Payment overview · 2025
General Payments
$313.52
11 reported records · 4 companies
Healthcare provider profile · identity verified
Carlos Ernesto Vaca, MD
Allopathic & Osteopathic Physicians|Internal Medicine · MIAMI, FL · NPI 1154437028
Verified facts
What the public records show
CMS Open Payments records show Carlos Ernesto Vaca, MD received $313.52 in general payments during 2025 across 11 reported records.
AstraZeneca Pharmaceuticals LP accounted for 43.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 5 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Trelegy Ellipta.
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 87 claims for Farxiga by this doctor in 2024.
GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 91 claims for Trelegy Ellipta 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $135.56 | 43.2% | 5 | 2025 |
| BIOTRONIK NRO, Inc. | Unresolved — no canonical attribution shown | $84.24 | 26.9% | 1 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $64.47 | 20.6% | 3 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $29.25 | 9.3% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $313.52 | 11 |
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 |
|---|---|---|---|---|---|
| Prospera Normalized: prospera |
Device | BIOTRONIK NRO, Inc. | $84.24 | 1 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $78.50 | 3 | 2025 |
Source payment records
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| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $76.86 | 3 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $64.47 | 3 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $29.25 | 2 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 87 | exact normalized | Medicare Part D |
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 91 | 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 | 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 |
87 | 30 |
| GlaxoSmithKline, LLC. Exact reporting entity; no affiliate inference |
2025 | TRELEGY ELLIPTA open payments reported associated product |
CMS Open Payments — General Payments 131532 supporting records · 37148 recipient NPIs · example record 1190332369 |
Trelegy Ellipta · 2024 Exact normalized brand match · 1 Part D row |
91 | 27 |
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 |
|---|---|---|---|
| Celecoxib | Celecoxib | 180 | 75 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 173 | 58 |
| Diclofenac Sodium | Diclofenac Sodium | 158 | 54 |
| Ozempic | Semaglutide | 150 | 30 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 148 | 49 |
| Oxycodone Hcl | Oxycodone Hcl | 143 | 14 |
| Fluticasone Propionate | Fluticasone Propionate | 136 | 49 |
| Atorvastatin Calcium | Atorvastatin Calcium | 134 | 43 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 125 | 47 |
| Amlodipine Besylate | Amlodipine Besylate | 125 | 40 |
| Omega-3 Acid Ethyl Esters | Omega-3 Acid Ethyl Esters | 121 | 50 |
| Levothyroxine Sodium | Levothyroxine Sodium | 113 | 29 |
| Pantoprazole Sodium | Pantoprazole Sodium | 112 | 37 |
| Metoprolol Succinate | Metoprolol Succinate | 104 | 34 |
| Alprazolam | Alprazolam | 99 | 18 |
| Ketoconazole | Ketoconazole | 93 | 27 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 91 | 27 |
| Metformin Hcl | Metformin Hcl | 89 | 33 |
| Farxiga | Dapagliflozin Propanediol | 87 | 30 |
| Lisinopril | Lisinopril | 84 | 29 |
| Alcohol Prep Pads | Alcohol Antiseptic Pads | 83 | 34 |
| Clopidogrel | Clopidogrel Bisulfate | 80 | 23 |
| Omeprazole | Omeprazole | 80 | 28 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 77 | suppressed |
| Losartan Potassium | Losartan Potassium | 71 | 21 |
| Valsartan | Valsartan | 70 | 24 |
| Gabapentin | Gabapentin | 65 | 21 |
| Famotidine | Famotidine | 58 | 27 |
| Irbesartan | Irbesartan | 58 | 16 |
| Zolpidem Tartrate | Zolpidem Tartrate | 57 | suppressed |
| Clonazepam | Clonazepam | 54 | 18 |
| Ammonium Lactate | Ammonium Lactate | 52 | 15 |
| Azithromycin | Azithromycin | 52 | 36 |
| Montelukast Sodium | Montelukast Sodium | 52 | 15 |
| Finasteride | Finasteride | 49 | 14 |
| Metoprolol Tartrate | Metoprolol Tartrate | 47 | 14 |
| Trazodone Hcl | Trazodone Hcl | 46 | 14 |
| Meclizine Hcl | Meclizine Hcl | 45 | 14 |
| Tamsulosin Hcl | Tamsulosin Hcl | 44 | 15 |
| Mupirocin | Mupirocin | 42 | 15 |
| Carvedilol | Carvedilol | 41 | 13 |
| Alendronate Sodium | Alendronate Sodium | 40 | 15 |
| Vascepa | Icosapent Ethyl | 40 | suppressed |
| Nystatin | Nystatin | 39 | 13 |
| Temazepam | Temazepam | 39 | suppressed |
| Memantine Hcl | Memantine Hcl | 38 | 11 |
| Xarelto | Rivaroxaban | 34 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 32 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 31 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 30 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 30 | 13 |
| Ciclopirox | Ciclopirox | 27 | suppressed |
| Mounjaro | Tirzepatide | 24 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 23 | suppressed |
| Furosemide | Furosemide | 22 | suppressed |
| Telmisartan | Telmisartan | 22 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 21 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 20 | suppressed |
| Ibuprofen | Ibuprofen | 20 | suppressed |
| Meloxicam | Meloxicam | 20 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 18 | suppressed |
| Folic Acid | Folic Acid | 18 | suppressed |
| Simvastatin | Simvastatin | 18 | suppressed |
| Glipizide | Glipizide | 17 | suppressed |
| Allopurinol | Allopurinol | 16 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 16 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 15 | 13 |
| Clindamycin Phosphate | Clindamycin Phosphate | 15 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 15 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 15 | suppressed |
| Mirtazapine | Mirtazapine | 15 | suppressed |
| Nifedipine Er | Nifedipine | 15 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 15 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 15 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 14 | suppressed |
| Latanoprost | Latanoprost | 14 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 14 | suppressed |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 13 | suppressed |
| Glimepiride | Glimepiride | 13 | suppressed |
| Halobetasol Propionate | Halobetasol Propionate | 13 | suppressed |
| Linzess | Linaclotide | 13 | suppressed |
| Lorazepam | Lorazepam | 13 | suppressed |
| Nabumetone | Nabumetone | 13 | suppressed |
| Ofloxacin | Ofloxacin | 13 | suppressed |
| Prednisolone Acetate | Prednisolone Acetate | 13 | suppressed |
| Prednisone | Prednisone | 13 | suppressed |
| Sotalol | Sotalol Hcl | 13 | suppressed |
| Bupropion Xl | Bupropion Hcl | 12 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 12 | suppressed |
| Naproxen | Naproxen | 12 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 12 | suppressed |
| Phenobarbital | Phenobarbital | 12 | suppressed |
| Pregabalin | Pregabalin | 12 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 12 | suppressed |
| Dorzolamide Hcl | Dorzolamide Hcl | 11 | suppressed |
| Entresto | Sacubitril/Valsartan | 11 | suppressed |
| Hydrocortisone | Hydrocortisone | 11 | suppressed |
| Januvia | Sitagliptin Phosphate | 11 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 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 | $313.52 · 11 records | AstraZeneca Pharmaceuticals LP | AIRSUPRA, FARXIGA, Prospera, TRELEGY ELLIPTA, XIFAXAN | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Farxiga 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