Payment overview · 2025
General Payments
$94.98
4 reported records · 4 companies
Healthcare provider profile · identity verified
Terry J Kosinski, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · JONESBORO, AR · NPI 1093778136
Verified facts
What the public records show
CMS Open Payments records show Terry J Kosinski, M.D. received $94.98 in general payments during 2025 across 4 reported records.
SHIELD THERAPEUTICS INC accounted for 36.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
ABBVIE 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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Linzess by this doctor in 2024.
ABBVIE 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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Synthroid 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 |
|---|---|---|---|---|---|
| SHIELD THERAPEUTICS INC | Unresolved — no canonical attribution shown | $34.70 | 36.5% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $30.78 | 32.4% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $14.97 | 15.8% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $14.53 | 15.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $94.98 | 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 |
|---|---|---|---|---|---|
| ACCRUFER Normalized: accrufer |
Drug | SHIELD THERAPEUTICS INC | $34.70 | 1 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $30.78 | 1 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $30.78 | 1 | 2025 |
Source payment records
|
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $14.97 | 1 | 2025 |
Source payment records
|
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $14.53 | 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
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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
18 | suppressed by CMS |
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | SYNTHROID open payments reported associated product |
CMS Open Payments — General Payments 10655 supporting records · 4881 recipient NPIs · example record 1201352636 |
Synthroid · 2024 Exact normalized brand match · 1 Part D row |
24 | 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 |
|---|---|---|---|
| Alprazolam | Alprazolam | 280 | 42 |
| Levothyroxine Sodium | Levothyroxine Sodium | 280 | 61 |
| Pantoprazole Sodium | Pantoprazole Sodium | 275 | 64 |
| Gabapentin | Gabapentin | 259 | 61 |
| Amlodipine Besylate | Amlodipine Besylate | 211 | 60 |
| Atorvastatin Calcium | Atorvastatin Calcium | 172 | 55 |
| Metformin Hcl | Metformin Hcl | 170 | 38 |
| Tramadol Hcl | Tramadol Hcl | 149 | 30 |
| Losartan Potassium | Losartan Potassium | 145 | 39 |
| Lisinopril | Lisinopril | 143 | 42 |
| Potassium Chloride | Potassium Chloride | 138 | 32 |
| Lovastatin | Lovastatin | 137 | 31 |
| Meloxicam | Meloxicam | 134 | 45 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 121 | 36 |
| Furosemide | Furosemide | 118 | 32 |
| Omeprazole | Omeprazole | 110 | 30 |
| Trazodone Hcl | Trazodone Hcl | 110 | 28 |
| Duloxetine Hcl | Duloxetine Hcl | 99 | 22 |
| Cefdinir | Cefdinir | 92 | 62 |
| Glipizide | Glipizide | 92 | 23 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 92 | 36 |
| Tizanidine Hcl | Tizanidine Hcl | 81 | 19 |
| Ezetimibe | Ezetimibe | 80 | 18 |
| Montelukast Sodium | Montelukast Sodium | 73 | 20 |
| Doxycycline Hyclate | Doxycycline Hyclate | 71 | 51 |
| Sertraline Hcl | Sertraline Hcl | 71 | 20 |
| Buspirone Hcl | Buspirone Hcl | 69 | 13 |
| Ozempic | Semaglutide | 68 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 65 | 15 |
| Eliquis | Apixaban | 64 | 11 |
| Pravastatin Sodium | Pravastatin Sodium | 61 | 20 |
| Metoprolol Tartrate | Metoprolol Tartrate | 60 | 15 |
| Promethazine Hcl | Promethazine Hcl | 60 | 15 |
| Azithromycin | Azithromycin | 58 | 48 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 57 | 21 |
| Carvedilol | Carvedilol | 56 | 15 |
| Hydrochlorothiazide | Hydrochlorothiazide | 56 | 19 |
| Ondansetron Odt | Ondansetron | 56 | 20 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 54 | 19 |
| Clonazepam | Clonazepam | 51 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 51 | 11 |
| Diazepam | Diazepam | 50 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 49 | 16 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 42 | 35 |
| Alendronate Sodium | Alendronate Sodium | 39 | suppressed |
| Atenolol | Atenolol | 38 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 38 | 13 |
| Zolpidem Tartrate | Zolpidem Tartrate | 38 | suppressed |
| Fluconazole | Fluconazole | 37 | 17 |
| Celecoxib | Celecoxib | 36 | 12 |
| Pregabalin | Pregabalin | 34 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 32 | 11 |
| Bupropion Hcl Sr | Bupropion Hcl | 29 | suppressed |
| Mounjaro | Tirzepatide | 29 | suppressed |
| Allopurinol | Allopurinol | 28 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 28 | suppressed |
| Levofloxacin | Levofloxacin | 27 | 22 |
| Xarelto | Rivaroxaban | 27 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 25 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 25 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 24 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 24 | suppressed |
| Spironolactone | Spironolactone | 24 | suppressed |
| Synthroid | Levothyroxine Sodium | 24 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 22 | 12 |
| Simvastatin | Simvastatin | 22 | suppressed |
| Carisoprodol | Carisoprodol | 21 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 21 | 19 |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 21 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 21 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 21 | suppressed |
| Naproxen | Naproxen | 21 | 11 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 21 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 20 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 20 | suppressed |
| Jardiance | Empagliflozin | 20 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 20 | suppressed |
| Cephalexin | Cephalexin | 19 | 12 |
| Lorazepam | Lorazepam | 19 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 19 | suppressed |
| Topiramate | Topiramate | 19 | suppressed |
| Famotidine | Famotidine | 18 | suppressed |
| Linzess | Linaclotide | 18 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 17 | suppressed |
| Methylprednisolone | Methylprednisolone | 17 | 16 |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 17 | suppressed |
| Methocarbamol | Methocarbamol | 16 | suppressed |
| Sotalol | Sotalol Hcl | 16 | suppressed |
| Bupropion Xl | Bupropion Hcl | 15 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 15 | suppressed |
| Baclofen | Baclofen | 14 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 14 | suppressed |
| Glyburide | Glyburide | 14 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 14 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 13 | suppressed |
| Ketoconazole | Ketoconazole | 13 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 12 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 12 | suppressed |
| Januvia | Sitagliptin Phosphate | 12 | suppressed |
| Klor-Con M20 | Potassium Chloride | 12 | suppressed |
| Metronidazole | Metronidazole | 12 | 12 |
| Mupirocin | Mupirocin | 12 | 11 |
| Prednisone | Prednisone | 12 | suppressed |
| Azelastine Hcl | Azelastine Hcl | 11 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 11 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 11 | 11 |
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 | $94.98 · 4 records | SHIELD THERAPEUTICS INC | ACCRUFER, BREZTRI, JOURNAVX, QULIPTA, UBRELVY | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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