Payment overview · 2025
General Payments
$218.34
8 reported records · 7 companies
Healthcare provider profile · identity verified
April Prater, APRN
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · PRESTONSBURG, KY · NPI 1124622634
Verified facts
What the public records show
CMS Open Payments records show April Prater, APRN received $218.34 in general payments during 2025 across 8 reported records.
REVANCE THERAPEUTICS, INC. accounted for 37.7% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 6 associated products.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Farxiga 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 56 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 17 claims for Trulicity 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 |
|---|---|---|---|---|---|
| REVANCE THERAPEUTICS, INC. | Unresolved — no canonical attribution shown | $82.29 | 37.7% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $45.00 | 20.6% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $21.94 | 10.1% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $20.21 | 9.3% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $19.54 | 8.9% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $15.45 | 7.1% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $13.91 | 6.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $173.34 | 7 |
| Education | $45.00 | 1 |
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 |
|---|---|---|---|---|---|
| DAXXIFY Normalized: daxxify |
Drug | REVANCE THERAPEUTICS, INC. | $82.29 | 2 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $21.94 | 1 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $20.21 | 1 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $19.54 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $15.45 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $13.91 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
| 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 |
56 | 13 |
| 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 |
17 | 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 |
|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 190 | 46 |
| Atorvastatin Calcium | Atorvastatin Calcium | 187 | 56 |
| Gabapentin | Gabapentin | 178 | 39 |
| Lisinopril | Lisinopril | 159 | 48 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 149 | 49 |
| Omeprazole | Omeprazole | 145 | 36 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 138 | 34 |
| Levothyroxine Sodium | Levothyroxine Sodium | 137 | 35 |
| Fluticasone Propionate | Fluticasone Propionate | 133 | 38 |
| Metformin Hcl | Metformin Hcl | 109 | 28 |
| Tamsulosin Hcl | Tamsulosin Hcl | 106 | 24 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 96 | 24 |
| Famotidine | Famotidine | 93 | 23 |
| Amlodipine Besylate | Amlodipine Besylate | 88 | 24 |
| Losartan Potassium | Losartan Potassium | 82 | 17 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 81 | 16 |
| Montelukast Sodium | Montelukast Sodium | 80 | 15 |
| Furosemide | Furosemide | 78 | 21 |
| Metoprolol Tartrate | Metoprolol Tartrate | 77 | 19 |
| Duloxetine Hcl | Duloxetine Hcl | 76 | 17 |
| Hydrochlorothiazide | Hydrochlorothiazide | 67 | 18 |
| Azithromycin | Azithromycin | 66 | 58 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 66 | 20 |
| Clopidogrel | Clopidogrel Bisulfate | 65 | 16 |
| Trazodone Hcl | Trazodone Hcl | 64 | 19 |
| Citalopram Hbr | Citalopram Hydrobromide | 63 | 12 |
| Simvastatin | Simvastatin | 60 | 12 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 59 | 12 |
| Methylprednisolone | Methylprednisolone | 59 | 53 |
| Ibuprofen | Ibuprofen | 58 | 16 |
| Carvedilol | Carvedilol | 56 | 13 |
| Mounjaro | Tirzepatide | 56 | 13 |
| Diclofenac Sodium | Diclofenac Sodium | 54 | 17 |
| Potassium Chloride | Potassium Chloride | 54 | 17 |
| Metoprolol Succinate | Metoprolol Succinate | 50 | 15 |
| Meloxicam | Meloxicam | 48 | 15 |
| Allopurinol | Allopurinol | 46 | suppressed |
| Ezetimibe | Ezetimibe | 44 | suppressed |
| Ozempic | Semaglutide | 44 | 12 |
| Ropinirole Hcl | Ropinirole Hcl | 39 | 12 |
| Alprazolam | Alprazolam | 38 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 38 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 37 | 31 |
| Hydralazine Hcl | Hydralazine Hcl | 37 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 37 | 12 |
| Fluoxetine Hcl | Fluoxetine Hcl | 36 | suppressed |
| Ondansetron Odt | Ondansetron | 36 | 16 |
| Quetiapine Fumarate | Quetiapine Fumarate | 35 | 14 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 34 | 12 |
| Clonazepam | Clonazepam | 32 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 31 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 30 | 11 |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 30 | suppressed |
| Sucralfate | Sucralfate | 29 | 11 |
| Ventolin Hfa | Albuterol Sulfate | 28 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 27 | suppressed |
| Diazepam | Diazepam | 27 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 27 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 27 | 12 |
| Clindamycin Hcl | Clindamycin Hcl | 26 | 22 |
| Fluconazole | Fluconazole | 25 | 17 |
| Irbesartan | Irbesartan | 25 | suppressed |
| Nifedipine Er | Nifedipine | 25 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 24 | 23 |
| Dicyclomine Hcl | Dicyclomine Hcl | 24 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 24 | suppressed |
| Spironolactone | Spironolactone | 24 | suppressed |
| Cefdinir | Cefdinir | 23 | 21 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 23 | suppressed |
| Nystatin | Nystatin | 23 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 22 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 22 | suppressed |
| Levofloxacin | Levofloxacin | 21 | 14 |
| Sumatriptan Succinate | Sumatriptan Succinate | 19 | suppressed |
| Celecoxib | Celecoxib | 18 | suppressed |
| Mupirocin | Mupirocin | 18 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 18 | suppressed |
| Trulicity | Dulaglutide | 17 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 16 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 16 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 16 | suppressed |
| Fenofibrate | Fenofibrate | 16 | suppressed |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 16 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 16 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 16 | suppressed |
| Benazepril-Hydrochlorothiazide | Benazepril/Hydrochlorothiazide | 15 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 15 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | suppressed |
| Linzess | Linaclotide | 15 | suppressed |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 15 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 15 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 14 | suppressed |
| Eliquis | Apixaban | 14 | suppressed |
| Bumetanide | Bumetanide | 13 | suppressed |
| Dropsafe Prep Pads | Alcohol Antiseptic Pads | 13 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Cephalexin | Cephalexin | 12 | 11 |
| Glipizide Er | Glipizide | 12 | suppressed |
| Lamotrigine | Lamotrigine | 12 | suppressed |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 12 | suppressed |
| Temazepam | Temazepam | 12 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 12 | suppressed |
| Bupropion Xl | Bupropion Hcl | 11 | suppressed |
| Finasteride | Finasteride | 11 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 11 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 11 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 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 | $218.34 · 8 records | REVANCE THERAPEUTICS, INC. | AIRSUPRA, Cologuard Collection Kit, DAXXIFY, JOURNAVX, Kerendia, LEQVIO | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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