Payment overview · 2025
General Payments
$89.84
4 reported records · 3 companies
Healthcare provider profile · identity verified
Rafael Crespo, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · MIAMI, FL · NPI 1104866235
Verified facts
What the public records show
CMS Open Payments records show Rafael Crespo, M.D. received $89.84 in general payments during 2025 across 4 reported records.
Exact Sciences Corporation accounted for 61.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 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 |
|---|---|---|---|---|---|
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $55.52 | 61.8% | 2 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $20.12 | 22.4% | 1 | 2025 |
| Cipher Pharmaceuticals US LLC | Unresolved — no canonical attribution shown | $14.20 | 15.8% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $89.84 | 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 |
|---|---|---|---|---|---|
| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $55.52 | 2 | 2025 |
Source payment records
|
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $20.12 | 1 | 2025 |
Source payment records
|
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| Natroba Normalized: natroba |
Drug | Cipher Pharmaceuticals US LLC | $14.20 | 1 | 2025 |
Source payment records
|
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| Spinosad Normalized: spinosad |
Drug | Cipher Pharmaceuticals US LLC | $14.20 | 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.
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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 203 | 96 |
| Losartan Potassium | Losartan Potassium | 184 | 77 |
| Omeprazole | Omeprazole | 167 | 60 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 159 | 94 |
| Gabapentin | Gabapentin | 132 | 65 |
| Levothyroxine Sodium | Levothyroxine Sodium | 132 | 42 |
| Amlodipine Besylate | Amlodipine Besylate | 131 | 67 |
| Eliquis | Apixaban | 109 | 66 |
| Lisinopril | Lisinopril | 105 | 50 |
| Metoprolol Tartrate | Metoprolol Tartrate | 105 | 46 |
| Metoprolol Succinate | Metoprolol Succinate | 102 | 50 |
| Simvastatin | Simvastatin | 101 | 35 |
| Pantoprazole Sodium | Pantoprazole Sodium | 96 | 73 |
| Furosemide | Furosemide | 92 | 56 |
| Nifedipine Er | Nifedipine | 91 | 36 |
| Tamsulosin Hcl | Tamsulosin Hcl | 88 | 45 |
| Metformin Hcl | Metformin Hcl | 86 | 34 |
| Alprazolam | Alprazolam | 84 | 17 |
| Carvedilol | Carvedilol | 84 | 49 |
| Zolpidem Tartrate | Zolpidem Tartrate | 76 | 12 |
| Clonidine Hcl | Clonidine Hcl | 75 | 18 |
| Fluticasone Propionate | Fluticasone Propionate | 69 | 19 |
| Hydralazine Hcl | Hydralazine Hcl | 69 | 31 |
| Clopidogrel | Clopidogrel Bisulfate | 68 | 30 |
| Famotidine | Famotidine | 67 | 40 |
| Temazepam | Temazepam | 66 | 14 |
| Lorazepam | Lorazepam | 65 | 13 |
| Montelukast Sodium | Montelukast Sodium | 65 | 23 |
| Azithromycin | Azithromycin | 63 | 53 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 55 | 22 |
| Diclofenac Sodium | Diclofenac Sodium | 53 | 24 |
| Atenolol | Atenolol | 50 | 15 |
| Ibuprofen | Ibuprofen | 49 | 16 |
| Clonazepam | Clonazepam | 48 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 44 | 16 |
| Cefdinir | Cefdinir | 44 | 40 |
| Dicyclomine Hcl | Dicyclomine Hcl | 43 | 14 |
| Linzess | Linaclotide | 43 | 15 |
| Hydrochlorothiazide | Hydrochlorothiazide | 39 | 22 |
| Nitroglycerin | Nitroglycerin | 39 | 28 |
| Escitalopram Oxalate | Escitalopram Oxalate | 38 | suppressed |
| Ozempic | Semaglutide | 35 | suppressed |
| Entresto | Sacubitril/Valsartan | 34 | 24 |
| Meclizine Hcl | Meclizine Hcl | 34 | 12 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 33 | 26 |
| Mupirocin | Mupirocin | 33 | 20 |
| Tramadol Hcl | Tramadol Hcl | 33 | 30 |
| Januvia | Sitagliptin Phosphate | 32 | suppressed |
| Levofloxacin | Levofloxacin | 32 | 32 |
| Glipizide | Glipizide | 30 | 11 |
| Irbesartan | Irbesartan | 29 | suppressed |
| Naproxen | Naproxen | 29 | 19 |
| Xarelto | Rivaroxaban | 28 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 27 | 24 |
| Citalopram Hbr | Citalopram Hydrobromide | 26 | suppressed |
| Hydrocortisone | Hydrocortisone | 26 | suppressed |
| Meloxicam | Meloxicam | 26 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 26 | 12 |
| Memantine Hcl Er | Memantine Hcl | 25 | suppressed |
| Myrbetriq | Mirabegron | 25 | 11 |
| Trazodone Hcl | Trazodone Hcl | 25 | suppressed |
| Methylprednisolone | Methylprednisolone | 24 | 22 |
| Pregabalin | Pregabalin | 24 | suppressed |
| Allopurinol | Allopurinol | 22 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 21 | 13 |
| Metronidazole | Metronidazole | 21 | 19 |
| Enalapril Maleate | Enalapril Maleate | 20 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 20 | suppressed |
| Vascepa | Icosapent Ethyl | 20 | suppressed |
| Symbicort | Budesonide/Formoterol Fumarate | 19 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 18 | 14 |
| Candesartan Cilexetil | Candesartan Cilexetil | 18 | 15 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 18 | 17 |
| Valsartan | Valsartan | 18 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 17 | 12 |
| Labetalol Hcl | Labetalol Hcl | 17 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 17 | 15 |
| Digoxin | Digoxin | 16 | suppressed |
| Dutasteride | Dutasteride | 16 | suppressed |
| Jardiance | Empagliflozin | 16 | suppressed |
| Brilinta | Ticagrelor | 14 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 14 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Finasteride | Finasteride | 14 | suppressed |
| Ketoconazole | Ketoconazole | 14 | suppressed |
| Lactulose | Lactulose | 14 | suppressed |
| Mometasone Furoate | Mometasone Furoate | 14 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 14 | suppressed |
| Spironolactone | Spironolactone | 14 | 13 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 13 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 13 | suppressed |
| Novolog Flexpen | Insulin Aspart | 13 | suppressed |
| Santyl | Collagenase Clostridium Hist. | 13 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 13 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 12 | suppressed |
| Humalog Kwikpen U-100 | Insulin Lispro | 12 | suppressed |
| Levetiracetam | Levetiracetam | 12 | suppressed |
| Triazolam | Triazolam | 12 | suppressed |
| Crestor | Rosuvastatin Calcium | 11 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 11 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 11 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 11 | suppressed |
| Nystatin | Nystatin | 11 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 11 | 11 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 11 | suppressed |
| Triumeq | Abacavir/Dolutegravir/Lamivudi | 11 | suppressed |
| Trulicity | Dulaglutide | 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 | $89.84 · 4 records | Exact Sciences Corporation | Natroba, Spinosad, The Cologuard Plus Collection Kit, XIFAXAN | — | — |
| 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