Payment overview · 2025
General Payments
$414.88
19 reported records · 10 companies
Healthcare provider profile · identity verified
I-Tsyr Shaw, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism · SACRAMENTO, CA · NPI 1104026558
Verified facts
What the public records show
CMS Open Payments records show I-Tsyr Shaw, MD received $414.88 in general payments during 2025 across 19 reported records.
Novo Nordisk Inc accounted for 22.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Mounjaro.
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 272 claims for Jardiance by this doctor in 2024.
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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 48 claims for Mounjaro by this doctor in 2024.
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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 91 claims for Trulicity 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 533 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 46 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $93.83 | 22.6% | 4 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $80.45 | 19.4% | 4 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $53.21 | 12.8% | 3 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $52.65 | 12.7% | 2 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $31.28 | 7.5% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $29.56 | 7.1% | 1 | 2025 |
| Ascendis Pharma Endocrinology Inc | Unresolved — no canonical attribution shown | $27.17 | 6.5% | 1 | 2025 |
| Mannkind Corporation | Unresolved — no canonical attribution shown | $17.76 | 4.3% | 1 | 2025 |
| LNHC, Inc | Unresolved — no canonical attribution shown | $14.85 | 3.6% | 1 | 2025 |
| Phadia US Inc. | Unresolved — no canonical attribution shown | $14.12 | 3.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $414.88 | 19 |
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 |
|---|---|---|---|---|---|
| TEPEZZA Normalized: tepezza |
Biological | Amgen Inc. | $66.69 | 3 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $53.21 | 3 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $52.65 | 2 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $31.28 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $29.56 | 1 | 2025 |
Source payment records
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| Yorvipath Normalized: yorvipath |
Drug | Ascendis Pharma Endocrinology Inc | $27.17 | 1 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $24.23 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $20.44 | 1 | 2025 |
Source payment records
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| AFREZZA Normalized: afrezza |
Drug | Mannkind Corporation | $17.76 | 1 | 2025 |
Source payment records
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| ZELSUVMI Normalized: zelsuvmi |
Drug | LNHC, Inc | $14.85 | 1 | 2025 |
Source payment records
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| ImmunoCAP Normalized: immunocap |
Device | Phadia US Inc. | $14.12 | 1 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $13.76 | 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 |
|---|---|---|---|---|---|---|
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 48 | 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 |
272 | 62 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
48 | 11 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
91 | 18 |
| 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 |
533 | 93 |
| 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 |
46 | 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 |
|---|---|---|---|
| Ozempic | Semaglutide | 533 | 93 |
| Metformin Hcl | Metformin Hcl | 362 | 95 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 316 | 85 |
| Jardiance | Empagliflozin | 272 | 62 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 242 | 71 |
| Levothyroxine Sodium | Levothyroxine Sodium | 202 | 46 |
| Humalog Kwikpen U-100 | Insulin Lispro | 169 | 46 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 152 | 67 |
| Januvia | Sitagliptin Phosphate | 122 | 38 |
| Trulicity | Dulaglutide | 91 | 18 |
| Metformin Hcl Er | Metformin Hcl | 86 | 23 |
| Glipizide | Glipizide | 80 | 18 |
| Pioglitazone Hcl | Pioglitazone Hcl | 78 | 18 |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 76 | 30 |
| Methimazole | Methimazole | 65 | 15 |
| Novolog Flexpen | Insulin Aspart | 62 | 32 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 58 | 20 |
| Mounjaro | Tirzepatide | 48 | 11 |
| Tradjenta | Linagliptin | 47 | suppressed |
| Rybelsus | Semaglutide | 46 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 46 | 17 |
| Ultra-Fine Nano Pen Needle | Pen Needle, Diabetic | 43 | 18 |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 40 | 18 |
| Droplet Pen Needle | Pen Needle, Diabetic | 33 | 15 |
| Insulin Syringe | Syring-Needl,disp,insul,0.3 Ml | 29 | suppressed |
| Glimepiride | Glimepiride | 28 | suppressed |
| Humalog Kwikpen U-200 | Insulin Lispro | 28 | suppressed |
| Synthroid | Levothyroxine Sodium | 26 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 23 | suppressed |
| Comfort Ez Pen Needle | Pen Needle, Diabetic | 22 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 20 | suppressed |
| Glipizide Er | Glipizide | 20 | suppressed |
| Metoprolol Succinate | Metoprolol Succinate | 20 | suppressed |
| Trueplus Pen Needle | Pen Needle, Diabetic | 20 | 11 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 19 | suppressed |
| Humalog | Insulin Lispro | 18 | suppressed |
| Alcohol Prep Pads | Alcohol Antiseptic Pads | 17 | suppressed |
| Humulin R U-500 Kwikpen | Insulin Regular, Human | 16 | suppressed |
| Insulin Syringe | Syringe-Needle,insulin,0.5 Ml | 16 | suppressed |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 15 | suppressed |
| Humulin R | Insulin Regular, Human | 15 | suppressed |
| Synjardy | Empagliflozin/Metformin Hcl | 15 | suppressed |
| Propylthiouracil | Propylthiouracil | 14 | suppressed |
| Embrace Pen Needle | Pen Needle, Diabetic | 13 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 13 | suppressed |
| Insulin Lispro | Insulin Lispro | 12 | suppressed |
| Gvoke Hypopen 1-Pack | Glucagon | 11 | suppressed |
| Novolin N Flexpen | Insulin Nph Human Isophane | 11 | suppressed |
| Ultra-Fine Micro Pen Needle | Pen Needle, Diabetic | 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 | $414.88 · 19 records | Novo Nordisk Inc | AFREZZA, EVENITY, FREESTYLE LIBRE 3, ImmunoCAP, Kerendia, MOUNJARO, TEPEZZA, The Cologuard Plus Collection Kit, Wegovy, Yorvipath, ZELSUVMI, ZEPBOUND | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Mounjaro 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