Payment overview · 2025
General Payments
$93.57
5 reported records · 5 companies
Healthcare provider profile · identity verified
Michael Cascarina, MD
Allopathic & Osteopathic Physicians|Family Medicine · BRICK, NJ · NPI 1194732982
Verified facts
What the public records show
CMS Open Payments records show Michael Cascarina, MD received $93.57 in general payments during 2025 across 5 reported records.
Baxter Healthcare accounted for 23.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 6 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Ozempic.
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 30 claims for Farxiga by this doctor in 2024.
Novo Nordisk 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 Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Ozempic 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 |
|---|---|---|---|---|---|
| Baxter Healthcare | Unresolved — no canonical attribution shown | $22.11 | 23.6% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $18.85 | 20.1% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $18.79 | 20.1% | 1 | 2025 |
| SANOFI PASTEUR INC. | Unresolved — no canonical attribution shown | $18.36 | 19.6% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $15.46 | 16.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $93.57 | 5 |
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 |
|---|---|---|---|---|---|
| Hillrom - Carnation Ambulatory Monitor Normalized: hillrom carnation ambulatory monitor |
Device | Baxter Healthcare | $22.11 | 1 | 2025 |
Source payment records
|
|||||
| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $18.85 | 1 | 2025 |
Source payment records
|
|||||
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $18.79 | 1 | 2025 |
Source payment records
|
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $18.79 | 1 | 2025 |
Source payment records
|
|||||
| FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE Normalized: flublok quadrivalent northern hemisphere |
Biological | SANOFI PASTEUR INC. | $18.36 | 1 | 2025 |
Source payment records
|
|||||
| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $15.46 | 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 |
|---|---|---|---|---|---|---|
| FARXIGA farxiga |
2025 | Farxiga | 2024 | 30 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 31 Beneficiary count suppressed |
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 |
30 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Ozempic open payments reported associated product |
CMS Open Payments — General Payments 261625 supporting records · 77793 recipient NPIs · example record 1188130076 |
Ozempic · 2024 Exact normalized brand match · 1 Part D row |
31 | 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 | 702 | 205 |
| Levothyroxine Sodium | Levothyroxine Sodium | 282 | 85 |
| Lisinopril | Lisinopril | 282 | 86 |
| Amlodipine Besylate | Amlodipine Besylate | 241 | 76 |
| Metformin Hcl | Metformin Hcl | 219 | 73 |
| Losartan Potassium | Losartan Potassium | 217 | 72 |
| Metoprolol Succinate | Metoprolol Succinate | 210 | 58 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 186 | 64 |
| Omeprazole | Omeprazole | 181 | 60 |
| Escitalopram Oxalate | Escitalopram Oxalate | 176 | 64 |
| Tamsulosin Hcl | Tamsulosin Hcl | 174 | 51 |
| Pantoprazole Sodium | Pantoprazole Sodium | 152 | 44 |
| Sertraline Hcl | Sertraline Hcl | 129 | 42 |
| Diclofenac Sodium | Diclofenac Sodium | 124 | 52 |
| Simvastatin | Simvastatin | 124 | 35 |
| Gabapentin | Gabapentin | 123 | 42 |
| Hydrochlorothiazide | Hydrochlorothiazide | 118 | 44 |
| Furosemide | Furosemide | 117 | 37 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 110 | 38 |
| Fluticasone Propionate | Fluticasone Propionate | 103 | 46 |
| Montelukast Sodium | Montelukast Sodium | 101 | 32 |
| Prednisone | Prednisone | 100 | 58 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 95 | 27 |
| Amoxicillin | Amoxicillin | 80 | 67 |
| Bupropion Xl | Bupropion Hcl | 79 | 22 |
| Fluoxetine Hcl | Fluoxetine Hcl | 75 | 25 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 72 | 23 |
| Allopurinol | Allopurinol | 71 | 21 |
| Duloxetine Hcl | Duloxetine Hcl | 70 | 28 |
| Metoprolol Tartrate | Metoprolol Tartrate | 67 | 23 |
| Famotidine | Famotidine | 65 | 22 |
| Alprazolam | Alprazolam | 62 | 36 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 61 | 38 |
| Quetiapine Fumarate | Quetiapine Fumarate | 60 | 17 |
| Tramadol Hcl | Tramadol Hcl | 60 | 20 |
| Glipizide | Glipizide | 56 | 18 |
| Clopidogrel | Clopidogrel Bisulfate | 55 | 22 |
| Trazodone Hcl | Trazodone Hcl | 52 | 20 |
| Jardiance | Empagliflozin | 50 | 13 |
| Atenolol | Atenolol | 49 | 14 |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 49 | 27 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 48 | 23 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 47 | 15 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 45 | suppressed |
| Potassium Chloride | Potassium Chloride | 45 | 19 |
| Valsartan | Valsartan | 45 | 15 |
| Doxycycline Hyclate | Doxycycline Hyclate | 44 | 37 |
| Meloxicam | Meloxicam | 43 | 15 |
| Xarelto | Rivaroxaban | 43 | 11 |
| Carvedilol | Carvedilol | 42 | 16 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 42 | 29 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 42 | 13 |
| Eliquis | Apixaban | 40 | 18 |
| Finasteride | Finasteride | 40 | 12 |
| Mirtazapine | Mirtazapine | 39 | 17 |
| Propranolol Hcl Er | Propranolol Hcl | 38 | 13 |
| Pravastatin Sodium | Pravastatin Sodium | 37 | 11 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 36 | 11 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 36 | suppressed |
| Glipizide-Metformin | Glipizide/Metformin Hcl | 35 | 13 |
| Alendronate Sodium | Alendronate Sodium | 34 | 11 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 34 | 14 |
| Irbesartan | Irbesartan | 33 | suppressed |
| Lovastatin | Lovastatin | 33 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 33 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 32 | 21 |
| Zolpidem Tartrate | Zolpidem Tartrate | 32 | 14 |
| Donepezil Hcl | Donepezil Hcl | 31 | suppressed |
| Glipizide Er | Glipizide | 31 | suppressed |
| Ozempic | Semaglutide | 31 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 31 | 16 |
| Farxiga | Dapagliflozin Propanediol | 30 | suppressed |
| Pregabalin | Pregabalin | 30 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 30 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 29 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 29 | suppressed |
| Synthroid | Levothyroxine Sodium | 28 | suppressed |
| Baclofen | Baclofen | 26 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 26 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 26 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 26 | 26 |
| Atenolol-Chlorthalidone | Atenolol/Chlorthalidone | 25 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 25 | suppressed |
| Ramipril | Ramipril | 25 | suppressed |
| Torsemide | Torsemide | 25 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 24 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 24 | suppressed |
| Ezetimibe | Ezetimibe | 24 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 23 | suppressed |
| Nifedipine Er | Nifedipine | 23 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 22 | suppressed |
| Januvia | Sitagliptin Phosphate | 22 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 21 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 20 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 20 | suppressed |
| Cephalexin | Cephalexin | 19 | 17 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 19 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 19 | 11 |
| Spiriva Respimat | Tiotropium Bromide | 19 | suppressed |
| Memantine Hcl | Memantine Hcl | 18 | suppressed |
| Azithromycin | Azithromycin | 17 | 15 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 17 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 17 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 16 | 15 |
| Benazepril Hcl | Benazepril Hcl | 16 | suppressed |
| Celecoxib | Celecoxib | 16 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 16 | suppressed |
| Topiramate | Topiramate | 16 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 16 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 15 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 15 | suppressed |
| Myrbetriq | Mirabegron | 15 | suppressed |
| Clonazepam | Clonazepam | 14 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 14 | suppressed |
| Chlorthalidone | Chlorthalidone | 13 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 13 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 13 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 13 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 13 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 13 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 13 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 12 | suppressed |
| Desloratadine | Desloratadine | 12 | suppressed |
| Entresto | Sacubitril/Valsartan | 12 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 12 | suppressed |
| Irbesartan-Hydrochlorothiazide | Irbesartan/Hydrochlorothiazide | 12 | suppressed |
| Lipitor | Atorvastatin Calcium | 12 | suppressed |
| Methylprednisolone | Methylprednisolone | 12 | 12 |
| Oxybutynin Chloride | Oxybutynin Chloride | 12 | suppressed |
| Qnasl | Beclomethasone Dipropionate | 12 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 12 | suppressed |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 11 | suppressed |
| Terbinafine Hcl | Terbinafine 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 | $93.57 · 5 records | Baxter Healthcare | FARXIGA, FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE, Hillrom - Carnation Ambulatory Monitor, JOURNAVX, Ozempic, Rybelsus | 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