Payment overview · 2025
General Payments
$174.33
8 reported records · 4 companies
Healthcare provider profile · identity verified
Regine Madeleine Guefack
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Acute Care · PARKVILLE, MD · NPI 1285279364
Verified facts
What the public records show
CMS Open Payments records show Regine Madeleine Guefack received $174.33 in general payments during 2025 across 8 reported records.
Organogenesis Inc. accounted for 46.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 8 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance.
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 92 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 79 claims for Trulicity 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 |
|---|---|---|---|---|---|
| Organogenesis Inc. | Unresolved — no canonical attribution shown | $81.58 | 46.8% | 3 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $51.65 | 29.6% | 3 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $22.83 | 13.1% | 1 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $18.27 | 10.5% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $174.33 | 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 |
|---|---|---|---|---|---|
| CYGNUS DUAL Normalized: cygnus dual |
Medical Supply | Organogenesis Inc. | $44.52 | 1 | 2025 |
Source payment records
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| VIA MATRIX Normalized: via matrix |
Medical Supply | Organogenesis Inc. | $37.06 | 2 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $30.07 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $30.07 | 2 | 2025 |
Source payment records
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| OTEZLA Normalized: otezla |
Drug | Amgen Inc. | $22.83 | 1 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $22.83 | 1 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Lilly USA, LLC | $21.58 | 1 | 2025 |
Source payment records
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| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $18.27 | 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 |
|---|---|---|---|---|---|---|
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 92 | 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 |
|---|---|---|---|---|---|---|
| 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 |
92 | 24 |
| 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 |
79 | 20 |
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 | 389 | 107 |
| Amlodipine Besylate | Amlodipine Besylate | 314 | 90 |
| Gabapentin | Gabapentin | 182 | 51 |
| Simvastatin | Simvastatin | 166 | 35 |
| Fluticasone Propionate | Fluticasone Propionate | 165 | 66 |
| Levothyroxine Sodium | Levothyroxine Sodium | 162 | 38 |
| Lisinopril | Lisinopril | 162 | 52 |
| Hydrochlorothiazide | Hydrochlorothiazide | 153 | 47 |
| Losartan Potassium | Losartan Potassium | 144 | 47 |
| Metformin Hcl | Metformin Hcl | 142 | 45 |
| Metoprolol Succinate | Metoprolol Succinate | 129 | 35 |
| Pantoprazole Sodium | Pantoprazole Sodium | 120 | 29 |
| Furosemide | Furosemide | 119 | 36 |
| Metoprolol Tartrate | Metoprolol Tartrate | 107 | 32 |
| Omeprazole | Omeprazole | 96 | 37 |
| Jardiance | Empagliflozin | 92 | 24 |
| Quetiapine Fumarate | Quetiapine Fumarate | 92 | 12 |
| Trazodone Hcl | Trazodone Hcl | 91 | 30 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 89 | 36 |
| Pravastatin Sodium | Pravastatin Sodium | 89 | 21 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 84 | 26 |
| Fluoxetine Hcl | Fluoxetine Hcl | 80 | 24 |
| Meloxicam | Meloxicam | 80 | 26 |
| Tramadol Hcl | Tramadol Hcl | 80 | 24 |
| Trulicity | Dulaglutide | 79 | 20 |
| Azithromycin | Azithromycin | 77 | 64 |
| Glipizide | Glipizide | 75 | 21 |
| Zolpidem Tartrate | Zolpidem Tartrate | 75 | 12 |
| Famotidine | Famotidine | 71 | 19 |
| Sertraline Hcl | Sertraline Hcl | 69 | 18 |
| Atenolol | Atenolol | 68 | 16 |
| Carvedilol | Carvedilol | 68 | 21 |
| Alprazolam | Alprazolam | 66 | 21 |
| Nifedipine Er | Nifedipine | 64 | 18 |
| Alendronate Sodium | Alendronate Sodium | 60 | 12 |
| Lorazepam | Lorazepam | 56 | 13 |
| Potassium Chloride | Potassium Chloride | 47 | 13 |
| Diazepam | Diazepam | 45 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 45 | 12 |
| Tamsulosin Hcl | Tamsulosin Hcl | 45 | 17 |
| Eliquis | Apixaban | 44 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 43 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 40 | 12 |
| Methylprednisolone | Methylprednisolone | 40 | 36 |
| Ezetimibe | Ezetimibe | 37 | suppressed |
| Clopidogrel | Clopidogrel Bisulfate | 34 | 16 |
| Hydralazine Hcl | Hydralazine Hcl | 33 | 15 |
| Allopurinol | Allopurinol | 32 | 11 |
| Glipizide Er | Glipizide | 32 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 31 | suppressed |
| Montelukast Sodium | Montelukast Sodium | 31 | suppressed |
| Pregabalin | Pregabalin | 31 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 31 | 20 |
| Duloxetine Hcl | Duloxetine Hcl | 29 | suppressed |
| Mirtazapine | Mirtazapine | 29 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 27 | suppressed |
| Irbesartan | Irbesartan | 27 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 27 | suppressed |
| Levetiracetam | Levetiracetam | 27 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 27 | suppressed |
| Clonazepam | Clonazepam | 26 | suppressed |
| Dicyclomine Hcl | Dicyclomine Hcl | 26 | suppressed |
| Divalproex Sodium | Divalproex Sodium | 26 | suppressed |
| Januvia | Sitagliptin Phosphate | 26 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 26 | suppressed |
| Ozempic | Semaglutide | 25 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 24 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 24 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 23 | 14 |
| Donepezil Hcl | Donepezil Hcl | 22 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 22 | suppressed |
| Entresto | Sacubitril/Valsartan | 21 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 21 | suppressed |
| Fenofibrate | Fenofibrate | 20 | suppressed |
| Latanoprost | Latanoprost | 20 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 20 | 17 |
| Xarelto | Rivaroxaban | 20 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 19 | suppressed |
| Lovastatin | Lovastatin | 19 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 19 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 18 | 12 |
| Citalopram Hbr | Citalopram Hydrobromide | 17 | suppressed |
| Nystatin | Nystatin | 17 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 17 | suppressed |
| Benztropine Mesylate | Benztropine Mesylate | 16 | suppressed |
| Econazole Nitrate | Econazole Nitrate | 16 | suppressed |
| Fluconazole | Fluconazole | 16 | 11 |
| Novolog Flexpen | Insulin Aspart | 16 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 16 | suppressed |
| Risperidone | Risperidone | 16 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 16 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 15 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 15 | suppressed |
| Myrbetriq | Mirabegron | 15 | suppressed |
| Spironolactone | Spironolactone | 15 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 15 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 14 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 14 | suppressed |
| Synthroid | Levothyroxine Sodium | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Gemtesa | Vibegron | 13 | suppressed |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 13 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 13 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 13 | suppressed |
| Bupropion Xl | Bupropion Hcl | 12 | suppressed |
| Carvedilol Er | Carvedilol Phosphate | 12 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 12 | 11 |
| Sucralfate | Sucralfate | 12 | suppressed |
| Verapamil Er | Verapamil Hcl | 12 | suppressed |
| Verapamil Sr | Verapamil Hcl | 12 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 11 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 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 | $174.33 · 8 records | Organogenesis Inc. | CYGNUS DUAL, JARDIANCE, MOUNJARO, OTEZLA, REPATHA, The Cologuard Plus Collection Kit, VIA MATRIX, ZEPBOUND | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Jardiance play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Lilly USA, LLC?
- 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