Payment overview · 2025
General Payments
$48,620.91
114 reported records · 28 companies
Healthcare provider profile · identity verified
Arvin Ps Narula, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology · SAN DIEGO, CA · NPI 1144535709
Verified facts
What the public records show
CMS Open Payments records show Arvin Ps Narula, MD received $48,620.91 in general payments during 2025 across 114 reported records.
Shockwave Medical, Inc accounted for 75.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 47 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance.
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 BRILINTA as an associated drug or biological on 993 records involving 512 distinct recipient NPIs. Public Medicare Part D data also shows 38 claims for Brilinta by this doctor in 2024.
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 11 claims for Farxiga by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 35 claims for Jardiance by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ENTRESTO as an associated drug or biological on 9346 records involving 6254 distinct recipient NPIs. Public Medicare Part D data also shows 48 claims for Entresto by this doctor in 2024.
PFIZER 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 ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 100 claims for Eliquis 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 |
|---|---|---|---|---|---|
| Shockwave Medical, Inc | Unresolved — no canonical attribution shown | $36,476.42 | 75.0% | 22 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$9,673.42 | 19.9% | 29 | 2025 |
| Endologix LLC | Unresolved — no canonical attribution shown | $497.60 | 1.0% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $350.37 | 0.7% | 14 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $346.68 | 0.7% | 4 | 2025 |
| Penumbra, Inc. | Unresolved — no canonical attribution shown | $219.91 | 0.5% | 2 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $160.84 | 0.3% | 5 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $140.65 | 0.3% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $118.19 | 0.2% | 6 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $71.75 | 0.1% | 3 | 2025 |
| Imperative Care, Inc | Unresolved — no canonical attribution shown | $64.29 | 0.1% | 3 | 2025 |
| HEARTFLOW, INC. | Unresolved — no canonical attribution shown | $64.01 | 0.1% | 1 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $44.56 | 0.1% | 2 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $38.69 | 0.1% | 2 | 2025 |
| CORDIS US CORP. | Unresolved — no canonical attribution shown | $37.52 | 0.1% | 1 | 2025 |
| Alnylam Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $37.39 | 0.1% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $31.85 | 0.1% | 2 | 2025 |
| CVRx, Inc. | Unresolved — no canonical attribution shown | $30.22 | 0.1% | 3 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $29.99 | 0.1% | 1 | 2025 |
| Tactile Systems Technology Inc | Unresolved — no canonical attribution shown | $27.24 | 0.1% | 1 | 2025 |
| United Therapeutics Corporation | Unresolved — no canonical attribution shown | $23.06 | 0.1% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $22.43 | 0.1% | 1 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $20.33 | 0.0% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $20.05 | 0.0% | 1 | 2025 |
| AltaThera Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $19.43 | 0.0% | 1 | 2025 |
| Actelion Pharmaceuticals US, Inc. | Unresolved — no canonical attribution shown | $19.12 | 0.0% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $18.42 | 0.0% | 1 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $16.48 | 0.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $35,200.00 | 9 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $8,960.00 | 2 |
| Food and Beverage | $3,963.31 | 102 |
| Travel and Lodging | $497.60 | 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 |
|---|---|---|---|---|---|
| Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Normalized: shockwave ivl system with the shockwave c2 coronary ivl catheter |
Device | Shockwave Medical, Inc | $36,476.42 | 22 | 2025 |
Source payment records
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| ABRE Normalized: abre |
Device | Medtronic, Inc. | $9,047.74 | 9 | 2025 |
Source payment records
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| ENDOCROSS Device Normalized: endocross device |
Device | Endologix LLC | $497.60 | 1 | 2025 |
Source payment records
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| Torus Stent Graft System Normalized: torus stent graft system |
Device | Endologix LLC | $497.60 | 1 | 2025 |
Source payment records
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| SAPIEN 3 Ultra RESILIA Normalized: sapien 3 ultra resilia |
Device | Edwards Lifesciences Corporation | $321.31 | 3 | 2025 |
Source payment records
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| COREVALVE EVOLUT R Normalized: corevalve evolut r |
Device | Medtronic, Inc. | $230.20 | 2 | 2025 |
Source payment records
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| Indigo System Normalized: indigo system |
Device | Penumbra, Inc. | $219.91 | 2 | 2025 |
Source payment records
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| OPTIS Normalized: optis |
Device | Abbott Laboratories | $179.13 | 2 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $160.84 | 5 | 2025 |
Source payment records
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| HAWKONE Normalized: hawkone |
Device | Medtronic, Inc. | $146.01 | 7 | 2025 |
Source payment records
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| WHOLEY Normalized: wholey |
Device | Medtronic, Inc. | $139.38 | 1 | 2025 |
Source payment records
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| WAINUA Normalized: wainua |
Drug | AstraZeneca Pharmaceuticals LP | $77.04 | 4 | 2025 |
Source payment records
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| AVEIR Normalized: aveir |
Device | Abbott Laboratories | $71.38 | 5 | 2025 |
Source payment records
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| SYMPHONY CATHETER Normalized: symphony catheter |
Device | Imperative Care, Inc | $64.29 | 3 | 2025 |
Source payment records
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| FFRct Normalized: ffrct |
Device | HEARTFLOW, INC. | $64.01 | 1 | 2025 |
Source payment records
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| GALLANT Normalized: gallant |
Device | Abbott Laboratories | $50.84 | 3 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $44.56 | 2 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $38.69 | 2 | 2025 |
Source payment records
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| VENASEAL Normalized: venaseal |
Device | Medtronic, Inc. | $38.21 | 4 | 2025 |
Source payment records
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| MYNX CONTROL Normalized: mynx control |
Device | CORDIS US CORP. | $37.52 | 1 | 2025 |
Source payment records
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| AMVUTTRA Normalized: amvuttra |
Drug | Alnylam Pharmaceuticals Inc. | $37.39 | 2 | 2025 |
Source payment records
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| IN.PACT ADMIRAL Normalized: in pact admiral |
Device | Medtronic, Inc. | $35.11 | 4 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $31.85 | 2 | 2025 |
Source payment records
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| FARAPULSE Normalized: farapulse |
Device | Boston Scientific Corporation | $30.42 | 1 | 2025 |
Source payment records
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| Barostim Neo System Normalized: barostim neo system |
Device | CVRx, Inc. | $30.22 | 3 | 2025 |
Source payment records
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| VERQUVO Normalized: verquvo |
Drug | Merck Sharp & Dohme LLC | $29.99 | 1 | 2025 |
Source payment records
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| Flexitouch Plus Normalized: flexitouch plus |
Device | Tactile Systems Technology Inc | $27.24 | 1 | 2025 |
Source payment records
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| Nimbl Normalized: nimbl |
Device | Tactile Systems Technology Inc | $27.24 | 1 | 2025 |
Source payment records
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| General - Balloon Catheters Normalized: general balloon catheters |
Device | Boston Scientific Corporation | $26.94 | 1 | 2025 |
Source payment records
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| PASCAL Normalized: pascal |
Device | Edwards Lifesciences Corporation | $25.37 | 1 | 2025 |
Source payment records
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| ONYX FRONTIER Normalized: onyx frontier |
Device | Medtronic, Inc. | $23.45 | 1 | 2025 |
Source payment records
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| TYVASO Normalized: tyvaso |
Drug | United Therapeutics Corporation | $23.06 | 1 | 2025 |
Source payment records
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| VYNDAQEL Normalized: vyndaqel |
Drug | PFIZER INC. | $22.43 | 1 | 2025 |
Source payment records
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| JOT DX Normalized: jot dx |
Device | Abbott Laboratories | $22.20 | 1 | 2025 |
Source payment records
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| EVKEEZA Normalized: evkeeza |
Biological | Regeneron Healthcare Solutions, Inc. | $20.33 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $20.05 | 1 | 2025 |
Source payment records
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| Sotalol Hydrochloride Normalized: sotalol hydrochloride |
Drug | AltaThera Pharmaceuticals LLC | $19.43 | 1 | 2025 |
Source payment records
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| OPSYNVI Normalized: opsynvi |
Drug | Actelion Pharmaceuticals US, Inc. | $19.12 | 1 | 2025 |
Source payment records
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| UPTRAVI Normalized: uptravi |
Drug | Actelion Pharmaceuticals US, Inc. | $19.12 | 1 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $18.42 | 1 | 2025 |
Source payment records
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| LOKELMA Normalized: lokelma |
Drug | AstraZeneca Pharmaceuticals LP | $17.46 | 1 | 2025 |
Source payment records
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| IGT Devices Undivided Normalized: igt devices undivided |
Device | Philips North America LLC | $16.48 | 1 | 2025 |
Source payment records
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| WATCHMAN Normalized: watchman |
Device | Boston Scientific Corporation | $14.39 | 1 | 2025 |
Source payment records
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| SYMPLICITY G3 Normalized: symplicity g3 |
Device | Medtronic, Inc. | $13.32 | 1 | 2025 |
Source payment records
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| XIENCE SKYPOINT Normalized: xience skypoint |
Device | Abbott Laboratories | $12.50 | 1 | 2025 |
Source payment records
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| CARDIOMEMS Normalized: cardiomems |
Device | Abbott Laboratories | $11.44 | 1 | 2025 |
Source payment records
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| ULTREON Normalized: ultreon |
Device | Abbott Laboratories | $2.88 | 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 | 35 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | BRILINTA open payments reported associated product |
CMS Open Payments — General Payments 993 supporting records · 512 recipient NPIs · example record 1206131430 |
Brilinta · 2024 Exact normalized brand match · 1 Part D row |
38 | 14 |
| 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 |
11 | suppressed by CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
35 | 18 |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | ENTRESTO open payments reported associated product |
CMS Open Payments — General Payments 9346 supporting records · 6254 recipient NPIs · example record 1200004797 |
Entresto · 2024 Exact normalized brand match · 1 Part D row |
48 | 18 |
| PFIZER INC. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 87112 supporting records · 36032 recipient NPIs · example record 1228794063 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
100 | 39 |
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 | 225 | 76 |
| Carvedilol | Carvedilol | 135 | 49 |
| Metoprolol Succinate | Metoprolol Succinate | 130 | 45 |
| Valsartan | Valsartan | 126 | 44 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 125 | 51 |
| Eliquis | Apixaban | 100 | 39 |
| Amlodipine Besylate | Amlodipine Besylate | 92 | 41 |
| Furosemide | Furosemide | 83 | 29 |
| Spironolactone | Spironolactone | 81 | 32 |
| Clopidogrel | Clopidogrel Bisulfate | 80 | 32 |
| Metoprolol Tartrate | Metoprolol Tartrate | 78 | 30 |
| Losartan Potassium | Losartan Potassium | 70 | 28 |
| Ezetimibe | Ezetimibe | 66 | 28 |
| Entresto | Sacubitril/Valsartan | 48 | 18 |
| Hydrochlorothiazide | Hydrochlorothiazide | 44 | 14 |
| Lisinopril | Lisinopril | 42 | 16 |
| Brilinta | Ticagrelor | 38 | 14 |
| Jardiance | Empagliflozin | 35 | 18 |
| Xarelto | Rivaroxaban | 34 | 17 |
| Nitroglycerin | Nitroglycerin | 25 | 16 |
| Bumetanide | Bumetanide | 22 | suppressed |
| Potassium Chloride | Potassium Chloride | 18 | suppressed |
| Chlorthalidone | Chlorthalidone | 17 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 17 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | suppressed |
| Nifedipine Er | Nifedipine | 14 | suppressed |
| Repatha Sureclick | Evolocumab | 14 | suppressed |
| Levothyroxine Sodium | Levothyroxine Sodium | 13 | suppressed |
| Vascepa | Icosapent Ethyl | 13 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 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 | $48,620.91 · 114 records | Shockwave Medical, Inc | ABRE, AMVUTTRA, AVEIR, Barostim Neo System, CARDIOMEMS, COREVALVE EVOLUT R, ENDOCROSS Device, EVKEEZA, FARAPULSE, FFRct, Flexitouch Plus, GALLANT, General - Balloon Catheters, HAWKONE, IGT Devices Undivided, IN.PACT ADMIRAL, Indigo System, JARDIANCE, JOT DX, Kerendia, LEQVIO, LOKELMA, LifeVest, MYNX CONTROL, Nimbl, ONYX FRONTIER, OPSYNVI, OPTIS, PASCAL, REPATHA, SAPIEN 3 Ultra RESILIA, SHINGRIX, SYMPHONY CATHETER, SYMPLICITY G3, Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter, Sotalol Hydrochloride, TYVASO, Torus Stent Graft System, ULTREON, UPTRAVI, VENASEAL, VERQUVO, VYNDAQEL, WAINUA, WATCHMAN, WHOLEY, XIENCE SKYPOINT | 5 | — |
| 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 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