Payment overview · 2025
General Payments
$140.48
2 reported records · 2 companies
Healthcare provider profile · identity verified
Slava I Kulakov, MD
Allopathic & Osteopathic Physicians|Internal Medicine · FAIRFIELD, CT · NPI 1073524104
Verified facts
What the public records show
CMS Open Payments records show Slava I Kulakov, MD received $140.48 in general payments during 2025 across 2 reported records.
AstraZeneca Pharmaceuticals LP accounted for 89.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance.
Boehringer Ingelheim 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 138 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 | $125.00 | 89.0% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $15.48 | 11.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $140.48 | 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
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $125.00 | 1 | 2025 |
Source payment records
|
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $15.48 | 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 138 | 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 |
|---|---|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
138 | 36 |
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 | 534 | 152 |
| Atorvastatin Calcium | Atorvastatin Calcium | 505 | 142 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 274 | 87 |
| Levothyroxine Sodium | Levothyroxine Sodium | 273 | 67 |
| Lisinopril | Lisinopril | 271 | 80 |
| Alprazolam | Alprazolam | 254 | 65 |
| Omeprazole | Omeprazole | 240 | 73 |
| Escitalopram Oxalate | Escitalopram Oxalate | 230 | 69 |
| Metoprolol Succinate | Metoprolol Succinate | 225 | 68 |
| Tamsulosin Hcl | Tamsulosin Hcl | 172 | 48 |
| Gabapentin | Gabapentin | 166 | 56 |
| Jardiance | Empagliflozin | 138 | 36 |
| Ozempic | Semaglutide | 138 | 25 |
| Trazodone Hcl | Trazodone Hcl | 131 | 54 |
| Zolpidem Tartrate | Zolpidem Tartrate | 128 | 29 |
| Fluticasone Propionate | Fluticasone Propionate | 124 | 52 |
| Losartan Potassium | Losartan Potassium | 108 | 29 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 97 | 29 |
| Hydrochlorothiazide | Hydrochlorothiazide | 97 | 32 |
| Metformin Hcl | Metformin Hcl | 91 | 26 |
| Allopurinol | Allopurinol | 87 | 28 |
| Eliquis | Apixaban | 87 | 18 |
| Sertraline Hcl | Sertraline Hcl | 82 | 26 |
| Furosemide | Furosemide | 78 | 27 |
| Azithromycin | Azithromycin | 76 | 61 |
| Celecoxib | Celecoxib | 75 | 33 |
| Simvastatin | Simvastatin | 75 | 21 |
| Meloxicam | Meloxicam | 71 | 19 |
| Pravastatin Sodium | Pravastatin Sodium | 69 | 22 |
| Methylprednisolone | Methylprednisolone | 68 | 52 |
| Pantoprazole Sodium | Pantoprazole Sodium | 68 | 24 |
| Metoprolol Tartrate | Metoprolol Tartrate | 60 | 13 |
| Lorazepam | Lorazepam | 59 | 20 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 59 | 18 |
| Glimepiride | Glimepiride | 58 | 22 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 58 | 15 |
| Duloxetine Hcl | Duloxetine Hcl | 57 | 22 |
| Famotidine | Famotidine | 51 | 23 |
| Diazepam | Diazepam | 49 | 15 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 48 | 40 |
| Montelukast Sodium | Montelukast Sodium | 48 | 14 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 48 | 11 |
| Tramadol Hcl | Tramadol Hcl | 47 | 19 |
| Temazepam | Temazepam | 46 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 44 | 14 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 41 | 25 |
| Quetiapine Fumarate | Quetiapine Fumarate | 41 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 39 | 11 |
| Valacyclovir | Valacyclovir Hcl | 38 | 20 |
| Synthroid | Levothyroxine Sodium | 35 | suppressed |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 34 | 25 |
| Carvedilol | Carvedilol | 33 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 33 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 32 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 31 | 12 |
| Valsartan | Valsartan | 31 | suppressed |
| Clonazepam | Clonazepam | 30 | suppressed |
| Mirtazapine | Mirtazapine | 30 | suppressed |
| Pregabalin | Pregabalin | 30 | suppressed |
| Procto-Med Hc | Hydrocortisone | 30 | suppressed |
| Prednisone | Prednisone | 29 | 13 |
| Donepezil Hcl | Donepezil Hcl | 28 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 27 | 23 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 27 | suppressed |
| Synjardy Xr | Empagliflozin/Metformin Hcl | 27 | suppressed |
| Bupropion Xl | Bupropion Hcl | 26 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 26 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 26 | 25 |
| Atenolol | Atenolol | 25 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 24 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 23 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 23 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 23 | suppressed |
| Finasteride | Finasteride | 23 | suppressed |
| Mounjaro | Tirzepatide | 23 | suppressed |
| Potassium Chloride | Potassium Chloride | 23 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 21 | suppressed |
| Colchicine | Colchicine | 21 | 11 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 21 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 20 | 12 |
| Fluoxetine Hcl | Fluoxetine Hcl | 20 | suppressed |
| Glipizide Er | Glipizide | 20 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 20 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 20 | suppressed |
| Metronidazole | Metronidazole | 20 | suppressed |
| Telmisartan | Telmisartan | 20 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 20 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 19 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 19 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 19 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 18 | suppressed |
| Januvia | Sitagliptin Phosphate | 18 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 18 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 18 | suppressed |
| Xarelto | Rivaroxaban | 18 | suppressed |
| Myrbetriq | Mirabegron | 17 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 17 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 16 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 16 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 16 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 15 | suppressed |
| Ezetimibe | Ezetimibe | 15 | suppressed |
| Methylphenidate Hcl | Methylphenidate Hcl | 15 | suppressed |
| Trulicity | Dulaglutide | 15 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 14 | 12 |
| Metoclopramide Hcl | Metoclopramide Hcl | 14 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 14 | suppressed |
| Ramipril | Ramipril | 14 | suppressed |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 13 | suppressed |
| Ibuprofen | Ibuprofen | 13 | suppressed |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 13 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 13 | suppressed |
| Baclofen | Baclofen | 12 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 12 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 12 | suppressed |
| Levetiracetam | Levetiracetam | 12 | suppressed |
| Linzess | Linaclotide | 12 | suppressed |
| Ondansetron Odt | Ondansetron | 12 | suppressed |
| Telmisartan-Hydrochlorothiazid | Telmisartan/Hydrochlorothiazid | 12 | suppressed |
| Topiramate | Topiramate | 12 | suppressed |
| Amoxicillin | Amoxicillin | 11 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 11 | suppressed |
| Gemfibrozil | Gemfibrozil | 11 | suppressed |
| Indomethacin | Indomethacin | 11 | suppressed |
| Lansoprazole | Lansoprazole | 11 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 11 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 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 | $140.48 · 2 records | AstraZeneca Pharmaceuticals LP | BREZTRI, JARDIANCE | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jardiance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Boehringer Ingelheim Pharmaceuticals, 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