Payment overview · 2025
General Payments
$1,046.15
51 reported records · 22 companies
Healthcare provider profile · identity verified
Keith Balram Shankar, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · DUNKIRK, NY · NPI 1225657364
Verified facts
What the public records show
CMS Open Payments records show Keith Balram Shankar, M.D. received $1,046.15 in general payments during 2025 across 51 reported records.
Lilly USA, LLC accounted for 14.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 36 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis.
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 16 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 |
|---|---|---|---|---|---|
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $149.29 | 14.3% | 7 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $117.96 | 11.3% | 6 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $82.12 | 7.8% | 4 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $76.10 | 7.3% | 4 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $71.77 | 6.9% | 3 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $70.11 | 6.7% | 3 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $65.22 | 6.2% | 4 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $52.01 | 5.0% | 2 | 2025 |
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $43.94 | 4.2% | 2 | 2025 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | Unresolved — no canonical attribution shown | $43.54 | 4.2% | 2 | 2025 |
| Insulet Corporation | Unresolved — no canonical attribution shown | $37.84 | 3.6% | 2 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $32.04 | 3.1% | 1 | 2025 |
| Biogen, Inc. | Unresolved — no canonical attribution shown | $28.95 | 2.8% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $24.61 | 2.4% | 1 | 2025 |
| Corium, LLC | Unresolved — no canonical attribution shown | $24.57 | 2.4% | 2 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $23.31 | 2.2% | 1 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $22.47 | 2.1% | 1 | 2025 |
| Otsuka America Pharmaceutical, Inc. | Unresolved — no canonical attribution shown | $19.36 | 1.9% | 1 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $19.02 | 1.8% | 1 | 2025 |
| Xeris Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $14.17 | 1.4% | 1 | 2025 |
| Fisher & Paykel Healthcare Inc | Unresolved — no canonical attribution shown | $13.99 | 1.3% | 1 | 2025 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | Unresolved — no canonical attribution shown | $13.76 | 1.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,046.15 | 51 |
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 |
|---|---|---|---|---|---|
| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $133.68 | 6 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $113.39 | 5 | 2025 |
Source payment records
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| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $75.30 | 4 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $70.11 | 3 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $65.22 | 4 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $65.22 | 4 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $62.34 | 3 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $52.01 | 2 | 2025 |
Source payment records
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $49.71 | 2 | 2025 |
Source payment records
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| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $43.94 | 2 | 2025 |
Source payment records
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| CAPLYTA Normalized: caplyta |
Drug | ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $43.54 | 2 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $42.66 | 2 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $38.49 | 2 | 2025 |
Source payment records
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| Omnipod Normalized: omnipod |
Device | Insulet Corporation | $37.84 | 2 | 2025 |
Source payment records
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| ABRYSVO Normalized: abrysvo |
Biological | PFIZER INC. | $37.61 | 2 | 2025 |
Source payment records
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| COMIRNATY Normalized: comirnaty |
Biological | PFIZER INC. | $37.61 | 2 | 2025 |
Source payment records
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| PREVNAR 20 Normalized: prevnar 20 |
Biological | PFIZER INC. | $37.61 | 2 | 2025 |
Source payment records
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| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $37.03 | 2 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $36.56 | 2 | 2025 |
Source payment records
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| Veozah Normalized: veozah |
Drug | Astellas Pharma US Inc | $32.04 | 1 | 2025 |
Source payment records
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| ZURZUVAE Normalized: zurzuvae |
Drug | Biogen, Inc. | $28.95 | 1 | 2025 |
Source payment records
|
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| WATCHMAN FLX Normalized: watchman flx |
Device | Boston Scientific Corporation | $24.61 | 1 | 2025 |
Source payment records
|
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| Azstarys Normalized: azstarys |
Drug | Corium, LLC | $24.57 | 2 | 2025 |
Source payment records
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| CAPVAXIVE Normalized: capvaxive |
Biological | Merck Sharp & Dohme LLC | $23.31 | 1 | 2025 |
Source payment records
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| GARDASIL 9 Normalized: gardasil 9 |
Biological | Merck Sharp & Dohme LLC | $23.31 | 1 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $22.60 | 1 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $22.47 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $22.06 | 1 | 2025 |
Source payment records
|
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $19.78 | 1 | 2025 |
Source payment records
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| REXULTI Normalized: rexulti |
Drug | Otsuka America Pharmaceutical, Inc. | $19.36 | 1 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $19.02 | 1 | 2025 |
Source payment records
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| ZAVZPRET Normalized: zavzpret |
Drug | PFIZER INC. | $15.89 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $15.61 | 1 | 2025 |
Source payment records
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| GVOKE HYPOPEN Normalized: gvoke hypopen |
Drug | Xeris Pharmaceuticals, Inc. | $14.17 | 1 | 2025 |
Source payment records
|
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| FISHER & PAYKEL HEALTHCARE Normalized: fisher paykel healthcare |
Device | Fisher & Paykel Healthcare Inc | $13.99 | 1 | 2025 |
Source payment records
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| XIFAXAN Normalized: xifaxan |
Drug | Salix Pharmaceuticals, a division of Bausch Health US, LLC | $13.76 | 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 |
|---|---|---|---|---|---|---|
| ELIQUIS eliquis |
2025 | Eliquis | 2024 | 16 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 |
|---|---|---|---|---|---|---|
| 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 |
16 | 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 | 34 | 22 |
| Amlodipine Besylate | Amlodipine Besylate | 31 | 14 |
| Alprazolam | Alprazolam | 26 | 17 |
| Levothyroxine Sodium | Levothyroxine Sodium | 24 | 13 |
| Hydrochlorothiazide | Hydrochlorothiazide | 19 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 18 |
| Carvedilol | Carvedilol | 17 | suppressed |
| Lisinopril | Lisinopril | 17 | suppressed |
| Eliquis | Apixaban | 16 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 16 | 11 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 16 | 15 |
| Prednisone | Prednisone | 15 | 11 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 13 | suppressed |
| Furosemide | Furosemide | 13 | 11 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 13 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 12 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 12 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 11 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | suppressed |
| Glipizide | Glipizide | 11 | suppressed |
| Sertraline Hcl | Sertraline 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 | $1,046.15 · 51 records | Lilly USA, LLC | ABRYSVO, AREXVY, Azstarys, CAPLYTA, CAPVAXIVE, COMIRNATY, Cologuard Collection Kit, Dexcom G6 Transmitter, ELIQUIS, FISHER & PAYKEL HEALTHCARE, FREESTYLE LIBRE 3, GARDASIL 9, GVOKE HYPOPEN, INSPIRE, JARDIANCE, LEQVIO, MOUNJARO, NURTEC ODT, OTEZLA, Omnipod, Ozempic, PREVNAR 20, REPATHA, REXULTI, Rybelsus, SHINGRIX, TRELEGY ELLIPTA, The Cologuard Plus Collection Kit, UBRELVY, Veozah, WATCHMAN FLX, Wegovy, XIFAXAN, ZAVZPRET, ZEPBOUND, ZURZUVAE | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Eliquis play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with PFIZER 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