Payment overview · 2025
General Payments
$860.54
38 reported records · 8 companies
Healthcare provider profile · identity verified
Winder Nelson Vasquez, MD
Allopathic & Osteopathic Physicians|Internal Medicine · LAREDO, TX · NPI 1265460026
Verified facts
What the public records show
CMS Open Payments records show Winder Nelson Vasquez, MD received $860.54 in general payments during 2025 across 38 reported records.
AstraZeneca Pharmaceuticals LP accounted for 36.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 12 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Farxiga, Gemtesa, Jardiance, Mounjaro, 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 212 claims for Farxiga by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, 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 JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 179 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 JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 179 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 MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 59 claims for Mounjaro 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 100 claims for Trulicity 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 259 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 25 claims for Rybelsus by this doctor in 2024.
Sumitomo Pharma America, 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 GEMTESA as an associated drug or biological on 61692 records involving 22152 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Gemtesa 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 |
|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $314.82 | 36.6% | 4 | 2025 |
| Insmed, Inc. | Unresolved — no canonical attribution shown | $147.78 | 17.2% | 16 | 2025 |
| Corcept Therapeutics | Unresolved — no canonical attribution shown | $109.38 | 12.7% | 3 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $74.38 | 8.6% | 4 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $71.14 | 8.3% | 3 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $59.21 | 6.9% | 3 | 2025 |
| Sumitomo Pharma America, Inc. | Unresolved — no canonical attribution shown | $49.98 | 5.8% | 2 | 2025 |
| Electromed, Inc. | Unresolved — no canonical attribution shown | $33.85 | 3.9% | 3 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $860.54 | 38 |
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 |
|---|---|---|---|---|---|
| FARXIGA Normalized: farxiga |
Drug | AstraZeneca Pharmaceuticals LP | $198.60 | 3 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $175.00 | 2 | 2025 |
Source payment records
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| Arikayce Normalized: arikayce |
Drug | Insmed, Inc. | $147.78 | 16 | 2025 |
Source payment records
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| Korlym Normalized: korlym |
Drug | Corcept Therapeutics | $109.38 | 3 | 2025 |
Source payment records
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| Brinsupri Normalized: brinsupri |
Drug | Insmed, Inc. | $93.04 | 9 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC | $82.92 | 4 | 2025 |
Source payment records
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| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $59.21 | 3 | 2025 |
Source payment records
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| GEMTESA Normalized: gemtesa |
Drug | Sumitomo Pharma America, Inc. | $49.98 | 2 | 2025 |
Source payment records
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| JASCAYD Normalized: jascayd |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $34.50 | 2 | 2025 |
Source payment records
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| SMARTVEST Normalized: smartvest |
Device | Electromed, Inc. | $33.85 | 3 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $28.10 | 1 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $28.10 | 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 | 212 | exact normalized | Medicare Part D |
| GEMTESA gemtesa |
2025 | Gemtesa | 2024 | 24 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 179 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 59 | exact normalized | Medicare Part D |
| Ozempic ozempic |
2025 | Ozempic | 2024 | 259 | 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 |
212 | 54 |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
179 | 54 |
| 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 |
179 | 54 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
59 | 11 |
| 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 |
100 | 19 |
| 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 |
259 | 53 |
| 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 |
25 | suppressed by CMS |
| Sumitomo Pharma America, Inc. Exact reporting entity; no affiliate inference |
2025 | GEMTESA open payments reported associated product |
CMS Open Payments — General Payments 61692 supporting records · 22152 recipient NPIs · example record 1176593503 |
Gemtesa · 2024 Exact normalized brand match · 1 Part D row |
24 | 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 |
|---|---|---|---|
| Losartan Potassium | Losartan Potassium | 616 | 194 |
| Atorvastatin Calcium | Atorvastatin Calcium | 567 | 183 |
| Metformin Hcl | Metformin Hcl | 513 | 182 |
| Amlodipine Besylate | Amlodipine Besylate | 395 | 128 |
| Alprazolam | Alprazolam | 374 | 55 |
| Levothyroxine Sodium | Levothyroxine Sodium | 347 | 94 |
| Pioglitazone Hcl | Pioglitazone Hcl | 337 | 120 |
| Ozempic | Semaglutide | 259 | 53 |
| Alendronate Sodium | Alendronate Sodium | 248 | 84 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 229 | 79 |
| Omeprazole | Omeprazole | 214 | 74 |
| Farxiga | Dapagliflozin Propanediol | 212 | 54 |
| Ezetimibe | Ezetimibe | 207 | 74 |
| Pantoprazole Sodium | Pantoprazole Sodium | 193 | 69 |
| Sertraline Hcl | Sertraline Hcl | 182 | 50 |
| Jardiance | Empagliflozin | 179 | 54 |
| Metoprolol Succinate | Metoprolol Succinate | 144 | 47 |
| Clonazepam | Clonazepam | 137 | 16 |
| Famotidine | Famotidine | 133 | 52 |
| Simvastatin | Simvastatin | 124 | 40 |
| Gabapentin | Gabapentin | 117 | 41 |
| Montelukast Sodium | Montelukast Sodium | 105 | 33 |
| Hydrochlorothiazide | Hydrochlorothiazide | 104 | 38 |
| Trulicity | Dulaglutide | 100 | 19 |
| Furosemide | Furosemide | 99 | 38 |
| Lisinopril | Lisinopril | 99 | 32 |
| Tamsulosin Hcl | Tamsulosin Hcl | 92 | 30 |
| Clopidogrel | Clopidogrel Bisulfate | 90 | 29 |
| Fluticasone Propionate | Fluticasone Propionate | 89 | 41 |
| Nifedipine Er | Nifedipine | 88 | 25 |
| Carvedilol | Carvedilol | 86 | 30 |
| Eliquis | Apixaban | 83 | 22 |
| Tramadol Hcl | Tramadol Hcl | 82 | 29 |
| Lorazepam | Lorazepam | 79 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 69 | 22 |
| Entresto | Sacubitril/Valsartan | 69 | 17 |
| Metoprolol Tartrate | Metoprolol Tartrate | 68 | 19 |
| Spironolactone | Spironolactone | 68 | 20 |
| Potassium Chloride | Potassium Chloride | 66 | 19 |
| Mirtazapine | Mirtazapine | 63 | 18 |
| Tradjenta | Linagliptin | 63 | 20 |
| Levetiracetam | Levetiracetam | 61 | 11 |
| Zolpidem Tartrate | Zolpidem Tartrate | 60 | suppressed |
| Mounjaro | Tirzepatide | 59 | 11 |
| Azithromycin | Azithromycin | 57 | 49 |
| Metformin Hcl Er | Metformin Hcl | 57 | 22 |
| Citalopram Hbr | Citalopram Hydrobromide | 56 | 12 |
| Ondansetron Odt | Ondansetron | 54 | 27 |
| Januvia | Sitagliptin Phosphate | 52 | suppressed |
| Glimepiride | Glimepiride | 51 | 16 |
| Escitalopram Oxalate | Escitalopram Oxalate | 49 | 12 |
| Glipizide | Glipizide | 48 | 15 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 48 | 15 |
| Valsartan | Valsartan | 41 | 16 |
| Meclizine Hcl | Meclizine Hcl | 40 | 21 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 39 | 11 |
| Donepezil Hcl | Donepezil Hcl | 38 | suppressed |
| Nystatin | Nystatin | 38 | 16 |
| Labetalol Hcl | Labetalol Hcl | 36 | suppressed |
| Memantine Hcl | Memantine Hcl | 36 | 15 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 35 | 13 |
| Allopurinol | Allopurinol | 35 | suppressed |
| Sucralfate | Sucralfate | 34 | suppressed |
| Myrbetriq | Mirabegron | 33 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 33 | 13 |
| Paxlovid | Nirmatrelvir/Ritonavir | 32 | 32 |
| Cefdinir | Cefdinir | 31 | 29 |
| Quetiapine Fumarate | Quetiapine Fumarate | 29 | suppressed |
| Terbinafine Hcl | Terbinafine Hcl | 29 | 13 |
| Ciclopirox | Ciclopirox Olamine | 28 | suppressed |
| Temazepam | Temazepam | 28 | suppressed |
| Finasteride | Finasteride | 27 | suppressed |
| Megestrol Acetate | Megestrol Acetate | 27 | suppressed |
| Memantine Hcl Er | Memantine Hcl | 27 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 26 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 25 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 25 | suppressed |
| Naproxen | Naproxen | 25 | 15 |
| Rybelsus | Semaglutide | 25 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 24 | suppressed |
| Gemtesa | Vibegron | 24 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 24 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 23 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 22 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 22 | suppressed |
| Linzess | Linaclotide | 22 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 22 | suppressed |
| Alcohol Pads | Alcohol Antiseptic Pads | 20 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 20 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 20 | suppressed |
| Digoxin | Digoxin | 19 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 19 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 19 | suppressed |
| Telmisartan | Telmisartan | 19 | 11 |
| Atenolol | Atenolol | 18 | suppressed |
| Meloxicam | Meloxicam | 18 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 17 | suppressed |
| Lovastatin | Lovastatin | 17 | suppressed |
| Cilostazol | Cilostazol | 16 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 16 | suppressed |
| Novolin 70-30 | Insulin Nph Hum/Reg Insulin Hm | 16 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 16 | suppressed |
| Repatha Sureclick | Evolocumab | 16 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 16 | suppressed |
| Vascepa | Icosapent Ethyl | 16 | suppressed |
| Prednisone | Prednisone | 15 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 14 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Baclofen | Baclofen | 13 | suppressed |
| Carbamazepine | Carbamazepine | 13 | suppressed |
| Celecoxib | Celecoxib | 13 | suppressed |
| Dapagliflozin | Dapagliflozin Propanediol | 13 | suppressed |
| Ibuprofen | Ibuprofen | 13 | suppressed |
| Indapamide | Indapamide | 13 | suppressed |
| Janumet | Sitagliptin Phos/Metformin Hcl | 13 | suppressed |
| Pentoxifylline | Pentoxifylline | 13 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 13 | suppressed |
| Veltassa | Patiromer Calcium Sorbitex | 13 | suppressed |
| Bydureon Bcise | Exenatide Microspheres | 12 | suppressed |
| Ketoconazole | Ketoconazole | 12 | suppressed |
| Levemir Flexpen | Insulin Detemir | 12 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 12 | suppressed |
| Pregabalin | Pregabalin | 12 | suppressed |
| Topiramate | Topiramate | 12 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 12 | suppressed |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 12 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 12 | suppressed |
| Acyclovir | Acyclovir | 11 | suppressed |
| Ammonium Lactate | Ammonium Lactate | 11 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 11 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 11 | suppressed |
| Cephalexin | Cephalexin | 11 | suppressed |
| Mupirocin | Mupirocin | 11 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 11 | suppressed |
| Ursodiol | Ursodiol | 11 | suppressed |
| Xifaxan | Rifaximin | 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 | $860.54 · 38 records | AstraZeneca Pharmaceuticals LP | AIRSUPRA, Arikayce, Brinsupri, FARXIGA, GEMTESA, JARDIANCE, JASCAYD, Korlym, MOUNJARO, Ozempic, SMARTVEST, ZEPBOUND | 8 | — |
| 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