Payment overview · 2025
General Payments
$311.65
14 reported records · 6 companies
Healthcare provider profile · identity verified
April Alexander, CRNP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner · WILKES BARRE, PA · NPI 1225554041
Verified facts
What the public records show
CMS Open Payments records show April Alexander, CRNP received $311.65 in general payments during 2025 across 14 reported records.
ABBVIE INC. accounted for 57.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 13 associated products.
ABBVIE 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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 26 claims for Synthroid by this doctor in 2024.
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 33 claims for Jardiance by this doctor in 2024.
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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Trulicity 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 87 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 |
|---|---|---|---|---|---|
| ABBVIE INC. | Unresolved — no canonical attribution shown | $178.10 | 57.1% | 7 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $54.96 | 17.6% | 3 | 2025 |
| AERIN MEDICAL INC. | Unresolved — no canonical attribution shown | $29.83 | 9.6% | 1 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $17.94 | 5.8% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $16.15 | 5.2% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $14.67 | 4.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $311.65 | 14 |
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 |
|---|---|---|---|---|---|
| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $161.05 | 6 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $79.18 | 3 | 2025 |
Source payment records
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $54.96 | 3 | 2025 |
Source payment records
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $54.96 | 3 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $54.96 | 3 | 2025 |
Source payment records
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| RHINAER STYLUS Normalized: rhinaer stylus |
Device | AERIN MEDICAL INC. | $29.83 | 1 | 2025 |
Source payment records
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| VIVAER STYLUS Normalized: vivaer stylus |
Device | AERIN MEDICAL INC. | $29.83 | 1 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $17.94 | 1 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $17.05 | 1 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $16.15 | 1 | 2025 |
Source payment records
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| PROLIA Normalized: prolia |
Biological | Amgen Inc. | $16.15 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $14.67 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $14.67 | 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
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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | SYNTHROID open payments reported associated product |
CMS Open Payments — General Payments 10655 supporting records · 4881 recipient NPIs · example record 1201352636 |
Synthroid · 2024 Exact normalized brand match · 1 Part D row |
26 | suppressed by CMS |
| 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 |
33 | suppressed by CMS |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | TRULICITY open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 57 recipient NPIs · example record 1186464601 |
Trulicity · 2024 Exact normalized brand match · 1 Part D row |
18 | suppressed by CMS |
| 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 |
87 | 15 |
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 | 522 | 111 |
| Levothyroxine Sodium | Levothyroxine Sodium | 249 | 57 |
| Lisinopril | Lisinopril | 235 | 58 |
| Amlodipine Besylate | Amlodipine Besylate | 211 | 54 |
| Losartan Potassium | Losartan Potassium | 150 | 40 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 139 | 37 |
| Metoprolol Succinate | Metoprolol Succinate | 131 | 30 |
| Simvastatin | Simvastatin | 104 | 25 |
| Hydrochlorothiazide | Hydrochlorothiazide | 91 | 23 |
| Eliquis | Apixaban | 87 | 15 |
| Metformin Hcl Er | Metformin Hcl | 81 | 17 |
| Furosemide | Furosemide | 79 | 17 |
| Fluticasone Propionate | Fluticasone Propionate | 72 | 19 |
| Metformin Hcl | Metformin Hcl | 71 | 19 |
| Omeprazole | Omeprazole | 71 | 23 |
| Metoprolol Tartrate | Metoprolol Tartrate | 69 | 19 |
| Ezetimibe | Ezetimibe | 61 | 13 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 59 | 21 |
| Pantoprazole Sodium | Pantoprazole Sodium | 58 | 14 |
| Duloxetine Hcl | Duloxetine Hcl | 52 | suppressed |
| Famotidine | Famotidine | 48 | 11 |
| Buspirone Hcl | Buspirone Hcl | 43 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 42 | 11 |
| Baclofen | Baclofen | 41 | 13 |
| Alprazolam | Alprazolam | 40 | 15 |
| Atenolol | Atenolol | 39 | suppressed |
| Potassium Chloride | Potassium Chloride | 39 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 38 | 37 |
| Enalapril Maleate | Enalapril Maleate | 38 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 36 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 35 | 12 |
| Meloxicam | Meloxicam | 35 | suppressed |
| Jardiance | Empagliflozin | 33 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 32 | suppressed |
| Clonazepam | Clonazepam | 32 | suppressed |
| Prednisone | Prednisone | 31 | 29 |
| Sertraline Hcl | Sertraline Hcl | 31 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 30 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 30 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 30 | 11 |
| Gabapentin | Gabapentin | 29 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 28 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 28 | suppressed |
| Allopurinol | Allopurinol | 27 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 27 | 21 |
| Lorazepam | Lorazepam | 27 | 12 |
| Ozempic | Semaglutide | 27 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 26 | suppressed |
| Synthroid | Levothyroxine Sodium | 26 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 24 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 23 | suppressed |
| Lovastatin | Lovastatin | 23 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 23 | suppressed |
| Glimepiride | Glimepiride | 22 | suppressed |
| Zolpidem Tartrate | Zolpidem Tartrate | 22 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 20 | suppressed |
| Xarelto | Rivaroxaban | 20 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 19 | 16 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 18 | suppressed |
| Pregabalin | Pregabalin | 18 | suppressed |
| Trulicity | Dulaglutide | 18 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 17 | suppressed |
| Bupropion Xl | Bupropion Hcl | 16 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 16 | suppressed |
| Ibandronate Sodium | Ibandronate Sodium | 16 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 15 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 15 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 14 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 13 | suppressed |
| Glipizide Er | Glipizide | 13 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 13 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 12 | suppressed |
| Diltiazem 24hr Er (Xr) | Diltiazem Hcl | 12 | suppressed |
| Fenofibrate | Fenofibrate | 12 | suppressed |
| Fluconazole | Fluconazole | 12 | suppressed |
| Fosinopril Sodium | Fosinopril Sodium | 12 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 12 | suppressed |
| Memantine Hcl | Memantine Hcl | 12 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 12 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 12 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 12 | suppressed |
| Carvedilol | Carvedilol | 11 | suppressed |
| Phenytoin | Phenytoin | 11 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 11 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 11 | suppressed |
| Temazepam | Temazepam | 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 | $311.65 · 14 records | ABBVIE INC. | ABRYSVO, COMIRNATY, EVENITY, FREESTYLE LIBRE 3, MOUNJARO, PREVNAR 20, PROLIA, QULIPTA, RHINAER STYLUS, UBRELVY, VIVAER STYLUS, VRAYLAR, ZEPBOUND | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with ABBVIE 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