Payment overview · 2025
General Payments
$473.54
6 reported records · 4 companies
Healthcare provider profile · identity verified
Sandra L Howard, FNP
Allopathic & Osteopathic Physicians|Family Medicine · WALNUT RIDGE, AR · NPI 1184010340
Verified facts
What the public records show
CMS Open Payments records show Sandra L Howard, FNP received $473.54 in general payments during 2025 across 6 reported records.
HEARTFLOW, INC. accounted for 31.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
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 18 claims for Jardiance 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 |
|---|---|---|---|---|---|
| HEARTFLOW, INC. | Unresolved — no canonical attribution shown | $147.39 | 31.1% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $141.93 | 30.0% | 3 | 2025 |
| Phathom Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $94.12 | 19.9% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $90.10 | 19.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $473.54 | 6 |
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 |
|---|---|---|---|---|---|
| FFRct Normalized: ffrct |
Device | HEARTFLOW, INC. | $147.39 | 1 | 2025 |
Source payment records
|
|||||
| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $141.93 | 3 | 2025 |
Source payment records
|
|||||
| VOQUEZNA Normalized: voquezna |
Drug | Phathom Pharmaceuticals, Inc. | $94.12 | 1 | 2025 |
Source payment records
|
|||||
| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $90.10 | 1 | 2025 |
Source payment records
|
|||||
* 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 |
|---|---|---|---|---|---|---|
| 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 |
18 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 277 | 79 |
| Gabapentin | Gabapentin | 209 | 57 |
| Omeprazole | Omeprazole | 197 | 51 |
| Lisinopril | Lisinopril | 186 | 51 |
| Tramadol Hcl | Tramadol Hcl | 165 | 30 |
| Amlodipine Besylate | Amlodipine Besylate | 151 | 44 |
| Hydrochlorothiazide | Hydrochlorothiazide | 147 | 40 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 127 | 56 |
| Levothyroxine Sodium | Levothyroxine Sodium | 123 | 32 |
| Losartan Potassium | Losartan Potassium | 117 | 33 |
| Pantoprazole Sodium | Pantoprazole Sodium | 113 | 29 |
| Metformin Hcl | Metformin Hcl | 105 | 32 |
| Meloxicam | Meloxicam | 103 | 31 |
| Tamsulosin Hcl | Tamsulosin Hcl | 79 | 19 |
| Alprazolam | Alprazolam | 78 | 16 |
| Potassium Chloride | Potassium Chloride | 78 | 19 |
| Sertraline Hcl | Sertraline Hcl | 70 | 16 |
| Furosemide | Furosemide | 68 | 23 |
| Montelukast Sodium | Montelukast Sodium | 68 | 17 |
| Duloxetine Hcl | Duloxetine Hcl | 66 | 15 |
| Clopidogrel | Clopidogrel Bisulfate | 64 | 18 |
| Eliquis | Apixaban | 61 | 12 |
| Ezetimibe | Ezetimibe | 60 | 16 |
| Citalopram Hbr | Citalopram Hydrobromide | 57 | 15 |
| Escitalopram Oxalate | Escitalopram Oxalate | 55 | 12 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 54 | 18 |
| Metoprolol Succinate | Metoprolol Succinate | 54 | 13 |
| Allopurinol | Allopurinol | 51 | 15 |
| Zolpidem Tartrate | Zolpidem Tartrate | 50 | 14 |
| Pravastatin Sodium | Pravastatin Sodium | 49 | 11 |
| Ozempic | Semaglutide | 48 | 12 |
| Carvedilol | Carvedilol | 47 | 17 |
| Simvastatin | Simvastatin | 46 | 14 |
| Azithromycin | Azithromycin | 44 | 38 |
| Fluticasone Propionate | Fluticasone Propionate | 43 | 22 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 43 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 41 | 31 |
| Ondansetron Hcl | Ondansetron Hcl | 41 | 20 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 41 | 18 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 40 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 38 | 14 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 38 | 32 |
| Tizanidine Hcl | Tizanidine Hcl | 38 | 14 |
| Amitriptyline Hcl | Amitriptyline Hcl | 36 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 36 | 33 |
| Fluoxetine Hcl | Fluoxetine Hcl | 36 | 12 |
| Metoprolol Tartrate | Metoprolol Tartrate | 35 | suppressed |
| Topiramate | Topiramate | 33 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 32 | suppressed |
| Pregabalin | Pregabalin | 31 | suppressed |
| Chlorthalidone | Chlorthalidone | 30 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 29 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 28 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 28 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 28 | suppressed |
| Cephalexin | Cephalexin | 27 | 25 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 26 | 11 |
| Nifedipine Er | Nifedipine | 25 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 25 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 25 | 12 |
| Diclofenac Sodium | Diclofenac Sodium | 24 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 21 | suppressed |
| Cefdinir | Cefdinir | 20 | 19 |
| Celecoxib | Celecoxib | 20 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 20 | suppressed |
| Atenolol | Atenolol | 19 | suppressed |
| Famotidine | Famotidine | 19 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 19 | suppressed |
| Glipizide Er | Glipizide | 19 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 19 | suppressed |
| Nystatin | Nystatin | 19 | 11 |
| Jardiance | Empagliflozin | 18 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 18 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 17 | suppressed |
| Estradiol | Estradiol | 17 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 17 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 17 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 16 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 16 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 16 | 13 |
| Hydralazine Hcl | Hydralazine Hcl | 16 | suppressed |
| Ondansetron Odt | Ondansetron | 16 | suppressed |
| Sotalol | Sotalol Hcl | 16 | suppressed |
| Clonazepam | Clonazepam | 14 | suppressed |
| Fluconazole | Fluconazole | 14 | 13 |
| Glimepiride | Glimepiride | 14 | suppressed |
| Glipizide | Glipizide | 14 | suppressed |
| Januvia | Sitagliptin Phosphate | 14 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 14 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 14 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 14 | suppressed |
| Carisoprodol | Carisoprodol | 13 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 13 | suppressed |
| Methylprednisolone | Methylprednisolone | 13 | 13 |
| Advair Diskus | Fluticasone Propion/Salmeterol | 12 | suppressed |
| Levofloxacin | Levofloxacin | 12 | 12 |
| Rizatriptan | Rizatriptan Benzoate | 12 | suppressed |
| Amoxicillin | Amoxicillin | 11 | suppressed |
| Baclofen | Baclofen | 11 | suppressed |
| Rybelsus | Semaglutide | 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 | $473.54 · 6 records | HEARTFLOW, INC. | FFRct, VOQUEZNA, VRAYLAR, ZEPBOUND | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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