Payment overview · 2025
General Payments
$33.35
2 reported records · 2 companies
Healthcare provider profile · identity verified
Lynn Van Epps, CNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health · SAN ANTONIO, TX · NPI 1073942660
Verified facts
What the public records show
CMS Open Payments records show Lynn Van Epps, CNP received $33.35 in general payments during 2025 across 2 reported records.
Bayer Healthcare Pharmaceuticals Inc. accounted for 59.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
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 |
|---|---|---|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $19.87 | 59.6% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $13.48 | 40.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $33.35 | 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 |
|---|---|---|---|---|---|
| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $19.87 | 1 | 2025 |
Source payment records
|
|||||
| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $13.48 | 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.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
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 |
|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 254 | 100 |
| Amlodipine Besylate | Amlodipine Besylate | 239 | 100 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 238 | 116 |
| Atorvastatin Calcium | Atorvastatin Calcium | 235 | 97 |
| Levothyroxine Sodium | Levothyroxine Sodium | 188 | 79 |
| Losartan Potassium | Losartan Potassium | 173 | 68 |
| Lisinopril | Lisinopril | 172 | 76 |
| Fluticasone Propionate | Fluticasone Propionate | 169 | 89 |
| Tizanidine Hcl | Tizanidine Hcl | 160 | 75 |
| Omeprazole | Omeprazole | 148 | 62 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 147 | 79 |
| Trazodone Hcl | Trazodone Hcl | 142 | 53 |
| Simvastatin | Simvastatin | 139 | 57 |
| Metformin Hcl | Metformin Hcl | 127 | 62 |
| Gabapentin | Gabapentin | 101 | 50 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 93 | 77 |
| Hydrochlorothiazide | Hydrochlorothiazide | 92 | 37 |
| Montelukast Sodium | Montelukast Sodium | 89 | 40 |
| Prednisone | Prednisone | 89 | 74 |
| Alendronate Sodium | Alendronate Sodium | 77 | 38 |
| Metoprolol Tartrate | Metoprolol Tartrate | 76 | 31 |
| Famotidine | Famotidine | 75 | 38 |
| Furosemide | Furosemide | 75 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 75 | 37 |
| Metoprolol Succinate | Metoprolol Succinate | 72 | 33 |
| Pantoprazole Sodium | Pantoprazole Sodium | 72 | 32 |
| Carvedilol | Carvedilol | 71 | 32 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 69 | 33 |
| Oxybutynin Chloride | Oxybutynin Chloride | 61 | 24 |
| Clopidogrel | Clopidogrel Bisulfate | 55 | 25 |
| Glipizide | Glipizide | 54 | 24 |
| Pioglitazone Hcl | Pioglitazone Hcl | 54 | 26 |
| Jardiance | Empagliflozin | 52 | 18 |
| Ozempic | Semaglutide | 51 | 17 |
| Duloxetine Hcl | Duloxetine Hcl | 48 | 23 |
| Eliquis | Apixaban | 48 | 14 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 48 | 19 |
| Sertraline Hcl | Sertraline Hcl | 45 | 20 |
| Potassium Chloride | Potassium Chloride | 44 | 17 |
| Azithromycin | Azithromycin | 42 | 39 |
| Metformin Hcl Er | Metformin Hcl | 42 | 20 |
| Glipizide Er | Glipizide | 41 | 20 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 40 | 36 |
| Diclofenac Sodium | Diclofenac Sodium | 38 | 21 |
| Spironolactone | Spironolactone | 37 | 16 |
| Ezetimibe | Ezetimibe | 36 | 16 |
| Fluconazole | Fluconazole | 36 | 24 |
| Hydralazine Hcl | Hydralazine Hcl | 36 | 16 |
| Meloxicam | Meloxicam | 35 | 21 |
| Ondansetron Odt | Ondansetron | 35 | 22 |
| Pravastatin Sodium | Pravastatin Sodium | 35 | 18 |
| Escitalopram Oxalate | Escitalopram Oxalate | 32 | 12 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 29 | 14 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 29 | 12 |
| Naproxen | Naproxen | 29 | 14 |
| Nystatin | Nystatin | 29 | 19 |
| Allopurinol | Allopurinol | 27 | 12 |
| Buspirone Hcl | Buspirone Hcl | 27 | 14 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 27 | 11 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 27 | 14 |
| Baclofen | Baclofen | 26 | 12 |
| Enalapril Maleate | Enalapril Maleate | 26 | 11 |
| Finasteride | Finasteride | 26 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 25 | 22 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 25 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 21 | suppressed |
| Nifedipine Er | Nifedipine | 21 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 20 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 20 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 20 | suppressed |
| Fenofibrate | Fenofibrate | 20 | suppressed |
| Hydrocortisone | Hydrocortisone | 20 | 11 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 20 | suppressed |
| Synthroid | Levothyroxine Sodium | 20 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 20 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 17 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 17 | 12 |
| Bupropion Hcl Sr | Bupropion Hcl | 16 | suppressed |
| Ibuprofen | Ibuprofen | 16 | 14 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 16 | suppressed |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Celecoxib | Celecoxib | 15 | suppressed |
| Novolog Flexpen | Insulin Aspart | 15 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 15 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 15 | 15 |
| Ropinirole Hcl | Ropinirole Hcl | 15 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | 15 |
| Torsemide | Torsemide | 15 | suppressed |
| Atenolol | Atenolol | 14 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 14 | suppressed |
| Clotrimazole | Clotrimazole | 14 | suppressed |
| Trulicity | Dulaglutide | 14 | suppressed |
| Ammonium Lactate | Ammonium Lactate | 13 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 13 | 11 |
| Digoxin | Digoxin | 12 | suppressed |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 12 | suppressed |
| Loperamide | Loperamide Hcl | 12 | suppressed |
| Rybelsus | Semaglutide | 12 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 12 | suppressed |
| Tradjenta | Linagliptin | 12 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 11 | suppressed |
| Eszopiclone | Eszopiclone | 11 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 11 | suppressed |
| Indomethacin | Indomethacin | 11 | suppressed |
| Memantine Hcl | Memantine Hcl | 11 | suppressed |
| Ramipril | Ramipril | 11 | suppressed |
| Valsartan | Valsartan | 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 | $33.35 · 2 records | Bayer Healthcare Pharmaceuticals Inc. | Kerendia, The Cologuard Plus Collection Kit | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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