Payment overview · 2025
General Payments
$1,958.80
77 reported records · 17 companies
Healthcare provider profile · identity verified
Shirin Sharma, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology · SAN ANTONIO, TX · NPI 1093951238
Verified facts
What the public records show
CMS Open Payments records show Shirin Sharma, MD received $1,958.80 in general payments during 2025 across 77 reported records.
OPKO Pharmaceuticals, LLC accounted for 17.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 20 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Rayaldee.
Lilly USA, LLC 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 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 23 claims for Jardiance by this doctor in 2024.
OPKO Pharmaceuticals, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported RAYALDEE as an associated drug or biological on 5435 records involving 1739 distinct recipient NPIs. Public Medicare Part D data also shows 139 claims for Rayaldee 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 |
|---|---|---|---|---|---|
| OPKO Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $337.52 | 17.2% | 22 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $243.82 | 12.4% | 9 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $232.65 | 11.9% | 2 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $216.35 | 11.1% | 8 | 2025 |
| Travere Therapeutics, Inc. | Unresolved — no canonical attribution shown | $173.43 | 8.8% | 4 | 2025 |
| Calliditas Therapeutics US Inc. | Unresolved — no canonical attribution shown | $167.89 | 8.6% | 6 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $115.12 | 5.9% | 4 | 2025 |
| Ardelyx, Inc. | Unresolved — no canonical attribution shown | $93.55 | 4.8% | 4 | 2025 |
| AKEBIA THERAPEUTICS INC | Unresolved — no canonical attribution shown | $83.12 | 4.2% | 4 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $65.47 | 3.3% | 3 | 2025 |
| Veloxis Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $49.13 | 2.5% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $46.11 | 2.4% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $44.38 | 2.3% | 2 | 2025 |
| Mallinckrodt Hospital Products Inc. | Unresolved — no canonical attribution shown | $40.73 | 2.1% | 2 | 2025 |
| Fresenius USA Marketing, Inc. | Unresolved — no canonical attribution shown | $21.91 | 1.1% | 1 | 2025 |
| Cycle Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $13.93 | 0.7% | 1 | 2025 |
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $13.69 | 0.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,958.80 | 77 |
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 |
|---|---|---|---|---|---|
| RAYALDEE Normalized: rayaldee |
Drug | OPKO Pharmaceuticals, LLC | $337.52 | 22 | 2025 |
Source payment records
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $232.65 | 2 | 2025 |
Source payment records
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| JYNARQUE Normalized: jynarque |
Drug | Otsuka America Pharmaceutical, Inc. | $190.88 | 7 | 2025 |
Source payment records
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| KRYSTEXXA Normalized: krystexxa |
Biological | Amgen Inc. | $173.31 | 5 | 2025 |
Source payment records
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| TARPEYO Normalized: tarpeyo |
Drug | Calliditas Therapeutics US Inc. | $167.89 | 6 | 2025 |
Source payment records
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| Filspari Normalized: filspari |
Drug | Travere Therapeutics, Inc. | $125.29 | 1 | 2025 |
Source payment records
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| Fabhalta Normalized: fabhalta |
Drug | Novartis Pharmaceuticals Corporation | $115.12 | 4 | 2025 |
Source payment records
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| IBSRELA Normalized: ibsrela |
Drug | Ardelyx, Inc. | $93.55 | 4 | 2025 |
Source payment records
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| Vafseo Normalized: vafseo |
Drug | AKEBIA THERAPEUTICS INC | $83.12 | 4 | 2025 |
Source payment records
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| TAVNEOS Normalized: tavneos |
Drug | Amgen Inc. | $70.51 | 4 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $65.47 | 3 | 2025 |
Source payment records
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| ENVARSUS Normalized: envarsus |
Drug | Veloxis Pharmaceuticals, Inc. | $49.13 | 2 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $46.11 | 2 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $44.38 | 2 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $44.38 | 2 | 2025 |
Source payment records
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| ACTHAR Normalized: acthar |
Biological | Mallinckrodt Hospital Products Inc. | $40.73 | 2 | 2025 |
Source payment records
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| VOYXACT Normalized: voyxact |
Drug | Otsuka America Pharmaceutical, Inc. | $25.47 | 1 | 2025 |
Source payment records
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| VELPHORO Normalized: velphoro |
Drug | Fresenius USA Marketing, Inc. | $21.91 | 1 | 2025 |
Source payment records
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| Venxxiva Normalized: venxxiva |
Drug | Cycle Pharmaceuticals Inc | $13.93 | 1 | 2025 |
Source payment records
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| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $13.69 | 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 | 23 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| RAYALDEE rayaldee |
2025 | Rayaldee | 2024 | 139 | 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 |
|---|---|---|---|---|---|---|
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
23 | suppressed by CMS |
| OPKO Pharmaceuticals, LLC Exact reporting entity; no affiliate inference |
2025 | RAYALDEE open payments reported associated product |
CMS Open Payments — General Payments 5435 supporting records · 1739 recipient NPIs · example record 1222072234 |
Rayaldee · 2024 Exact normalized brand match · 1 Part D row |
139 | 20 |
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 |
|---|---|---|---|
| Furosemide | Furosemide | 140 | 51 |
| Rayaldee | Calcifediol | 139 | 20 |
| Farxiga | Dapagliflozin Propanediol | 129 | 32 |
| Nifedipine Er | Nifedipine | 103 | 29 |
| Tamsulosin Hcl | Tamsulosin Hcl | 71 | 24 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 53 | 41 |
| Allopurinol | Allopurinol | 50 | 22 |
| Bumetanide | Bumetanide | 49 | suppressed |
| Carvedilol | Carvedilol | 35 | 14 |
| Calcium Acetate | Calcium Acetate | 34 | 12 |
| Sevelamer Carbonate | Sevelamer Carbonate | 32 | 17 |
| Amlodipine Besylate | Amlodipine Besylate | 31 | 11 |
| Lisinopril | Lisinopril | 30 | 14 |
| Prednisone | Prednisone | 27 | suppressed |
| Losartan Potassium | Losartan Potassium | 26 | 14 |
| Hydralazine Hcl | Hydralazine Hcl | 25 | suppressed |
| Jardiance | Empagliflozin | 23 | suppressed |
| Atorvastatin Calcium | Atorvastatin Calcium | 19 | suppressed |
| Lokelma | Sodium Zirconium Cyclosilicate | 18 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 15 | suppressed |
| Cefdinir | Cefdinir | 14 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 14 | suppressed |
| Cinacalcet Hcl | Cinacalcet Hcl | 13 | suppressed |
| Folic Acid | Folic Acid | 12 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 12 | suppressed |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 12 | 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 | $1,958.80 · 77 records | OPKO Pharmaceuticals, LLC | ACTHAR, ENVARSUS, Fabhalta, Filspari, IBSRELA, JARDIANCE, JYNARQUE, KRYSTEXXA, Kerendia, Korlym, NEXLETOL, Ozempic, RAYALDEE, Rybelsus, TARPEYO, TAVNEOS, VELPHORO, VOYXACT, Vafseo, Venxxiva | 2 | — |
| 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 Lilly USA, LLC?
- 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