Payment overview · 2025
General Payments
$92.18
4 reported records · 3 companies
Healthcare provider profile · identity verified
April Lynn Small, DNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Adult Health · HAGERSTOWN, MD · NPI 1225408206
Verified facts
What the public records show
CMS Open Payments records show April Lynn Small, DNP received $92.18 in general payments during 2025 across 4 reported records.
Novo Nordisk Inc accounted for 48.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 4 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic, Rybelsus.
Astellas Pharma US 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 Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 61 claims for Myrbetriq 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 20 claims for Ozempic 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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Rybelsus 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $44.50 | 48.3% | 2 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $28.02 | 30.4% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $19.66 | 21.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $92.18 | 4 |
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 |
|---|---|---|---|---|---|
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $44.50 | 2 | 2025 |
Source payment records
|
|||||
| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $44.50 | 2 | 2025 |
Source payment records
|
|||||
| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $28.02 | 1 | 2025 |
Source payment records
|
|||||
| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $19.66 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 20 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| Rybelsus rybelsus |
2025 | Rybelsus | 2024 | 11 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 |
|---|---|---|---|---|---|---|
| Astellas Pharma US Inc Exact reporting entity; no affiliate inference |
2025 | Myrbetriq open payments reported associated product |
CMS Open Payments — General Payments 16 supporting records · 16 recipient NPIs · example record 1238599014 |
Myrbetriq · 2024 Exact normalized brand match · 1 Part D row |
61 | 14 |
| 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 |
20 | suppressed by CMS |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
11 | 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 | 356 | 66 |
| Levothyroxine Sodium | Levothyroxine Sodium | 337 | 47 |
| Lisinopril | Lisinopril | 315 | 49 |
| Furosemide | Furosemide | 308 | 55 |
| Metoprolol Succinate | Metoprolol Succinate | 234 | 39 |
| Amlodipine Besylate | Amlodipine Besylate | 232 | 42 |
| Donepezil Hcl | Donepezil Hcl | 230 | 36 |
| Potassium Chloride | Potassium Chloride | 215 | 37 |
| Trazodone Hcl | Trazodone Hcl | 196 | 30 |
| Omeprazole | Omeprazole | 191 | 36 |
| Quetiapine Fumarate | Quetiapine Fumarate | 190 | 28 |
| Gabapentin | Gabapentin | 187 | 36 |
| Losartan Potassium | Losartan Potassium | 182 | 35 |
| Sertraline Hcl | Sertraline Hcl | 166 | 30 |
| Metoprolol Tartrate | Metoprolol Tartrate | 159 | 24 |
| Pantoprazole Sodium | Pantoprazole Sodium | 153 | 26 |
| Buspirone Hcl | Buspirone Hcl | 140 | 25 |
| Metformin Hcl | Metformin Hcl | 139 | 21 |
| Eliquis | Apixaban | 130 | 25 |
| Tamsulosin Hcl | Tamsulosin Hcl | 130 | 22 |
| Mirtazapine | Mirtazapine | 128 | 24 |
| Montelukast Sodium | Montelukast Sodium | 119 | 25 |
| Escitalopram Oxalate | Escitalopram Oxalate | 109 | 18 |
| Tramadol Hcl | Tramadol Hcl | 100 | 22 |
| Allopurinol | Allopurinol | 93 | 12 |
| Meloxicam | Meloxicam | 89 | 21 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 87 | 16 |
| Hydralazine Hcl | Hydralazine Hcl | 82 | 13 |
| Prednisone | Prednisone | 78 | 30 |
| Famotidine | Famotidine | 77 | 14 |
| Memantine Hcl | Memantine Hcl | 76 | 16 |
| Citalopram Hbr | Citalopram Hydrobromide | 75 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 72 | suppressed |
| Carvedilol | Carvedilol | 68 | 11 |
| Clopidogrel | Clopidogrel Bisulfate | 66 | 12 |
| Finasteride | Finasteride | 64 | 11 |
| Fluticasone Propionate | Fluticasone Propionate | 64 | 15 |
| Nystatin | Nystatin | 62 | 31 |
| Myrbetriq | Mirabegron | 61 | 14 |
| Xarelto | Rivaroxaban | 58 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 54 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 53 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 49 | 13 |
| Cephalexin | Cephalexin | 48 | 32 |
| Lorazepam | Lorazepam | 48 | 22 |
| Atenolol | Atenolol | 47 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 47 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 47 | 11 |
| Bupropion Xl | Bupropion Hcl | 46 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 46 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 45 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 45 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 44 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 43 | 25 |
| Glipizide Er | Glipizide | 42 | suppressed |
| Digoxin | Digoxin | 41 | suppressed |
| Alprazolam | Alprazolam | 40 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 40 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 40 | 23 |
| Simvastatin | Simvastatin | 40 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 39 | suppressed |
| Risperidone | Risperidone | 38 | suppressed |
| Hydrocortisone | Hydrocortisone | 37 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 35 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 35 | suppressed |
| Azithromycin | Azithromycin | 34 | 25 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 34 | 22 |
| Clonazepam | Clonazepam | 34 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 33 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 32 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 32 | suppressed |
| Valsartan | Valsartan | 32 | suppressed |
| Latanoprost | Latanoprost | 31 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 31 | suppressed |
| Methylprednisolone | Methylprednisolone | 31 | 28 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 31 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 31 | suppressed |
| Nifedipine Er | Nifedipine | 30 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 29 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 29 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 28 | suppressed |
| Loperamide | Loperamide Hcl | 28 | 16 |
| Pregabalin | Pregabalin | 27 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 26 | suppressed |
| Ketoconazole | Ketoconazole | 26 | 15 |
| Verapamil Er | Verapamil Hcl | 26 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 24 | 13 |
| Topiramate | Topiramate | 24 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 23 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 23 | suppressed |
| Aripiprazole | Aripiprazole | 21 | suppressed |
| Rytary | Carbidopa/Levodopa | 21 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 21 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 20 | 16 |
| Ozempic | Semaglutide | 20 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 19 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 19 | 18 |
| Propranolol Hcl | Propranolol Hcl | 19 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 17 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 17 | 12 |
| Humalog Kwikpen U-100 | Insulin Lispro | 16 | suppressed |
| Methocarbamol | Methocarbamol | 16 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 16 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 16 | suppressed |
| Sucralfate | Sucralfate | 16 | suppressed |
| Amantadine | Amantadine Hcl | 15 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 15 | suppressed |
| Bumetanide | Bumetanide | 15 | suppressed |
| Erythromycin | Erythromycin Base | 15 | suppressed |
| Glipizide | Glipizide | 15 | suppressed |
| Venlafaxine Hcl | Venlafaxine Hcl | 15 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 14 | suppressed |
| Ezetimibe | Ezetimibe | 14 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | suppressed |
| Januvia | Sitagliptin Phosphate | 14 | suppressed |
| Methotrexate | Methotrexate Sodium | 14 | suppressed |
| Spironolactone | Spironolactone | 14 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 14 | suppressed |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 13 | suppressed |
| Gemtesa | Vibegron | 13 | suppressed |
| Insulin Aspart Flexpen | Insulin Aspart | 13 | suppressed |
| Letrozole | Letrozole | 13 | suppressed |
| Methenamine Hippurate | Methenamine Hippurate | 13 | suppressed |
| Olanzapine | Olanzapine | 13 | suppressed |
| Raloxifene Hcl | Raloxifene Hcl | 13 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 13 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 12 | suppressed |
| Diltiazem 24hr Er (La) | Diltiazem Hcl | 12 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 12 | suppressed |
| Lactulose | Lactulose | 12 | suppressed |
| Morphine Sulfate Er | Morphine Sulfate | 12 | suppressed |
| Novolog Flexpen | Insulin Aspart | 12 | suppressed |
| Rivastigmine | Rivastigmine Tartrate | 12 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl Hcl | 12 | suppressed |
| Trulicity | Dulaglutide | 12 | suppressed |
| Ultra-Fine Short Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Advair Hfa | Fluticasone Propion/Salmeterol | 11 | suppressed |
| Ammonium Lactate | Ammonium Lactate | 11 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 11 | 11 |
| Rybelsus | Semaglutide | 11 | suppressed |
| Varenicline Tartrate | Varenicline 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 | $92.18 · 4 records | Novo Nordisk Inc | Ozempic, Rybelsus, VRAYLAR, Veozah | 3 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Astellas Pharma US Inc?
- 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