Payment overview · 2025
General Payments
$141.53
8 reported records · 6 companies
Healthcare provider profile · identity verified
Johnathan Gene Spitnale, DO
Allopathic & Osteopathic Physicians|Family Medicine · DEFIANCE, OH · NPI 1285197046
Verified facts
What the public records show
CMS Open Payments records show Johnathan Gene Spitnale, DO received $141.53 in general payments during 2025 across 8 reported records.
ABBVIE INC. accounted for 37.9% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 9 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Mounjaro.
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 LINZESS as an associated drug or biological on 87954 records involving 21815 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Linzess 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 38 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 23 claims for Mounjaro 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 17 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 | $53.63 | 37.9% | 3 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $21.96 | 15.5% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $17.75 | 12.5% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $17.59 | 12.4% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $17.05 | 12.1% | 1 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $13.55 | 9.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $141.53 | 8 |
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 |
|---|---|---|---|---|---|
| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $31.07 | 2 | 2025 |
Source payment records
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| UBRELVY Normalized: ubrelvy |
Drug | ABBVIE INC. | $31.07 | 2 | 2025 |
Source payment records
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| VRAYLAR Normalized: vraylar |
Drug | ABBVIE INC. | $22.56 | 1 | 2025 |
Source payment records
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| FREESTYLE LIBRE 3 Normalized: freestyle libre 3 |
Device | Abbott Laboratories | $21.96 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $17.75 | 1 | 2025 |
Source payment records
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| ELIQUIS Normalized: eliquis |
Drug | PFIZER INC. | $17.59 | 1 | 2025 |
Source payment records
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| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $17.59 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $17.05 | 1 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $13.55 | 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 | 17 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 23 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 |
|---|---|---|---|---|---|---|
| ABBVIE INC. Exact reporting entity; no affiliate inference |
2025 | LINZESS open payments reported associated product |
CMS Open Payments — General Payments 87954 supporting records · 21815 recipient NPIs · example record 1201352608 |
Linzess · 2024 Exact normalized brand match · 1 Part D row |
21 | 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 |
38 | 12 |
| 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 |
23 | 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 |
17 | 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 | 141 | 50 |
| Levothyroxine Sodium | Levothyroxine Sodium | 119 | 37 |
| Prednisone | Prednisone | 105 | 89 |
| Gabapentin | Gabapentin | 94 | 22 |
| Omeprazole | Omeprazole | 86 | 22 |
| Furosemide | Furosemide | 79 | 27 |
| Lisinopril | Lisinopril | 75 | 27 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 64 | 21 |
| Pantoprazole Sodium | Pantoprazole Sodium | 61 | 24 |
| Tramadol Hcl | Tramadol Hcl | 60 | 17 |
| Potassium Chloride | Potassium Chloride | 59 | 19 |
| Amlodipine Besylate | Amlodipine Besylate | 56 | 21 |
| Hydrochlorothiazide | Hydrochlorothiazide | 49 | 11 |
| Metoprolol Succinate | Metoprolol Succinate | 47 | 14 |
| Duloxetine Hcl | Duloxetine Hcl | 44 | 12 |
| Meloxicam | Meloxicam | 44 | 14 |
| Famotidine | Famotidine | 43 | 15 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 41 | 40 |
| Clonazepam | Clonazepam | 41 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 41 | 40 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 41 | 14 |
| Carvedilol | Carvedilol | 40 | 13 |
| Escitalopram Oxalate | Escitalopram Oxalate | 39 | 11 |
| Montelukast Sodium | Montelukast Sodium | 39 | 12 |
| Trazodone Hcl | Trazodone Hcl | 39 | 12 |
| Jardiance | Empagliflozin | 38 | 12 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 36 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 35 | 15 |
| Tizanidine Hcl | Tizanidine Hcl | 35 | 19 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 34 | suppressed |
| Pregabalin | Pregabalin | 33 | suppressed |
| Losartan Potassium | Losartan Potassium | 32 | 11 |
| Metformin Hcl | Metformin Hcl | 32 | 12 |
| Metoprolol Tartrate | Metoprolol Tartrate | 29 | 11 |
| Fluconazole | Fluconazole | 27 | 19 |
| Fluoxetine Hcl | Fluoxetine Hcl | 27 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 27 | 11 |
| Azithromycin | Azithromycin | 26 | 26 |
| Buspirone Hcl | Buspirone Hcl | 26 | 12 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 25 | 11 |
| Mirtazapine | Mirtazapine | 24 | suppressed |
| Alprazolam | Alprazolam | 23 | suppressed |
| Bupropion Xl | Bupropion Hcl | 23 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 23 | 11 |
| Metformin Hcl Er | Metformin Hcl | 23 | suppressed |
| Mounjaro | Tirzepatide | 23 | suppressed |
| Citalopram Hbr | Citalopram Hydrobromide | 22 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 22 | suppressed |
| Sertraline Hcl | Sertraline Hcl | 22 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 22 | suppressed |
| Allopurinol | Allopurinol | 21 | suppressed |
| Cefdinir | Cefdinir | 21 | 20 |
| Linzess | Linaclotide | 21 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 19 | suppressed |
| Simvastatin | Simvastatin | 19 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 18 | suppressed |
| Ezetimibe | Ezetimibe | 18 | suppressed |
| Lamotrigine | Lamotrigine | 18 | suppressed |
| Eliquis | Apixaban | 17 | suppressed |
| Celecoxib | Celecoxib | 16 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 15 | suppressed |
| Belsomra | Suvorexant | 15 | suppressed |
| Varenicline Tartrate | Varenicline Tartrate | 15 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 14 | suppressed |
| Quetiapine Fumarate Er | Quetiapine Fumarate | 14 | suppressed |
| Sucralfate | Sucralfate | 14 | suppressed |
| Methylprednisolone | Methylprednisolone | 13 | 12 |
| Myrbetriq | Mirabegron | 13 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 13 | 12 |
| Warfarin Sodium | Warfarin Sodium | 13 | suppressed |
| Cephalexin | Cephalexin | 12 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 12 | suppressed |
| Ozempic | Semaglutide | 12 | suppressed |
| Baclofen | Baclofen | 11 | suppressed |
| Lansoprazole | Lansoprazole | 11 | suppressed |
| Topiramate | Topiramate | 11 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 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 | $141.53 · 8 records | ABBVIE INC. | BREZTRI, ELIQUIS, FREESTYLE LIBRE 3, MOUNJARO, NURTEC ODT, QULIPTA, The Cologuard Plus Collection Kit, UBRELVY, VRAYLAR | 4 | — |
| 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 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