpen | Insulin Aspart | 21 | suppressed |
| Rybelsus | Semaglutide | 21 | suppressed |
| Xarelto | Rivaroxaban | 21 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 20 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 20 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 19 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 19 | suppressed |
| Januvia | Sitagliptin Phosphate | 19 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 19 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 19 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 18 | 13 |
| Clonazepam | Clonazepam | 18 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 18 | suppressed |
| Tradjenta | Linagliptin | 17 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 17 | suppressed |
| Azithromycin | Azithromycin | 16 | 16 |
| Nebivolol Hcl | Nebivolol Hcl | 16 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 15 | 14 |
| Ketoconazole | Ketoconazole | 15 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 15 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 15 | suppressed |
| Spironolactone | Spironolactone | 15 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 15 | suppressed |
| Acarbose | Acarbose | 14 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 14 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 14 | suppressed |
| Azelastine-Fluticasone | Azelastine/Fluticasone | 14 | suppressed |
| Creon | Lipase/Protease/Amylase | 14 | suppressed |
| Diazepam | Diazepam | 14 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 14 | suppressed |
| Methylprednisolone | Methylprednisolone | 14 | 14 |
| Mupirocin | Mupirocin | 14 | suppressed |
| Myrbetriq | Mirabegron | 14 | suppressed |
| Procto-Med Hc | Hydrocortisone | 14 | suppressed |
| Temazepam | Temazepam | 14 | suppressed |
| Testosterone | Testosterone | 14 | suppressed |
| Baclofen | Baclofen | 13 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 13 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 13 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 13 | suppressed |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 13 | suppressed |
| Nifedipine Er | Nifedipine | 13 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 13 | suppressed |
| Digoxin | Digoxin | 12 | suppressed |
| Novofine 32 | Pen Needle, Diabetic | 12 | suppressed |
| Pregabalin | Pregabalin | 12 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 12 | suppressed |
| Trintellix | Vortioxetine Hydrobromide | 12 | suppressed |
| Cabergoline | Cabergoline | 11 | suppressed |
| Lactulose | Lactulose | 11 | suppressed |
| Levemir Flexpen | Insulin Detemir | 11 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 11 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 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 | $594.69 · 13 records | Lundbeck LLC | BREZTRI, FREESTYLE LIBRE 3, Fibroscan, Ozempic, REZDIFFRA, Rybelsus, TEPEZZA, The Cologuard Plus Collection Kit, VYEPTI | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic 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